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Use of Viral Load to Negotiate Condom Use Among Gay Men in Sydney, Australia

机译：在澳大利亚悉尼，利用病毒载量就男同性恋者使用避孕套进行谈判

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摘要

Using two cohort studies (Health in men—HIM and positive health—PH) and repeated large cross-sectional surveys (Gay Community Periodic Survey—GCPS) of gay men in Sydney, Australia, we examined the association between viral load and unprotected anal intercourse (UAI) between HIV sero-discordant regular partners. Between 2001 and 2007, we conducted 243 interviews with 102 HIV-negative gay men in HIM and 148 interviews with 99 HIV-positive gay men in PH who were in regular relationships with HIV sero-discordant partners. During the same time period, 437 HIV positive men with HIV sero-discordant regular partners completed questionnaires for the GCPS. All completed interviews or questionnaires during that time period were used for these analyses. Amongst the HIV-negative respondents, sero-discordant UAI was more likely to be reported when the men believed their HIV-positive regular partner had an undetectable rather than a detectable viral load (P = 0.002). Amongst the HIV-positive respondents, sero-discordant UAI was as likely to be reported when they themselves reported having an undetectable or a detectable viral load. Use of viral load in negotiating condom use between sero-discordant gay couples may be understood very differently by the HIV-negative and HIV-positive men within those partnerships.
机译：使用两项队列研究（男性健康-HIM和阳性健康-PH）和澳大利亚悉尼男同性恋者的重复大截面调查（同性恋社区定期调查-GCPS），我们研究了病毒载量与无保护的肛门性交之间的关联（UAI）艾滋病毒血清不相容的常规伴侣之间。在2001年至2007年之间，我们对HIM中102名HIV阴性男同性恋者进行了243次访谈，对PH中99名HIV阳性男同性恋者进行了148次访谈，他们与HIV血清恶性伴侣有固定的关系。在同一时间段内，有437名艾滋病毒阳性男性且患有艾滋病毒血清异常的定期伴侣完成了针对GCPS的问卷调查。在该时间段内使用所有完成的访谈或问卷进行分析。在艾滋病毒阴性的受访者中，当男性认为他们的艾滋病毒呈阳性的正常伴侣具有无法检测到的病毒载量而不是可检测到的病毒载量时，更可能报告血清不一致的UAI（P = 0.002）。在艾滋病毒呈阳性的受访者中，血清不一致的UAI在他们自己报告有不可检测的或可检测的病毒载量时很可能被报告。在伴侣之间，HIV阴性和HIV阳性的男性对在血清不一致的同性恋夫妇之间使用安全套进行谈判的理解可能截然不同。

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  • 来源
    《AIDS and Behavior》 |2009年第4期|645-651|共7页
  • 作者

    Garrett Prestage; Limin Mao; Susan Kippax; Fengyi Jin; Michael Hurley; Andrew Grulich; John Imrie; John Kaldor; Iryna Zablotska;

  • 作者单位

    National Centre in HIV Epidemiology and Clinical Research University of New South Wales 376 Victoria Street Darlinghurst Sydney NSW 2010 Australia;

    National Centre in HIV Social Research University of New South Wales Sydney NSW Australia;

    National Centre in HIV Social Research University of New South Wales Sydney NSW Australia;

    National Centre in HIV Epidemiology and Clinical Research University of New South Wales 376 Victoria Street Darlinghurst Sydney NSW 2010 Australia;

    Australian Research Centre in Sex Health and Society La Trobe University Melbourne NSW Australia;

    National Centre in HIV Epidemiology and Clinical Research University of New South Wales 376 Victoria Street Darlinghurst Sydney NSW 2010 Australia;

    National Centre in HIV Social Research University of New South Wales Sydney NSW Australia;

    National Centre in HIV Epidemiology and Clinical Research University of New South Wales 376 Victoria Street Darlinghurst Sydney NSW 2010 Australia;

    National Centre in HIV Social Research University of New South Wales Sydney NSW Australia;

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  • 原文格式 PDF
  • 正文语种 eng
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  • 关键词

    Gay men; HIV; Sexual behaviour; Viral load; Condoms;

    机译：男同性恋者;艾滋病毒;性行为;病毒载量;避孕套;

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