Department of Nursing Systems, College of Nursing, University of Central Florida, Orlando, FL, United States of America.
Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, United States of America.
PLoS One. 2018 Dec 17;13(12):e0207838. doi: 10.1371/journal.pone.0207838. eCollection 2018.
Despite campaigns to increase safer sex practices, there are people living with HIV/AIDS (PLWH) who do not disclose their HIV status to sexual partners and engage in condomless sex. The purpose of this research was to: 1) describe factors associated with disclosure of HIV status to sexual partners; and 2) determine if disclosure and/or receipt of prevention counseling are independently associated with condomless sex. We used the Florida Medical Monitoring Project to analyze data from 376 HIV positive men with more than one sexual partner. Results indicated that 55% consistently disclosed their HIV status to sexual partners, 30% inconsistently disclosed, 15% did not disclose, and 48% reported any condomless sex. The odds of having condomless sex was 3.3 (CI = 1.5, 7.3) times greater in men who disclosed to all partners. Results suggest that men who disclose are also those who are more likely to have condomless sex. More research is needed to better understand the complex nature of disclosure and sexual risk behaviors and how disclosure impacts sexual risk.
尽管有增加安全性行为的宣传活动，但仍有一些感染艾滋病毒/艾滋病的人（PLWH）未向性伴侣透露其艾滋病毒状况，并进行无保护措施的性行为。本研究的目的是：1）描述与向性伴侣透露艾滋病毒状况相关的因素；2）确定披露和/或接受预防咨询是否与无保护措施的性行为独立相关。我们使用佛罗里达医疗监测项目，对 376 名有多于一名性伴侣的艾滋病毒阳性男性的数据进行了分析。结果表明，55%的人始终向性伴侣透露其艾滋病毒状况，30%的人不一致地透露，15%的人不透露，48%的人报告有任何无保护措施的性行为。向所有伴侣透露的男性发生无保护措施性行为的可能性是 3.3 倍（95%置信区间= 1.5，7.3）。结果表明，披露的男性更有可能发生无保护措施的性行为。需要进一步研究，以更好地了解披露和性风险行为的复杂性质，以及披露如何影响性风险。
