Dawson J M, Fitzpatrick R M, Reeves G, Boulton M, McLean J, Hart G J, Brookes M
Department of Public Health and Primary Care, University of Oxford, UK.
AIDS. 1994 Jun;8(6):837-41.
To evaluate the extent to which 'high-risk' sexual behaviour is influenced by awareness of partners' HIV status among gay men.
Structured interviews and collection of saliva samples for anonymous linked testing for HIV-1 antibodies.
Genitourinary medicine clinics and the gay community.
Men (n = 677) who reported sexual contact with another man in the last 5 years.
The majority of respondents (63%) had had an HIV-antibody test. Analysis of data showed that in 15% of the respondents' 1380 partnerships, HIV status was known by both parties. However, the majority of partnerships involved only safe sex. Only 26% of the partnerships in which unprotected penetrative anal sex had occurred involved mutual knowledge of HIV status and was most likely to occur with regular rather than non-regular/causal partners. Logistic regression revealed that this latter association could not be explained in terms of mutual HIV status knowledge.
Despite widespread HIV testing, the majority of gay men engaging in high-risk sex are unaware of their partner's HIV status.
评估男同性恋者中“高危”性行为受伴侣艾滋病毒感染状况知晓情况影响的程度。
进行结构化访谈并采集唾液样本，用于艾滋病毒-1抗体匿名关联检测。
泌尿生殖医学诊所及同性恋群体。
过去5年内报告与另一名男性有性接触的男性（n = 677）。
大多数受访者（63%）进行过艾滋病毒抗体检测。数据分析显示，在受访者的1380段性伴侣关系中，15%的双方知晓对方的艾滋病毒感染状况。然而，大多数性伴侣关系仅涉及安全性行为。在发生过无保护插入式肛交的性伴侣关系中，只有26%的双方知晓对方的艾滋病毒感染状况，且这种情况最有可能发生在固定性伴侣而非非固定/偶然的性伴侣之间。逻辑回归分析显示，后一种关联无法用双方对艾滋病毒感染状况的知晓情况来解释。
尽管艾滋病毒检测广泛开展，但大多数进行高危性行为的男同性恋者并不知晓其性伴侣的艾滋病毒感染状况。
