Samayoa Blanca, Anderson Matthew R, O'Sullivan Lucia F, Patricia Karla, Pacheco Alonso, Matos Ana, Reyes Denise Alabart, Setru Sagar, Arathoon Eduardo
Montefiore Medical Center and Albert Einstein College of Medicine, Department of Family & Social Medicine, 3544 Jerome Avenue, Bronx, NY 10467, USA.
Curr HIV Res. 2010 Mar;8(2):121-6. doi: 10.2174/157016210790442696.
We examined the impact of HIV voluntary counseling and testing on self-reported behavioral risks three months after HIV testing.
Cohort study comparing self-reported risk behaviors prior to and three months after HIV testing.
Clinica Familiar Luis Angel Garcia, an HIV specialty clinic located in a Guatemalan National Hospital.
SUBJECTS, PARTICIPANTS: 144 people undergoing HIV testing were enrolled. 44 were HIV positive. 41 HIV positive and 49 HIV negative subjects returned for follow-up interviews.
All subjects were tested and received voluntary counseling regarding HIV infection, transmission, prevention, and interpretation of HIV test results.
The primary study outcome measure was change in self-reported risk behaviors three months after voluntary counseling and testing.
Men were more likely than women to report a history of sexually transmitted diseases, more than 2 sexual partners, using alcohol with sex, and receiving money for sex; they were less likely to have a regular partner. 26% of men reported non-heterosexual orientation; no woman did. Alcohol was the primary drug of abuse in both men and women. At three month follow-up HIV positive subjects showed decreases in the average number of sexual partners, use of alcohol with sex, and episodes of unprotected sex.
Voluntary counseling and testing resulted in changes in some self-reported risk behaviors, but only among HIV positive subjects. On nearly all measures men report riskier behavior than women. Alcohol is the most commonly used drug in this population and is often used with sex.
我们研究了艾滋病病毒自愿咨询检测对艾滋病病毒检测三个月后自我报告的行为风险的影响。
队列研究，比较艾滋病病毒检测前和检测三个月后自我报告的风险行为。
位于危地马拉国立医院的一家艾滋病专科诊所——路易斯·安吉尔·加西亚家庭诊所。
研究对象、参与者：144名接受艾滋病病毒检测的人被纳入研究。其中44人艾滋病病毒呈阳性。41名艾滋病病毒阳性和49名艾滋病病毒阴性受试者返回接受随访访谈。
所有受试者均接受检测，并就艾滋病病毒感染、传播、预防及检测结果解读接受了自愿咨询。
主要研究观察指标是自愿咨询检测三个月后自我报告的风险行为的变化。
男性比女性更有可能报告有性传播疾病史、有两个以上性伴侣、性行为时饮酒以及以性换钱的经历；他们有固定伴侣的可能性较小。26%的男性报告有非异性恋取向；女性则没有。酒精是男性和女性中主要的滥用药物。在三个月的随访中，艾滋病病毒阳性受试者的性伴侣平均数量、性行为时饮酒以及无保护性行为的次数均有所减少。
自愿咨询检测导致一些自我报告的风险行为发生了变化，但仅发生在艾滋病病毒阳性受试者中。在几乎所有指标上，男性报告的行为风险都高于女性。酒精是该人群中最常用的药物，且常与性行为同时发生。
