Safran M A, Hoover K W, Tao G, Butler M O
Centers for Disease Control and Prevention, Mail Stop E-44, 1600 Clifton Road, Atlanta, GA, 30333.
Int J STD AIDS. 2013 Feb;24(2):93-9. doi: 10.1177/0956462412472307. Epub 2013 May 6.
We assessed sexually transmitted infection risk behaviours and desire to discuss mental health, as reported by 426 HIV-infected men who have sex with men receiving HIV care in eight urban clinics. Most of these patients (90%) had begun HIV care >1 year ago. In the past year, 74% had multiple sexual partners, 75% engaged in anal intercourse, 48% had >1 HIV-uninfected partner and 82% used illegal psychoactive drugs. Among those reporting anal intercourse, approximately 61% reported using a condom during the most recent episode. Among all patients, 70% wanted to talk with their clinicians about how they felt mentally or emotionally. Using a two-tailed chi-squared test, we found that patients who engaged in unprotected receptive anal sex were more likely to want such a conversation than those who did not (80% versus 62%, P < 0.01); and those who engaged in unprotected insertive anal sex were also more likely to want such a conversation (81% versus 63%, P < 0.01). The findings highlight the prevalence of risky sexual behaviour and of mental health concerns in the participating patient population. Patients reporting risky sexual behaviour were more likely to want to discuss how they felt mentally or emotionally than those not reporting such behaviour.
我们评估了426名在8家城市诊所接受艾滋病毒治疗的男男性行为艾滋病毒感染者报告的性传播感染风险行为以及讨论心理健康的意愿。这些患者中的大多数（90%）在1年多以前就开始接受艾滋病毒治疗。在过去一年中，74%的人有多个性伴侣，75%的人有肛交行为，48%的人有1名以上未感染艾滋病毒的伴侣，82%的人使用非法精神活性药物。在报告有肛交行为的人中，约61%的人报告在最近一次性交时使用了避孕套。在所有患者中，70%的人希望与他们的临床医生谈论他们的心理或情绪感受。通过双尾卡方检验，我们发现进行无保护被动肛交的患者比未进行此类行为的患者更希望进行这样的谈话（80%对62%，P<0.01）；进行无保护主动肛交的患者也更希望进行这样的谈话（81%对63%，P<0.01）。这些发现凸显了参与研究的患者群体中危险性行为和心理健康问题的普遍性。报告有危险性行为的患者比未报告此类行为的患者更希望讨论他们的心理或情绪感受。
