Goedert J J
N Engl J Med. 1987 May 21;316(21):1339-42. doi: 10.1056/NEJM198705213162111.
Because of the lethality of the HIV epidemic, rational and scientifically defined standards of sex that preclude the spread of sexually transmitted diseases are required. In the context of an HIV-antibody test that has been documented to be extremely sensitive and specific, standards for truly safe sex can be defined. HIV testing can be used as a powerful tool for defining a series of standards for sexual partners that eliminates, with reasonable certainty, the further spread of HIV. Such standards provide a defined benchmark for future research aimed at evaluating the effectiveness of public health measures in arresting the spread of the virus. The fact that at least 10 million American blood donors and some 2 million Americans applying for or in the armed forces have been tested demonstrates that the adverse consequences of testing can be limited. Now is the time to minimize the fear and eliminate the risk of transmitting HIV to loved ones by urging widespread voluntary testing of sexually active adults and by developing standards for safe sex.
鉴于艾滋病疫情的致死性，需要有合理且科学界定的性行为标准来预防性传播疾病的传播。在已证明艾滋病病毒抗体检测极为灵敏和特异的情况下，可以界定真正安全性行为的标准。艾滋病病毒检测可作为一项有力工具，用于确定一系列性伴侣标准，从而有合理把握地消除艾滋病病毒的进一步传播。此类标准为今后旨在评估公共卫生措施遏制病毒传播成效的研究提供了明确的基准。至少1000万美国献血者以及约200万申请加入或已在军队服役的美国人接受了检测，这一事实表明检测的不良后果是可以控制的。现在是时候通过敦促性活跃成年人广泛自愿检测并制定安全性行为标准，将恐惧降至最低并消除将艾滋病病毒传播给亲人的风险了。
