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Changes in sexual behaviors following diagnosis with HIV: patterns and correlates among people living with HIV (PLHIV) in China

机译：艾滋病毒诊断后性行为的变化：模式与艾滋病毒（PLHIV）的人们相关

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摘要

Effective secondary prevention of HIV infections requires knowledge about changes in sexual behaviors after diagnosis among people living with HIV (PLHIV), yet there is a dearth of literature assessing gender-specific patterns and correlates of such changes among heterosexual PLHIV in China. Data used in the current study were derived from a cross-sectional survey conducted from 2012 to 2013 among 1212 heterosexual sexually active PLHIV in Guangxi, China. Most participants reduced sexual frequency (71.2%), reduced or maintained the same number of sexual partners (96.6%), and increased or maintained same frequencies of condom use (80.6%). Gender difference was found in changes in sexual frequency, but not in the number of sexual partners or condom use. For males, decrease in sexual frequency was associated with having no desire to have children (OR = 2.03, 95% CI 1.20, 3.44), being virally suppressed (OR = 0.27, 95% CI 0.079, 0.94), and social support (OR = 1.44, 95% CI 1.06, 1.96). Health promoting behaviors in condom use (i.e., increased or maintained same frequencies of condom use) for males was associated with being 45 years of age or older (OR = 0.35, 95% CI 0.21, 0.61), having an HIV-negative main partner (OR = 1.80, 95% CI 1.11, 2.92), and physical health-related quality of life (OR = 1.02, 95% CI 1.00, 1.04). For females, decrease in sexual frequency was associated with having no desire to have children (OR = 1.58, 95% CI 1.01, 2.47). Health promoting behaviors in condom use for females was associated with having an HIV-negative main partner (OR = 3.24, 95% CI 1.63, 6.45) and social support (OR = 0.75, 95% CI 0.57, 0.99). Future intervention efforts need to target PLHIV who need extra support in making health-improvement efforts and to facilitate gender-specific behavioral changes in sexual risk reduction after HIV diagnosis.
机译：有效的二级预防艾滋病毒感染需要了解患有艾滋病毒（Plhiv）人们诊断后性行为变化的知识，但有一种缺乏的文学评估性别特异性模式，并在中国异性普波夫的这种变化相关。目前研究中使用的数据来自2012年至2013年2012年至2013年的横断面调查，在中国广西的1212名异性恋性活跃的PLHIV中进行。大多数参与者减少性频率（71.2％），减少或维持相同数量的性伴侣（96.6％），增加或维持相同的避孕套使用频率（80.6％）。性别差异在性频变化中发现，但不在性伴侣或避孕套中使用。对于雄性而言，性频率的降低与没有患儿（或= 2.03,95％CI 1.20,3.44）的愿望有关（或= 2.03,95％CI 1.40,3.44）（或= 0.27,95％CI 0.079,0.94）和社会支持（或= 1.44,95％CI 1.06,1.96）。避孕套使用中的健康促进行为（即增加或维持同样的避孕套使用频率）与45岁或以上（或= 0.35,95％CI 0.21,0.61），具有HIV阴性主要伴侣有关（或= 1.80,95％CI 1.11,2.92），与身体健康相关的生活质量（或= 1.02,95％CI 1.00,1.04）。对于女性来说，性频率的降低与没有患儿（或= 1.58,95％CI 1.01,2.47）的愿望有关。健康促进女性的避孕套使用行为与具有HIV阴性主要合作伙伴（或= 3.24,95％CI 1.63,6.45）和社会支持（或= 0.75,95％CI 0.57,0.99）有关。未来的干预措施需要针对PLHIV，谁需要额外支持卫生改善努力，并促进艾滋病病毒诊断后性风险降低的性别特异性行为变化。

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  • 来源
    《AIDS care.》 |2019年第2期|共5页
  • 作者

    Da Wendi; Li Xiaoming; Qiao Shan; Zhou Yuejiao; Shen Zhiyong;

  • 作者单位

    Univ South Carolina Arnold Sch Publ Hlth Dept Hlth Promot Educ &

    Behav Columbia SC 29208 USA;

    Univ South Carolina Arnold Sch Publ Hlth Dept Hlth Promot Educ &

    Behav Columbia SC 29208 USA;

    Univ South Carolina Arnold Sch Publ Hlth Dept Hlth Promot Educ &

    Behav Columbia SC 29208 USA;

    Guangxi Ctr Dis Control &

    Prevent Inst HIV STD Prevent Nanning Peoples R China;

    Guangxi Ctr Dis Control &

    Prevent Inst HIV STD Prevent Nanning Peoples R China;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 传染病;
  • 关键词

    Sexual behaviors; behavioral change; gender; people living with HIV; China;

    机译：性行为;行为变化;性别;艾滋病毒患者的人;中国;

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