Phillips K D, Sowell R L, Misener T R
University of South Carolina, Columbia, USA.
Nursingconnections. 1998 Spring;11(1):5-24.
Safer-sex guidelines established during the early days of the HIV/AIDS epidemic have undergone very little revision despite some controversy. Although these guidelines have been widely disseminated in the gay community, many gay men continue to engage in behaviors that are believed to put them at high risk for transmission of HIV. This suggests either that they have not accepted safer-sex guidelines as accurate or that other factors override personal implementation of the guidelines. The study examined seronegative gay men's beliefs about the accuracy of safer sex guidelines and the men's participation in behaviors risky for transmitting HIV. The greatest disagreement between the men's beliefs and behaviors centered on the risk of oral intercourse; this suggests a need for clarification of the safer sex message about this behavior. The findings of this study support the need to reformulate safer-sex guidelines. When unprotected oral and anal sex are classified at the same level of risk, those who engage in unprotected oral sex may proceed to unprotected anal sex with less reservation.
尽管存在一些争议，但在艾滋病流行初期制定的安全性行为指南几乎没有修订。虽然这些指南已在男同性恋群体中广泛传播，但许多男同性恋者仍继续从事被认为使其面临高感染艾滋病毒风险的行为。这表明要么他们不认为安全性行为指南准确无误，要么其他因素优先于个人对指南的执行。该研究调查了血清反应阴性的男同性恋者对安全性行为指南准确性的看法以及他们参与有传播艾滋病毒风险行为的情况。男性的看法与行为之间最大的分歧集中在口交风险上；这表明有必要澄清关于这种行为的安全性行为信息。这项研究的结果支持重新制定安全性行为指南的必要性。当无保护的口交和肛交被归为同一风险级别时，那些进行无保护口交的人可能会更无所顾忌地进而进行无保护肛交。
