Institute for Global Health, University College London, London, UK.
Homerton University Hospital NHS Foundation Trust, London, UK.
AIDS Care. 2020 Oct;32(10):1323-1332. doi: 10.1080/09540121.2020.1728218. Epub 2020 Mar 1.
We assessed attitudes to disclosure to new sexual partners and association with sexual behaviours among HIV-diagnosed gay, bisexual, and other men who have sex with men (GBMSM) in the UK Antiretrovirals, Sexual Transmission Risk and Attitudes (ASTRA) study in 2011-12. Among 1373 GBMSM diagnosed with HIV for ≥3 months and reporting sex in the past three months (84% on antiretroviral therapy (ART), 75% viral load (VL) ≤50c/mL), 56.3% reported higher sexual disclosure ("agree" or "tend to agree" with "I'd expect to tell a new partner I'm HIV-positive before we have sex"). GBMSM on ART with self-reported undetectable VL had lower disclosure than those on ART without self-reported undetectable VL and those not on ART. Higher sexual disclosure was associated with higher prevalence of CLS in the past three months; this was due to its association with CLS with other HIV-positive partners. Higher sexual disclosure was more common among GBMSM who had CLS with other HIV-positive partners only (72.1%) compared to those who had higher-risk CLS with HIV-serodifferent partners (55.6%), other CLS with HIV-serodifferent partners (45.9%), or condom-protected sex only (47.6%). Findings suggest mutual HIV-disclosure and HIV-serosorting were occurring in this population. Knowledge of VL status may have impacted on disclosure to sexual partners.
我们在 2011-12 年的英国抗逆转录病毒、性传播风险和态度(ASTRA)研究中评估了已确诊 HIV 的男同性恋、双性恋和其他男男性行为者(GBMSM)对向新性伴侣披露和与性行为关联的态度。在 1373 名诊断出 HIV 超过 3 个月且报告过去三个月有性行为的 GBMSM 中(84%接受抗逆转录病毒治疗(ART),75%病毒载量(VL)≤50c/mL),56.3%报告了更高的性披露度(“同意”或“倾向于同意”“我希望在与新伴侣发生性行为之前告知我 HIV 阳性”)。报告自我检测不到 VL 的 ART 治疗的 GBMSM 的披露度低于未报告自我检测不到 VL 的 ART 治疗和未接受 ART 治疗的 GBMSM。更高的性披露度与过去三个月更高的 CLS 患病率相关;这是因为它与与其他 HIV 阳性伴侣的 CLS 相关。仅与其他 HIV 阳性伴侣发生 CLS 的 GBMSM 中,更高的性披露度更为常见(72.1%),而与 HIV 血清不同的伴侣发生高风险 CLS(55.6%)、与 HIV 血清不同的伴侣发生其他 CLS(45.9%)或仅使用安全套发生性行为(47.6%)的情况相比。研究结果表明,在该人群中发生了相互 HIV 披露和 HIV 血清分类。对 VL 状况的了解可能会影响对性伴侣的披露。
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