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首页> 外文期刊>AIDS care. >Survey of HIV care providers on management of HIV serodiscordant couples-assessment of attitudes, knowledge, and practices
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Survey of HIV care providers on management of HIV serodiscordant couples-assessment of attitudes, knowledge, and practices

机译：对艾滋病毒护理提供者进行的有关艾滋病毒血清恶性夫妇管理的调查-态度，知识和做法的评估

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Human immunodeficiency virus (HIV) serodiscordant couples are at risk of sexual transmission of HIV between the infected and uninfected partner. We assessed New York area care providers for people living with HIV regarding attitudes, knowledge, and practice patterns toward fertility and conception in serodiscordant couples. Data were collected via a survey distributed in October 2013. Seventeen percent of respondents reported prescribing antiretroviral preexposure prophylaxis (PrEP) for a woman in a serodiscordant couple, and 38% percent of respondents reported having counseled serodiscordant couples on timed, unprotected intercourse without PrEP. Respondents who reported being "very" familiar with the data on HIV transmission in serodiscordant couples were more likely to report counseling their patients in timed, unprotected intercourse compared with those who reported less familiarity with the data (41% vs. 8%, p = 0.001). Although only 20% reported being "very" or "somewhat" familiar with the data on the safety of sperm washing with intrauterine insemination, those who did were more likely to have reported referring a patient for assisted reproductive technology (61% vs. 32%, p = 0.006). Effective patient counseling and referral for appropriate reproductive options were associated with knowledge of the literature pertaining to these options. This emphasizes the need for further provider education on reproductive options and appropriate counseling for serodiscordant couples.
机译：人类免疫缺陷病毒（HIV）血清黏附剂夫妇在感染者和未感染者之间有HIV性传播的危险。我们评估了纽约地区护理提供者针对艾滋病毒携带者的态度，知识和实践模式，他们对血清素异常夫妇的生育能力和受孕方式有所了解。数据是通过2013年10月发布的一项调查收集的。17％的受访者报告了对浆膜粘着性夫妇的女性规定了抗逆转录病毒暴露前预防（PrEP），而38％的受访者报告了在没有PrEP的定时，无保护的性交中为浆膜粘着剂夫妇提供了咨询。与那些不太熟悉该数据的人相比，报告称“非常”熟悉血清胶粘剂夫妇的HIV传播数据的被调查者更有可能报告在定时，无保护的性交中为患者提供咨询服务（41％vs. 8％，p = 0.001）。尽管只有20％的人报告说“非常”或“有点”熟悉宫腔内人工授精的精子清洗安全性数据，但那些做过此事的人更有可能报告说转诊患者接受了辅助生殖技术（61％比32％ ，p ＝ 0.006）。有效的患者咨询和推荐适当的生殖选择与有关这些选择的文献知识有关。这强调了需要对生殖器选择者进行进一步的提供者教育，并为油膜硬化夫妇提供适当的咨询。

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