Research Institute for Health Sciences, Chiang Mai University, 110 Intavaroros Road, Sriphum, Muang, Chiang Mai, 50200, Thailand.
Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
AIDS Behav. 2020 Jun;24(6):1825-1834. doi: 10.1007/s10461-019-02756-6.
The number of older adults living with HIV (OALHIV) is increasing rapidly due to effective antiretroviral therapy. The current research describes sexual behavior, attitudes toward sex, and HIV transmission risk among OALHIV. Participants were HIV-infected persons aged 50 years and older enrolled from community hospitals in Chiang Mai Province, Northern Thailand. Of the 328 participants, 57.6% were women, and the average age was 58.8 years. The majority of participants (93.9%) had undetectable viral load. Most participants (77.1%) thought that it is ok/acceptable for PLHIV to have sex. About one-third of OALHIV participants were sexually active. Being male, younger, married, a previous smoker or a non-smoker, having a positive attitude toward sex, and not having a chronic health condition were independent predictors of having had sex in the last 12 months. Risk of HIV sexual transmission was likely low due to consistent condom use, undetectable viral load, and low instances of extramarital sex.
由于有效的抗逆转录病毒疗法，感染艾滋病毒的老年人数（OALHIV）正在迅速增加。目前的研究描述了 OALHIV 的性行为、对性的态度和艾滋病毒传播风险。参与者是来自泰国北部清迈省社区医院的艾滋病毒感染者，年龄在 50 岁及以上。在 328 名参与者中，57.6%为女性，平均年龄为 58.8 岁。大多数参与者（93.9%）的病毒载量无法检测到。大多数参与者（77.1%）认为艾滋病毒感染者可以进行性行为。约三分之一的 OALHIV 参与者有过性行为。男性、年轻、已婚、以前吸烟或不吸烟、对性持积极态度、没有慢性健康状况是过去 12 个月有过性行为的独立预测因素。由于持续使用避孕套、病毒载量无法检测到以及婚外性行为的发生率低，艾滋病毒性传播的风险可能较低。
