Yan Hongjing, Cao Wangnan, Mo Phoenix, Huan Xiping, Wang Zixin, Lin Xiaojie, Wang Xiaodong, Gu Li, Wang Peng, Agudile Emeka, Lau Joseph
a Jiangsu Provincial Center for Disease Control and Prevention , Nanjing , People's Republic of China.
b Division of Behavioral Health and Health Promotion , JC School of Public Health and Primary Care, The Chinese University of Hong Kong , Hong Kong , People's Republic of China.
AIDS Care. 2019 Aug;31(8):1026-1034. doi: 10.1080/09540121.2019.1612002. Epub 2019 May 2.
HIV-positive men who have sex with men and women (MSMW) may transmit HIV to regular female sexual partners (FSPs, including girlfriend and wife) through unprotected sex. FSPs' awareness of the HIV serostatus of the MSMW promotes them to access services. However, the prevalence of HIV disclosure among MSMW was low, and factors associated with this disclosure are largely unknown. This study aimed to examine factors associated with HIV disclosure to regular FSPs among HIV-positive MSMW. We recruited 432 HIV-positive MSMW from three provinces of China and collected information on participants' individual characteristics and interpersonal relationships with their FSPs using individualized structured questionnaire. Univariate and multivariate logistic regression were used for data analysis. The prevalence of HIV disclosure to their most recent FSPs was 49.8%. Facilitators of HIV disclosure included the presence of HIV/AIDS symptoms, perceiving this partner's HIV status as positive, exposure to counseling favoring disclosure, inconsistent condom use, and this partner's acknowledgment of MSM identity. Barriers against HIV disclosure included unknown HIV serostatus of this partner and an instrumental relationship to hide MSM identity. HIV disclosure to regular FSPs was low. Programs should target priority subgroups. Services in counseling favoring disclosure and partner HIV testing should be enhanced.
与男性和女性发生性行为的艾滋病毒阳性男性（双性恋男性）可能通过无保护性行为将艾滋病毒传播给正常的女性性伴侣（包括女友和妻子）。女性性伴侣了解双性恋男性的艾滋病毒血清学状态有助于她们获得相关服务。然而，双性恋男性中艾滋病毒暴露的比例较低，且与这种暴露相关的因素在很大程度上尚不清楚。本研究旨在调查与艾滋病毒阳性双性恋男性向正常女性性伴侣暴露艾滋病毒相关的因素。我们从中国三个省份招募了432名艾滋病毒阳性双性恋男性，并使用个性化结构化问卷收集了参与者的个人特征以及他们与女性性伴侣的人际关系信息。采用单因素和多因素逻辑回归进行数据分析。向其最近的女性性伴侣暴露艾滋病毒的比例为49.8%。艾滋病毒暴露的促进因素包括出现艾滋病毒/艾滋病症状、认为该伴侣的艾滋病毒状态为阳性、接受有利于暴露的咨询、避孕套使用不一致以及该伴侣承认其双性恋身份。艾滋病毒暴露的障碍包括该伴侣的艾滋病毒血清学状态不明以及为隐瞒双性恋身份而建立的功利关系。向正常女性性伴侣暴露艾滋病毒的比例较低。项目应针对优先亚组。应加强有利于暴露的咨询服务和性伴侣艾滋病毒检测服务。
