Kalichman Seth C, Eaton Lisa, Cain Demetria, Cherry Charsey, Fuhrel Andrea, Kaufman Michelle, Pope Howard
Department of Psychology, University of Connecticut, CT 06269, USA.
Health Psychol. 2007 Sep;26(5):650-6. doi: 10.1037/0278-6133.26.5.650.
Beliefs about HIV treatment effectiveness and the impact of HIV treatments on HIV transmission risks were initially related to sexual risk-taking in the late 1990s when multidrug HIV treatments first became available. This study examined changes in beliefs about the effects of HIV treatment for preventing HIV transmission and their association to sexual risk behaviors between the years 1997 and 2005.
Anonymous surveys were administered to a convenience sample of gay and bisexual men attending a large community event in Atlanta, Georgia in 1997 (N = 498) and again at the same community event in 2005 (N = 448). Analyses were performed for men living with HIV/AIDS and for men who have not been diagnosed with HIV/AIDS.
Rates of unprotected anal intercourse in the previous 3 months.
There were significant increases in high-risk sexual practices that coincided with increased beliefs that HIV treatments can reduce the chance of transmitting HIV. However, optimistic beliefs about the health benefits of HIV treatments decreased over the 8 years and were not related to risk behaviors.
Beliefs about how HIV treatments impact HIV infectiousness remain associated with HIV transmission risk behavior and interventions targeting at-risk as well as HIV-positive men who have sex with men must directly address these beliefs and perceptions.
20世纪90年代末，当多种药物联合的艾滋病治疗方法首次出现时，关于艾滋病治疗效果以及艾滋病治疗对艾滋病传播风险影响的观念最初与性行为风险行为有关。本研究调查了1997年至2005年间关于艾滋病治疗预防艾滋病传播效果的观念变化及其与性行为风险行为的关联。
对1997年参加佐治亚州亚特兰大一个大型社区活动的男同性恋者和双性恋者的便利样本进行匿名调查（N = 498），并于2005年在同一社区活动中再次进行调查（N = 448）。对感染艾滋病病毒/艾滋病的男性和未被诊断出感染艾滋病病毒/艾滋病的男性进行了分析。
过去3个月内无保护肛交的发生率。
高危性行为显著增加，与此同时，人们越来越相信艾滋病治疗可以降低传播艾滋病病毒的几率。然而，对艾滋病治疗健康益处的乐观观念在8年中有所下降，且与风险行为无关。
关于艾滋病治疗如何影响艾滋病传染性的观念仍然与艾滋病传播风险行为相关，针对高危男性以及与男性发生性行为的艾滋病病毒阳性男性的干预措施必须直接解决这些观念和认知。
