Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Centers for Disease Control and Prevention, 1600 Clifton Road, MS US8-4, Atlanta, GA, 30333, USA.
AIDS Behav. 2022 Oct;26(10):3199-3209. doi: 10.1007/s10461-022-03655-z. Epub 2022 Apr 2.
During 2007-2019, the percentage of HIV Outpatient Study participants reporting anal or vaginal condomless sex in the past 6 months ranged from a low of 17% among heterosexual males to 59% for men who have sex with men (MSM). MSM reported having had condomless sex more frequently than heterosexual males and females and were the only group in which an increase in condomless sex was observed during the study period (from 39 to 59%). Although persons with undetectable HIV viral load have effectively no risk of transmitting HIV sexually (U = U), there is still the potential risk of transmission or acquisition of other sexually transmitted infections (STIs) when engaging in condomless sex. Continuing education about risks of HIV and STI transmission as well as ongoing screening for and treatment of STIs, retention in HIV treatment, and support for sexual health are critical components of care for people living with HIV.
在 2007 年至 2019 年期间，报告过去 6 个月内有肛交或阴道无保护性行为的 HIV 门诊研究参与者的比例，从异性恋男性的 17%（较低）到男男性接触者（MSM）的 59%。MSM 报告说他们有过无保护性行为的次数比异性恋男性和女性更频繁，并且是唯一在研究期间观察到无保护性行为增加的群体（从 39%增加到 59%）。尽管 HIV 病毒载量无法检测到的人在性方面有效没有 HIV 传播的风险（U=U），但当进行无保护性行为时，仍存在传播或感染其他性传播感染（STI）的潜在风险。关于 HIV 和 STI 传播风险的继续教育，以及对 STI 的持续筛查和治疗、HIV 治疗的保留和对性健康的支持，是 HIV 感染者护理的重要组成部分。
