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首页> 美国卫生研究院文献>other >Knowing your status and knowing your partner’s status is really where it starts: A Qualitative Exploration of the Process by which a Sexual Partner’s HIV-Status Can Influence Sexual Decision Making
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Knowing your status and knowing your partner’s status is really where it starts: A Qualitative Exploration of the Process by which a Sexual Partner’s HIV-Status Can Influence Sexual Decision Making

机译：了解自己的身份并了解伴侣的身份才是真正的起点：对性伴侣的HIV状况可影响性决策的过程的定性探索

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Gay and bisexual men are at disproportionate risk for HIV infection. While prevention efforts often emphasize consistent condom use, there is growing evidence that men are using seroadaptive safer sex strategies, such as sero-sorting and sero-positioning. This qualitative analysis of 204 HIV-negative and HIV-positive gay and bisexual men explores the ways that a sexual partners’ HIV-status can influence safer sex strategies and sexual decisions. The majority of the respondents reported that they were influenced by their partner’s HIV-status. Those respondents who reported no influence discussed adhering to safer sex rules that were not dependent on partner status and a lack of concern about HIV. Conversely, respondents who reported influence identified three primary areas of influence: psychological impacts, partner preference and selection, and specific behavioral intentions and strategies. A conceptual model explicating a potential process by which respondents use partner serostatus information in shaping sexual decisions is presented.
机译：男同性恋者和双性恋者感染艾滋病毒的风险不成比例。尽管预防工作通常强调始终如一地使用安全套，但越来越多的证据表明，男性正在使用适应性强的安全性行为策略，例如血清分选和血清定位。这项对204位HIV阴性和HIV阳性男同性恋和双性恋男人的定性分析探索了性伴侣的HIV状况如何影响更安全的性行为策略和性决策。大多数受访者报告说，他们受到伴侣伴侣的艾滋病毒感染状况的影响。那些没有影响力的受访者讨论了遵守更安全的性行为规则，该规则不取决于伴侣的身份，也不必担心艾滋病毒。相反，报告影响力的受访者则确定了影响力的三个主要方面：心理影响力，伴侣的偏好和选择以及特定的行为意图和策略。提出了一个概念模型，该模型阐明了潜在的过程，受访者通过该过程使用伴侣血清状况信息来制定性决定。

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