Przybyla Sarahmona, Golin Carol, Widman Laura, Grodensky Catherine, Earp Jo Anne, Suchindran Chirayath
1 Research Institute on Addictions, State University of New York at Buffalo , Buffalo, New York.
AIDS Patient Care STDS. 2014 Dec;28(12):677-84. doi: 10.1089/apc.2014.0203.
Given the increasing prevalence of HIV, it is important to identify factors associated with safer sex behaviors between people living with HIV and their partners. Utilizing a diverse sample of 242 HIV-infected adults [n=69 men who have sex with men (MSM); n=68 men who have sex with women (MSW); n=105 women who have sex with men (WSM)], we examined the association between serostatus disclosure and unprotected anal or vaginal intercourse (UAVI) and the moderating effect of sexual behavior group on this association. Overall, 88.7% disclosed to their current partner. Approximately 18.8% of MSM, 17.7% of MSW, and 29.5% of WSM reported UAVI. Controlling for age, time since diagnosis, and partner serostatus, we found main effects on UAVI for disclosure and sexual behavior group; specifically, disclosure was inversely related to unprotected sex [AOR=0.09, 95% CI (0.02, 0.43), p<0.001], and MSM were less likely to engage in UAVI relative to WSM [AOR=0.11, 95% CI (0.17, 0.82), p<0.05]. However, the relationship between disclosure and UAVI was not moderated by sexual behavior group. Future strategies that aim to increase disclosure to partners may consider focusing on its value as a means by which to reduce sexual risk behavior.
鉴于艾滋病毒的患病率不断上升，识别与艾滋病毒感染者及其伴侣之间更安全性行为相关的因素非常重要。我们选取了242名感染艾滋病毒的成年人作为多样化样本（其中69名是男男性行为者；68名是男女发生性行为者；105名是女性与男性发生性行为者），研究了血清学状态披露与无保护肛交或阴道性交之间的关联，以及性行为群体对这种关联的调节作用。总体而言，88.7%的人向其现任伴侣披露了病情。约18.8%的男男性行为者、17.7%的男女发生性行为者和29.5%的女性与男性发生性行为者报告有无保护肛交或阴道性交。在控制了年龄、确诊时间和伴侣血清学状态后，我们发现披露情况和性行为群体对无保护肛交或阴道性交有主要影响；具体而言，披露与无保护性行为呈负相关 [调整后比值比=0.09，95%置信区间(0.02, 0.43)，p<0.001]，与女性与男性发生性行为者相比，男男性行为者进行无保护肛交或阴道性交的可能性较小 [调整后比值比=0.11，95%置信区间(0.17, 0.82)，p<0.05]。然而，性行为群体并未调节披露情况与无保护肛交或阴道性交之间的关系。未来旨在增加向伴侣披露情况的策略可能会考虑将重点放在其作为降低性风险行为手段的价值上。
