Prospective study of attitudinal and relationship predictors of sexual risk in the multicenter AIDS cohort study

被引：53

作者：

Ostrow, David G. ^{[1
]}

Silverberg, Michael J. ^{[1
]}

Cook, Robert L. ^{[1
]}

Chmiel, Joan S. ^{[1
]}

Johnson, Lisette ^{[1
]}

Li, Xiuhong ^{[1
]}

Jacobson, Lisa P. ^{[1
]}

机构：

[1] Northwestern Univ, Chicago MACS Howard Brown Hlth Ctr, Sch Med, David Ostrow & Assoc, Chicago, IL 60640 USA

来源：

AIDS AND BEHAVIOR | 2008年 / 12卷 / 01期

关键词：

MSM; HAART-related attitudes; negotiated risk reduction; sexual risk; prospective study; Multicenter AIDS Cohort Study (MACS); serosorting;

D O I：

10.1007/s10461-007-9223-x

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 [公共卫生与预防医学]; 120402 [社会医学与卫生事业管理];

摘要：

We examined the influence of attitudes concerning HIV transmission, safe sex, and sexual sensation seeking, as well as negotiated risk reduction with primary partners, on the proportion of unprotected sexual partners (%UASP) among men who have sex with men (MSM). Participants were 263 HIV-seropositive and 238 HIV-seronegative MSM in the Multicenter AIDS Cohort Study between 1999 and 2003 who completed a 20-item attitude survey twice. Behavioral data were collected concurrently and 6-12 months after each survey. Among seropositives, decreased HIV concern and increased safer sex fatigue were associated with higher %UASP at 6 and 12 months. Among seronegatives, increased %UASP at 12 months was associated with safer sex fatigue. At 6 months and 12 months, risk reduction agreements were associated with increased %UASP among seronegatives in seroconcordant monogamous relationships, reflecting their abandonment of condoms in such partnerships. We conclude that HIV prevention efforts should target modifiable attitudes (reduced concern about HIV and safer sex fatigue) and increases in sexual risk-taking of MSM, particularly among HIV+ men having sex with serodiscordant partners.

引用

页码：127 / 138

页数：12

共 45 条

[1]

[Anonymous], 1995, SHADOW EPIDEMIC BEIN

[2]

[Anonymous], AIDS BEHAV

[3]

Changes in the transmission dynamics of the HIV epidemic after the wide-scale use of antiretroviral therapy could explain increases in sexually transmitted infections -: Results from mathematical models [J].