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首页> 外文期刊>AIDS care. >It's not just what you say: relationships of HIV dislosure and risk reduction among MSM in the post-HAART era.
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It's not just what you say: relationships of HIV dislosure and risk reduction among MSM in the post-HAART era.

机译：这不仅仅是您在说的：HAART后时代中MSM中HIV披露与风险降低之间的关系。

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摘要

In the post-HAART era, critical questions arise as to what factors affect disclosure decisions and how these decisions are associated with factors such as high-risk behaviors and partner variables. We interviewed 1,828 HIV-positive men who have sex with men (MSM), of whom 46% disclosed to all partners. Among men with casual partners, 41.8% disclosed to all of these partners and 21.5% to none. Disclosure was associated with relationship type, perceived partner HIV status and sexual behaviors. Overall, 36.5% of respondents had unprotected anal sex (UAS) with partners of negative/unknown HIV status. Of those with only casual partners, 80.4% had >1 act of UAS and 58% of these did not disclose to all partners. This 58% were more likely to self-identify as gay (versus bisexual), be aware of their status for <5 years and have more partners. Being on HAART, viral load and number of symptoms were not associated with disclosure. This study - the largest conducted to date of disclosure among MSM and one of the few conducted post-HAART - indicates that almost 1/5th reported UAS with casual partners without disclosure, highlighting a public health challenge. Disclosure needs to be addressed in the context of relationship type, partner status and broader risk-reduction strategies.
机译：在后HAART时代，出现了关键问题，即哪些因素会影响披露决定以及这些决定如何与诸如高风险行为和合作伙伴变量等因素相关联。我们采访了1,828名与男性发生性关系的HIV阳性男性，其中46％向所有伴侣透露。在有休闲伴侣的男性中，有41.8％的人向所有这些伴侣公开，有21.5％的人没有伴侣。披露与人际关系类型，伴侣的艾滋病毒感染状况和性行为有关。总体而言，有36.5％的受访者与艾滋病毒呈阴性/未知的伴侣​​有未保护的肛交（UAS）。在只有临时伙伴的人中，有80.4％的人有超过1项UAS行为，其中58％没有向所有伙伴透露。这58％的人更有可能自我识别为同性恋（与双性恋相对），意识到自己的身份<5年并拥有更多的伴侣。在进行HAART时，病毒载量和症状数量与暴露无关。这项研究是MSM迄今为止进行的最大规模的公开研究，也是在HAART之后进行的为数不多的研究之一，该研究表明，几乎有1/5的UAS与未公开的休闲伙伴一起进行了公开报道，这凸显了公共卫生挑战。需要在关系类型，合作伙伴身份和更广泛的降低风险策略的背景下解决披露问题。

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