Blackwell Christopher W
a College of Nursing , University of Central Florida , Orlando , Florida , USA.
Soc Work Public Health. 2018;33(5):271-279. doi: 10.1080/19371918.2018.1454869. Epub 2018 Apr 10.
The incidence of new HIV infections in the United States continues to be greatest among men who have sex with men (MSM). MSM infected with HIV often seek seroconcordant sexual partners based on intent to limit psychosocial, legal, and health risks they perceive as higher with serodiscordant sexual partners. However, the rationales for limiting sexual relationships exclusively with other MSM infected with HIV may be rooted in misinformation or misperception. Thus, these clients may have a unique sexual health knowledge deficit that nurses, social workers, and other clinicians need to address to help them reduce risk. This article focuses on sexually related health risks that are distinct to MSM infected with HIV seroconcordant partners. Data on the most recent HIV-infection incidence rates in MSM in the United States is provided. Discussion concentrates on the risk these individuals may have in communicating and acquiring sexually transmitted diseases other than HIV, the risk of HIV superinfection, and how sexually transmitted diseases affect persons who are immunocompromised differently than those who are immunocompetent. Finally, recommendations for healthcare professionals who counsel MSM infected with HIV in sexual decision making is provided.
在美国，男男性行为者（MSM）中新增艾滋病毒感染的发生率仍然最高。感染艾滋病毒的男男性行为者通常会寻找血清学一致的性伴侣，目的是限制他们认为与血清学不一致的性伴侣相比更高的心理社会、法律和健康风险。然而，将性关系仅限于其他感染艾滋病毒的男男性行为者的理由可能源于错误信息或误解。因此，这些客户可能存在独特的性健康知识缺陷，护士、社会工作者和其他临床医生需要加以解决，以帮助他们降低风险。本文重点关注与感染艾滋病毒且血清学一致的性伴侣发生性行为相关的独特健康风险。提供了美国男男性行为者最新艾滋病毒感染发病率的数据。讨论集中在这些个体在传播和感染除艾滋病毒之外的性传播疾病方面可能存在的风险、艾滋病毒重复感染的风险，以及性传播疾病如何以不同于免疫功能正常者的方式影响免疫功能低下者。最后，为在性决策方面为感染艾滋病毒的男男性行为者提供咨询的医疗保健专业人员提供了建议。
