Kelly J A, Hoffman R G, Rompa D, Gray M
Center for AIDS Intervention Research, Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee 53202, USA.
AIDS. 1998 Jul 9;12(10):F91-5. doi: 10.1097/00002030-199810000-00001.
Advances in the treatment of HIV disease with protease inhibitor combination therapies have been widely documented in the media.
To investigate perceptions concerning the severity of HIV/AIDS and the need to maintain safer sex practices in the light of recent HIV treatment advances.
A survey eliciting demographic characteristics, HIV serostatus and treatment information, and HIV/AIDS severity and safer sex perceptions was administered to a community sample of 379 homo-/bisexual men who reported awareness of combination therapy regimens.
Ten per cent of all respondents agreed or strongly agreed with the statement that 'AIDS is now very nearly cured' and 13% felt that the threat of AIDS is less serious than in the past. HIV-positive men were more likely to perceive AIDS as a less serious threat or as very nearly cured. Overall, 8% of men in the sample indicated that they practice safer sex less often since new AIDS treatments came along; 18% of HIV-positive men on combination therapy regimens said they practice safer sex less frequently since treatments have advanced. Regardless of serostatus, nearly 20% of men indicated they would stop practicing safer sex if an AIDS cure was announced.
It is essential to integrate behavior change counseling into HIV treatment programs and to temper optimism concerning treatment advances with recognition that the threat of HIV/AIDS remains great.
蛋白酶抑制剂联合疗法在治疗艾滋病方面取得的进展已被媒体广泛报道。
鉴于近期艾滋病治疗的进展，调查人们对艾滋病严重程度的看法以及保持安全性行为的必要性。
对379名报告知晓联合治疗方案的男同性恋者/双性恋男性社区样本进行了一项调查，询问其人口统计学特征、艾滋病毒血清状态和治疗信息，以及对艾滋病严重程度和安全性行为的看法。
10%的受访者同意或强烈同意“艾滋病现在几乎已被治愈”这一说法，13%的人认为艾滋病的威胁不如过去严重。艾滋病毒呈阳性的男性更有可能认为艾滋病的威胁较小或几乎已被治愈。总体而言，样本中的8%男性表示，自新的艾滋病治疗方法出现以来，他们较少进行安全性行为；在接受联合治疗方案的艾滋病毒呈阳性男性中，18%的人表示自治疗取得进展以来，他们较少进行安全性行为。无论血清状态如何，近20%的男性表示，如果宣布艾滋病已被治愈，他们将停止进行安全性行为。
将行为改变咨询纳入艾滋病治疗项目，并在认识到艾滋病毒/艾滋病威胁仍然很大的情况下，对治疗进展带来的乐观情绪加以调适，这至关重要。
