Program Evaluation Branch, Division HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
J Public Health Manag Pract. 2022;28(2):170-173. doi: 10.1097/PHH.0000000000001143.
Consistent and correct use of condoms can reduce the risk for sexually transmitted diseases, including HIV/AIDS. Studies have reported that condomless sex among men who have sex with men (MSM) has steadily increased in recent years. We analyzed data reported by 51 health departments regarding 82 556 HIV-positive and HIV-negative MSM 13 years or older and participated in Centers for Disease Control and Prevention-funded behavioral risk-reduction intervention programs during 2012-2017. The percentages of condomless sex increased from 56.3% to 72.0% (estimated annual percent change [EAPC] = 7.1%) among HIV-positive MSM and from 46.0% to 70.5% (EAPC = 4.1%) among HIV-negative MSM. Continued increases in condomless sex might disrupt progress in ending the HIV/AIDS epidemic. Transmission risk associated with condomless sex can be reduced by ensuring that HIV-positive persons know their status early and are linked to care to achieve viral suppression and those at risk for acquiring HIV/AIDS can readily access preexposure prophylaxis.
正确并持续使用安全套可以降低性传播疾病（包括艾滋病）的风险。研究报告显示，近年来男男性行为者（MSM）的无套性行为呈稳步上升趋势。我们分析了 2012 年至 2017 年期间，51 个卫生部门报告的 82556 名年龄在 13 岁及以上的 HIV 阳性和 HIV 阴性 MSM 参与美国疾病控制与预防中心资助的行为风险降低干预项目的数据。HIV 阳性 MSM 中无套性行为的比例从 56.3%增加到 72.0%（估计年度百分比变化[EAPC]=7.1%），HIV 阴性 MSM 中无套性行为的比例从 46.0%增加到 70.5%（EAPC=4.1%）。无套性行为的持续增加可能会破坏终结艾滋病流行的进展。通过确保 HIV 阳性者尽早了解其状况并接受治疗以实现病毒抑制，以及让有感染 HIV/AIDS 风险的人能够轻易获得暴露前预防，可降低无套性行为相关的传播风险。
