Goedel William C, Schneider John A, Hagen Daniel, Duncan Dustin T
1 Department of Population Health, School of Medicine, New York University, New York, NY, USA.
2 College of Global Public Health, New York University, New York, NY, USA.
J Int Assoc Provid AIDS Care. 2017 May/Jun;16(3):233-238. doi: 10.1177/2325957416682090. Epub 2016 Jan 1.
Serodiscussion-the mutual discussion of HIV statuses between sexual partners-can be viewed as an essential prerequisite for risk-reduction behaviors among men who have sex with men (MSM). The current study aimed to assess the prevalence of serodiscussion with one's most recent sexual partner and its association with sexual behaviors with these partners. Broadcast advertisements were placed on a geosocial-networking smartphone application, encouraging users to complete an online survey. A total of 200 MSM completed the survey. Serodiscussion occurred in 43.5% of dyads, and it was most common in dyads where both partners were reported to be HIV positive, χ(5) = 60.3, P < .001. Serodiscussion was associated with engagement in both condomless insertive, χ(1) = 3.847, P = .046, and receptive anal intercourse, χ(1) = 6.5, P = .011. However, there were no significant differences in how recently a respondent was tested for HIV, representing potentially high-risk scenarios.
血清状况讨论——性伴侣之间关于艾滋病毒感染状况的相互讨论——可被视为男男性行为者（MSM）采取降低风险行为的一个基本前提。本研究旨在评估与最近一次性伴侣进行血清状况讨论的发生率及其与和这些伴侣发生性行为之间的关联。在一款基于地理位置的社交网络智能手机应用程序上投放了广播广告，鼓励用户完成一项在线调查。共有200名男男性行为者完成了该调查。43.5%的性伴侣对进行了血清状况讨论，在双方均报告为艾滋病毒阳性的性伴侣对中最为常见，χ(5)=60.3，P<.001。血清状况讨论与无保护插入式性行为（χ(1)=3.847，P=.046）及接受肛交（χ(1)=6.5，P=.011）均有关联。然而，在受访者最近一次进行艾滋病毒检测的时间方面并无显著差异，这代表着潜在的高风险情况。
