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英国 HIV 确诊的男同性恋、双性恋和其他男男性行为者对向新性伴侣披露 HIV 血清状况的态度和性行为。

Attitudes to disclosure of HIV-serostatus to new sexual partners and sexual behaviours among HIV-diagnosed gay, bisexual and other men who have sex with men in the UK.

机构信息

Institute for Global Health, University College London, London, UK.

Homerton University Hospital NHS Foundation Trust, London, UK.

出版信息

AIDS Care. 2020 Oct;32(10):1323-1332. doi: 10.1080/09540121.2020.1728218. Epub 2020 Mar 1.


DOI:10.1080/09540121.2020.1728218
PMID:32114800
Abstract

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.

摘要

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。

相似文献

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Attitudes to disclosure of HIV-serostatus to new sexual partners and sexual behaviours among HIV-diagnosed gay, bisexual and other men who have sex with men in the UK.

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引用本文的文献

[1]
Awareness of Sexual Partner's HIV Status Among Men Who Have Sex With Men in China: Cross-Sec. tional Survey Study.

JMIR Public Health Surveill. 2025-1-13

[2]
Disclosure Concerns and the Correlation Among Gay, Bisexual, and Other Men Who Have Sex With Men Living With HIV Receiving Antiretroviral Therapy in Taiwan.

Health Serv Insights. 2024-1-21

[3]
Associations between HIV disclosure and HIV care continuum outcomes among men who have sex with men living with HIV: systematic review and meta-analysis.

AIDS Care. 2023-12

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