• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文学位 >The association between substance abuse and HIV risk taking behaviors.
【24h】

The association between substance abuse and HIV risk taking behaviors.

机译：药物滥用与艾滋病毒冒险行为之间的联系。

获取原文
获取原文并翻译 | 示例
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The purpose of this study was to identify factors that were associated with a history of substance abuse (SA) in the past three months among men who have sex with men (MSM) in South Carolina. This study also examined the association between sex under the influence of drugs and alcohol and high risk sexual behaviors in the last three months. Most relevant research has been conducted in urban centers, and this was an effort to describe the relationships in a predominantly rural setting.;The HIV Risk Behavior Survey (HRBS) was cross-sectional, and utilized a convenience sample. Study participants (N = 714) were MSM, recruited at annual gay pride marches, gay bars and gay organizations between 1997--1999.;Forty percent of participants reported SA other than alcohol in the past three months. Thirty-three percent reported marijuana, 12% club drugs, 9% cocaine/crack, and 8% amyl nitrate use. Among HIV positive men, participants who had a single sexual partner were 3.1 (95% CI: 1.5, 6.5) times more likely, while participants who had not had sex were 9.7 (95% CI: 2.3, 40.7) times more likely, than HIV negative men to have had a history of SA. HIV positive men with multiple sexual partners were only 0.4 (95% CI: 0.1, 1.4) times as likely as HIV negative men to have had a history of SA. Men who had a history of a single STD other than HIV were 1.6 (95% CI: 1.1, 2.5) times as likely to report SA as men without any history of STDs other than HIV. Associations were adjusted for age, race, HIV status, number of sexual partners, history of STDs other than HIV, and membership in gay organizations. Respondents who were members in gay support organizations were 1.5 (95% CI: 1.1, 2.1) times as likely to report SA as respondents who were not members after adjusting for covariates.;Compared to men who did not have sex under the influence (SUI) of drugs and alcohol, men who had SUI of drugs and alcohol were 2.1 (95% CI: 1.3, 3.4) times more likely to have had history of unprotected anal sex; a similar association (OR: 2.3, 95% CI: 1.5, 3.6) was observed for SUI of drugs and alcohol and unprotected oral sex. Men who had SUI of marijuana and alcohol were 2.0 (95% CI: 1.0, 4.0) times more likely to have had a history of unprotected anal sex than men who had not. Men who reported SUI of club drugs alone or with other types of drugs and alcohol were 2.8 (95% CI: 1.4, 5.5) times more likely to have had a history of unprotected oral sex than men who had not. Associations were adjusted for age, race, number of anal or oral sex partners, and HIV status.;MSM, regardless of their HIV status, should be targeted for interventions that focus on reduction of recreational drug use and on increased safer sexual practices, particularly those men with a history of STDs. MSM in this study reported high prevalence of sex under the influence of drugs and alcohol. When drugs were used in combination with alcohol, high risk sexual behaviors increased. Marijuana use in combination with alcohol was associated with increased unprotected anal sex. Club drugs alone, or in combination with other types of drugs, and coupled with alcohol use were associated with unprotected oral sex.
机译：这项研究的目的是确定与南卡罗来纳州男男性接触者（MSM）过去三个月内的药物滥用史（SA）相关的因素。这项研究还检查了最近三个月内在毒品和酒精影响下的性行为与高危性行为之间的关联。最相关的研究是在城市中心进行的，这是为了描述主要在农村地区的关系。艾滋病毒风险行为调查（HRBS）是横断面的，并使用了便利样本。研究参与者（N = 714）是MSM，在1997--1999年之间每年的同性恋骄傲游行，同性恋酒吧和同性恋组织中被招募;在过去三个月中，有40％的参与者报告了SA而非酒精。 33％的人报告使用大麻，12％的俱乐部药品，9％的可卡因/裂纹和8％的硝酸戊酯使用量。在艾滋病毒呈阳性的男性中，只有一个性伴侣的参与者的可能性是未成年人的3.1倍（95％可信区间：1.5、6.5），而没有性行为的参与者是9.7倍（95％可信区间：2.3、40.7）。艾滋病毒阴性的男性曾有SA病史。具有多个性伴侣的HIV阳性男性患SA的可能性仅为HIV阴性男性的0.4倍（95％CI：0.1、1.4）。曾经有一个非艾滋病性病史的男人报告SA的可能性是没有一个非艾滋病性病史男人的1.6倍（95％CI：1.1、2.5）。对协会的年龄，种族，艾滋病毒状况，性伴侣数量，除艾滋病毒以外的性病史以及同性恋组织的成员进行了调整。参加同性恋支持组织的受访者在进行协变量调整后报告SA的可能性是非会员的1.5倍（95％CI：1.1，2.1）。（与在影响下没有性行为的男性相比） ）服用毒品和酒精的人中，有服用毒品和酒精的SUI的人发生无保护的肛交史的可能性高2.1倍（95％CI：1.3、3.4）；对于药物和酒精的SUI和无保护的口交，观察到相似的关联（OR：2.3、95％CI：1.5、3.6）。有大麻和酒精SUI的男性发生无保护性肛交史的可能性是没有大麻的男性的2.0倍（95％CI：1.0，4.0）。报告单独使用俱乐部药物或与其他类型的药物和酒精一起进行SUI的男人，发生无保护的口交史的可能性是未进行俱乐部的SUI的男人的2.8倍（95％CI：1.4、5.5）。对协会的年龄，种族，肛门或口交性伴侣的数量以及艾滋病毒状况进行了调整。MSM，无论其艾滋病毒状况如何，都应针对旨在减少娱乐性毒品使用和增加安全性行为的干预措施，尤其是那些有性病史的男人。 MSM在这项研究中报告说，在药物和酒精的影响下，性行为的患病率很高。当药物与酒精混合使用时，高风险的性行为会增加。大麻与酒精结合使用会增加无保护的肛交。单独使用俱乐部药物或与其他类型药物组合使用，再加上饮酒与无保护的口交相关。

著录项

  • 作者

    Theocharis, Theocharis Rogirou.;

  • 作者单位

    University of South Carolina.;

  • 授予单位 University of South Carolina.;
  • 学科 Psychology Behavioral.;Health Sciences Public Health.
  • 学位 Ph.D.
  • 年度 2000
  • 页码 95 p.
  • 总页数 95
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 心理学;预防医学、卫生学;
  • 关键词

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号