BC Centre for Excellence in HIV/AIDS, 608-1081 Burrard Street, Vancouver, BC, V6Z1Y6, Canada.
Faculty of Medicine, University of British Columbia, Vancouver, Canada.
AIDS Behav. 2021 Aug;25(8):2630-2643. doi: 10.1007/s10461-021-03224-w. Epub 2021 Mar 22.
We examined temporal trends and factors associated with reporting partner's serostatus and viral load among a sample of gay, bisexual and other men who have sex with men (gbMSM) in Vancouver, Canada. Participants were recruited using respondent-driven sampling and we collected prospective cohort data from 09/2014 to 02/2017 using a computer-assisted questionnaire and nurse-administered STI/HIV testing. Our study included 481 participants reporting on 3780 sexual events. Among HIV-negative/unknown gbMSM we found a trend towards decreased proportions of sexual events reporting an unknown HIV-status partner (42-19%; p = < 0.001) and found increased proportions among gbMSM living with HIV (11-27%; p = 0.043). More participants living with HIV reported sex with undetectable partners, compared to HIV-negative/unknown participants (14.8% versus 5%). Our multivariable model found that compared with unknown status partners, undetectable partners were older, were from longer sexual relationships and were more likely to engage in condomless anal sex. Findings indicate that HIV-negative gbMSM seem more aware of the serostatus of their partners over time, but knowledge of partners' viral load over time was not significant. Further research should assess the degree to which new campaigns such as Undetectable = Untransmittable (U = U) are associated with discussions about HIV disclosure and viral load status.
我们考察了加拿大温哥华的男同性恋、双性恋和其他男男性行为者(gbMSM)中报告性伴侣的血清学状态和病毒载量的时间趋势和相关因素。参与者通过应答者驱动抽样招募,我们从 2014 年 9 月至 2017 年 2 月使用计算机辅助问卷和护士进行的性传播感染/艾滋病毒检测收集前瞻性队列数据。我们的研究包括 481 名报告 3780 次性事件的参与者。在 HIV 阴性/未知的 gbMSM 中,我们发现报告未知 HIV 状态性伴侣的性事件比例呈下降趋势(42-19%;p<0.001),而 HIV 阳性的 gbMSM 比例呈上升趋势(11-27%;p=0.043)。与 HIV 阴性/未知参与者相比,更多的 HIV 阳性参与者报告与无法检测到病毒的伴侣发生性行为(14.8%对 5%)。我们的多变量模型发现,与未知状态的伴侣相比,无法检测到病毒的伴侣年龄更大,性伴侣关系持续时间更长,且更有可能发生无保护的肛交。研究结果表明,随着时间的推移,HIV 阴性的 gbMSM 似乎对性伴侣的血清学状态有了更多的了解,但对性伴侣病毒载量的了解并不明显。进一步的研究应该评估像“无法检测到病毒=无法传播病毒”(U=U)这样的新活动与关于艾滋病毒披露和病毒载量状况的讨论的关联程度。
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