Social Intervention Group, School of Social Work, Columbia University, New York, NY 10027, USA.
J Acquir Immune Defic Syndr. 2010 Dec;55 Suppl 2(Suppl 2):S98-101. doi: 10.1097/QAI.0b013e3181fbf407.
This article presents an overview of couple-based HIV prevention research to date, advantages of using and core components of couple-based interventions, gaps in the current understanding of couple-based HIV prevention, status of dissemination research and the transportability of effective couple-based HIV prevention and treatment to real-world settings, and recommendations for future directions in couple-based prevention and treatment. Couple-based studies conducted among several populations-heterosexuals, men who have sex with men, and drug users-reported in the research literature were reviewed. Commonalities and limitations were noted in customary focus areas of the couple-based approaches: sexual and drug risk reduction, HIV testing behaviors, adherence to HIV treatment, and prevention of mother-to-child transmission. Couple-based intervention strategies have been rigorously tested and are a valuable addition to the arsenal of HIV prevention strategies. Immediate needs and opportunities include couple-based intervention strategies for prevention of HIV and other sexually transmitted infections among serodiscordant couples, couples who do not know their HIV status, and couples in whom both partners are HIV negative but at risk of HIV infection. There is a particular need to develop couple-based intervention strategies for men who have sex with men and for drug-involved couples.
本文概述了迄今为止基于伴侣的 HIV 预防研究，使用基于伴侣的干预措施的优势和核心组成部分，当前对基于伴侣的 HIV 预防的理解差距，传播研究的现状以及将有效的基于伴侣的 HIV 预防和治疗方法推广到现实环境中的可转移性，以及对基于伴侣的预防和治疗未来方向的建议。综述了研究文献中报道的几种人群（异性恋者、男男性行为者和吸毒者）中进行的基于伴侣的研究。注意到基于伴侣方法的常见重点领域的共性和局限性：性和药物风险降低、HIV 检测行为、HIV 治疗依从性以及母婴传播的预防。基于伴侣的干预策略已经经过严格测试，是 HIV 预防策略的有力补充。当前的需求和机会包括针对血清不一致的伴侣、不知道自己 HIV 状况的伴侣以及双方 HIV 阴性但有 HIV 感染风险的伴侣的基于伴侣的预防 HIV 和其他性传播感染的干预策略。特别需要为男男性行为者和涉及毒品的伴侣开发基于伴侣的干预策略。
