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首页> 外文期刊>AIDS care. >Predictors of HIV disclosure to secondary partners and sexual risk behavior among a high-risk sample of HIV-positive MSM: results from six epicenters in the US.
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Predictors of HIV disclosure to secondary partners and sexual risk behavior among a high-risk sample of HIV-positive MSM: results from six epicenters in the US.

机译：高风险的HIV阳性MSM样本中，向次要伴侣暴露的HIV以及性风险行为的预测指标：来自美国六个震中的结果。

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摘要

This study sought to identify predictors of HIV disclosure and serodiscordant unprotected anal intercourse (SDUAI) among HIV-positive men who have sex with men (MSM). Between January 2005 and April 2006, 675 HIV-positive MSM were recruited into the Positive Connections intervention trial held in six US cities with intentional over-sampling of HIV-positive MSM of Color (74%) and men engaging in unprotected anal intercourse (UAI) in the previous year. Baseline survey data showed 30 and 31%, respectively, of participants disclosed to none or some of their secondary sex partners in the last 90 days. Greater disclosure to secondary partners was associated with having fewer sexual partners, being extremely out as MSM, longer HIV diagnosis, knowledge of CD4 count, detectable viral load and being white. Disclosure to all secondary partners was associated with lower SDUAI. Recommendations for prevention for HIV-positive MSM include the promotion of serodisclosure to all secondary partners and increasing comfortwith, and outness about, one's sexuality.
机译：这项研究旨在确定与男性发生性关系的男性艾滋病毒阳性男性中，艾滋病毒暴露和血清无保护的肛交（SDUAI）的预测因素。在2005年1月至2006年4月之间，在美国六个城市进行的“积极联系”干预试验中招募了675名HIV阳性男男性接触者，故意过分采样了有色HIV阳性男男性接触者（74％），并且进行了无保护的肛门性交（UAI） ）。基线调查数据显示，在过去90天内，未向任何或部分次级性伴侣透露过的参与者分别为30％和31％。对次要伴侣的更多披露与更少的性伴侣，MSM异常淘汰，更长的HIV诊断，CD4计数知识，可检测的病毒载量和白人有关。向所有次要合作伙伴的披露与SDUAI较低有关。预防HIV阳性MSM的建议包括向所有次要伴侣促进浆膜紧闭症，以及增加对性行为的舒适感和外向性。

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