Brennan David J, Welles Seth L, Miner Michael H, Ross Michael W, Rosser B R Simon
Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.
AIDS Educ Prev. 2010 Apr;22(2):126-37. doi: 10.1521/aeap.2010.22.2.126.
This study was designed to examine the impact of HIV treatment optimism on sexual risk among a racially diverse sample of HIV-positive MSM. Survey data were collected from 346 racially diverse HIV-positive MSM.
18 years of age, male, at least one incident of unprotected anal intercourse (UAI) in the last year, currently on treatment. Other variables included demographics, sexual risk, depression, internalized homonegativity, HIV treatment history, alcohol/drug use and beliefs about HIV treatments (Susceptibility to transmit HIV, Severity of HIV infection and Condom Motivation). Those with lower income were more likely to report that HIV was less transmissible. A self-reported decrease in condom motivation was associated with being White, well-educated and increased alcohol/drug use. A decrease in Severity of HIV was associated with better mental health, being non-White and undetectable viral load. Sexual risk appears related to beliefs about how treatment affects the transmissibility of HIV. Race, socioeconomic status, alcohol/drug use, mental health and viral load were also associated with treatment beliefs.
本研究旨在考察在一个种族多样化的HIV阳性男男性接触者样本中，对HIV治疗的乐观态度对性风险的影响。从346名种族多样化的HIV阳性男男性接触者中收集了调查数据。
年龄18岁，男性，过去一年至少有一次无保护肛交事件，目前正在接受治疗。其他变量包括人口统计学特征、性风险、抑郁、内化的同性恋消极态度、HIV治疗史、酒精/药物使用情况以及对HIV治疗的信念（对传播HIV的易感性、HIV感染的严重性和使用避孕套的动机）。收入较低者更有可能报告HIV传播性较低。自我报告的使用避孕套动机降低与白人、受过良好教育以及酒精/药物使用增加有关。HIV严重性降低与更好的心理健康、非白人以及病毒载量不可检测有关。性风险似乎与关于治疗如何影响HIV传播性的信念有关。种族、社会经济地位、酒精/药物使用、心理健康和病毒载量也与治疗信念有关。
