Onen Nur F, Shacham Enbal, Stamm Kate E, Overton E Turner
Department of Infectious Diseases, Washington University School of Medicine, St Louis, MO, USA.
AIDS Care. 2010 Jun;22(6):711-7. doi: 10.1080/09540120903373573.
Knowledge of an HIV-infected individual's sexual behaviors and routine sexually transmitted diseases (STDs) testing greatly facilitates HIV prevention efforts, but current data in older individuals are lacking. This study was developed to compare sexual behaviors and STD prevalence between older HIV-infected individuals and their younger counterparts. We conducted a cross-sectional cohort study of HIV-infected individuals > or =18 years who completed an annual behavioral assessment. A total of 541 individuals completed the assessment. Analyses were performed to examine differences in sexual behaviors and STD prevalence between age groups: younger (18-35 years) (30%), middle-aged (36-49 years) (46%), and older (> or =50 years) (24%). Older individuals were most likely to be male and Caucasian with longest time since HIV diagnosis, greatest receipt of highly active antiretroviral therapy (HAART), and highest rates of HIV RNA <50 copies/mL (all p<0.001). Reports of recent sexual activity decreased with age, younger (56%) vs. middle-aged (43%) vs. older (27%) (p<0.001). The median number of recent sex partners was one (range 1-25) and 68% overall reported using condoms consistently; these parameters did not differ by age group. STD prevalence was 8% (gonorrhea [9], chlamydia [7], and syphilis [20]) and was highest among younger individuals (younger [11%] vs. middle-aged [7%] vs. older [3%]). Our results demonstrated that with older age, sexual activity declines but inconsistent condom use remains commonly reported. Furthermore, STDs were identified among all age groups. This latter finding reinforces the need for secondary prevention efforts among all individuals living with HIV/AIDS.
了解艾滋病毒感染者的性行为及常规性传播疾病（STD）检测情况，极大地有助于艾滋病毒预防工作，但目前缺乏老年人群体的数据。本研究旨在比较老年艾滋病毒感染者与其年轻感染者之间的性行为及性传播疾病患病率。我们对年龄≥18岁且完成年度行为评估的艾滋病毒感染者进行了一项横断面队列研究。共有541人完成了评估。进行分析以检验不同年龄组（年轻组[18 - 35岁，占30%]、中年组[36 - 49岁，占46%]和老年组[≥50岁，占24%]）在性行为及性传播疾病患病率方面的差异。老年个体最有可能为男性且是白种人，自艾滋病毒诊断以来的时间最长，接受高效抗逆转录病毒治疗（HAART）的比例最高，且艾滋病毒RNA<50拷贝/mL的比例也最高（所有p<0.001）。近期性活动的报告随年龄增长而减少，年轻组（56%）、中年组（43%）和老年组（27%）（p<0.001）。近期性伴侣的中位数为1（范围1 - 25），总体68%报告始终坚持使用避孕套；这些参数在不同年龄组之间无差异。性传播疾病患病率为8%（淋病[9例]、衣原体感染[7例]和梅毒[20例]），在年轻个体中最高（年轻组[11%]、中年组[7%]、老年组[3%]）。我们的结果表明，随着年龄增长，性活动减少，但避孕套使用不一致的情况仍普遍存在。此外，所有年龄组均发现了性传播疾病。后一发现强化了对所有艾滋病毒/艾滋病感染者进行二级预防工作的必要性。
