Bosga M B, de Wit J B, de Vroome E M, Houweling H, Schop W, Sandfort T G
Department of Social and Organizational Psychology, Utrecht University, The Netherlands.
AIDS Educ Prev. 1995 Apr;7(2):103-15.
In this study it was assessed whether homosexual men who practiced unprotected anogenital intercourse with steady and non-steady partners subjectively perceived their behaviors to be risky. Data were collected from 165 homosexual participants in an ongoing cohort study who reported unprotected anal sex. A variety of psychological factors which could possibly explain why some men were at risk but did not perceive their behavior as such, were investigated. This study showed that the majority of men who engaged in sexual risk behaviors within their primary relationship did not subjectively appraise their behavior as risky. The factors found to explain this discrepancy were not having had sex with a partner known to be HIV infected or to have AIDS (for couples of unknown serostatus) and not having had friends or relatives who were ill or had died (for seronegative couples). Homosexual men who had unprotected anal sex with casual partners generally were aware of the risk involved in their behavior.
在本研究中，评估了与固定和非固定伴侣进行无保护肛门生殖器性交的男同性恋者是否主观上认为其行为存在风险。数据来自一项正在进行的队列研究中的165名同性恋参与者，他们报告有过无保护肛交行为。研究了各种可能解释为何一些男性处于风险中却未意识到自身行为有风险的心理因素。本研究表明，大多数在主要关系中从事性风险行为的男性并未主观上将其行为评估为有风险。发现可解释这种差异的因素包括未与已知感染艾滋病毒或患有艾滋病的伴侣发生性行为（对于血清学状态不明的伴侣），以及没有生病或死亡的朋友或亲属（对于血清学阴性的伴侣）。与偶然伴侣进行无保护肛交的男同性恋者通常意识到其行为所涉及的风险。
