Silvestre A J, Lyter D W, Valdiserri R O, Huggins J, Rinaldo C R
Department of Infectious Diseases and Microbiology, University of Pittsburgh, PA 15218.
AIDS. 1989 Oct;3(10):647-50. doi: 10.1097/00002030-198910000-00005.
Thirteen homosexual men, volunteers in a study of the natural history of HIV, who seroconverted to HIV after participating in an educational program on HIV prevention, were interviewed about the circumstances leading to their seroconversion. Six men had participated in unprotected anal intercourse with at least one partner whom they believed was HIV-negative. Four men attributed their conversion to mental health problems or to drug and alcohol use. Two men's seroconversions could not be ascertained and one man attributed seroconversion to a condom break. Most men who had learned how to avoid infection, and had successfully done so for a time, had knowingly engaged in unsafe behaviors because of strong emotional responses to certain partners or because of mental health or drug and alcohol-related problems. Skills training for dealing with partners who pressure men to behave unsafely is needed, as is mental health and drug and alcohol counseling for men at risk for HIV infection.
13名男同性恋者参与了一项关于艾滋病毒自然史的研究，他们在参加了一个艾滋病预防教育项目后血清转化为艾滋病毒阳性。研究人员就导致他们血清转化的情况对他们进行了访谈。6名男子与至少一名他们认为是艾滋病毒阴性的伴侣进行了无保护肛交。4名男子将他们的血清转化归因于心理健康问题或药物和酒精使用。2名男子的血清转化情况无法确定，1名男子将血清转化归因于避孕套破裂。大多数已经学会如何避免感染并在一段时间内成功做到的男子，由于对某些伴侣的强烈情感反应或由于心理健康问题以及与药物和酒精相关的问题，故意从事不安全行为。需要进行技能培训，以应对那些迫使男性做出不安全行为的伴侣，同时也需要为有感染艾滋病毒风险的男性提供心理健康以及药物和酒精咨询服务。
