1997 - 2006年男男性行为者对艾滋病毒/艾滋病治疗及性风险行为的看法
Beliefs about treatments for HIV/AIDS and sexual risk behaviors among men who have sex with men, 1997-2006.
作者信息
Kalichman Seth C, Eaton Lisa, White Denise, Cherry Charsey, Pope Howard, Cain Demetria, Kalichman Moira O
机构信息
Department of Psychology, University of Connecticut, 406 Babbidge Road, Storrs, CT 06269, USA.
出版信息
J Behav Med. 2007 Dec;30(6):497-503. doi: 10.1007/s10865-007-9123-6. Epub 2007 Aug 10.
Abstract
Beliefs that HIV treatments reduce HIV transmission risks are related to increases in sexual risk behaviors, particularly unprotected anal intercourse among men who have sex with men (MSM). Changes in unprotected anal intercourse and prevention-related treatment beliefs were recently reported for surveys of mostly white gay men collected in 1997 and 2005. The current study extends this previous research by replicating the observed changes in behaviors and beliefs in anonymous community surveys collected in 2006. Results indicated clear and consistent increases in beliefs that HIV treatments reduce HIV transmission risks and increases in unprotected anal intercourse. These changes were observed for both HIV positive and non-HIV positive men. African American men endorsed the belief that HIV treatments protect against HIV transmission to a greater degree than White men. Results show that HIV prevention messages need to be updated to educate MSM about the realities of HIV viral concentrations and HIV transmission risks.
摘要
认为艾滋病病毒治疗可降低艾滋病病毒传播风险的观念与性风险行为的增加有关，尤其是男男性行为者（MSM）中的无保护肛交行为。最近有报告称，在1997年和2005年收集的主要针对白人男同性恋者的调查中，无保护肛交行为和与预防相关的治疗观念发生了变化。当前的研究通过在2006年收集的匿名社区调查中复制观察到的行为和观念变化，扩展了先前的这项研究。结果表明，认为艾滋病病毒治疗可降低艾滋病病毒传播风险的观念明显且持续增加，无保护肛交行为也有所增加。在艾滋病病毒呈阳性和非阳性的男性中均观察到了这些变化。非裔美国男性比白人男性更认同艾滋病病毒治疗可预防艾滋病病毒传播这一观念。结果表明，需要更新艾滋病病毒预防信息，以教育男男性行为者了解艾滋病病毒载量和艾滋病病毒传播风险的实际情况。
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