Linn L S, Spiegel J S, Mathews W C, Leake B, Lien R, Brooks S
Department of Medicine, UCLA 90024-1685.
Arch Intern Med. 1989 Dec;149(12):2685-90.
We studied the sociodemographic characteristics, knowledge, and beliefs about acquired immunodeficiency syndrome transmission and sexual practices of 823 gay or bisexual men seeking primary care. During the previous 2 months, 64% had engaged in at least one sexual behavior considered unsafe. These patients compared with those having safer sex, were younger, of lower socioeconomic status, and from a racial minority, especially Latino. The unsafe group also had more sexual partners, engaged in sexual acts more often, felt less in control over their sexual behavior, used recreational drugs more frequently, and were less likely to talk about safe sex with partners. The unsafe group had less adequate knowledge about human immunodeficiency virus transmission but felt safer from the risk of acquired immunodeficiency syndrome even when engaging in unsafe sex. Educational programs dealing more directly with belief systems and the potential addiction to recreational drugs and sexual behaviors need to be developed for primary care settings.
我们研究了823名寻求初级保健的男同性恋者或双性恋男性的社会人口学特征、关于获得性免疫缺陷综合征传播的知识和信念以及性行为。在前两个月中，64%的人至少进行了一种被认为不安全的性行为。与进行安全性行为的患者相比，这些患者更年轻，社会经济地位较低，且属于少数种族，尤其是拉丁裔。不安全组也有更多性伴侣，性行为更频繁，对自己的性行为控制感更低，更频繁地使用消遣性药物，并且不太可能与伴侣谈论安全性行为。不安全组对人类免疫缺陷病毒传播的了解不足，但即使在进行不安全性行为时也感觉自己感染获得性免疫缺陷综合征的风险较低。需要为初级保健机构制定更直接针对信念系统以及消遣性药物和性行为潜在成瘾问题的教育项目。
