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Temporal Relationship of Sex Risk Behaviors and Substance Use Severity Among Men in Substance Use Treatment

机译：物质使用治疗中男性的性别风险行为与物质使用严重性的时间关系

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摘要

Sex risk behaviors and substance use are intertwined. Many men continue to engage in high-risk sexual behaviors even when enrolled in substance use disorder (SUD) treatment. We hypothesized that changes in sex risk behaviors would coincide with changes in drug/alcohol use severity among men in SUD treatment. During an HIV risk-reduction trial, men in methadone maintenance and outpatient drug free treatment (N = 359) completed assessments at baseline and six months after. We assessed changes in sex risk and substance use severity, using the Addiction Severity Index-Lite, controlling for treatment condition. In multinomial logistic regressions, decreased alcohol severity was significantly associated with decreases in reported sex partners, and increased alcohol severity was significantly associated with increases in reported sex partners. Increasing drug use severity was significantly associated with maintaining and initiating sex with a high-risk partner, while decreasing alcohol use severity was significantly associated with discontinuing sex under the influence. However, changes in drug/alcohol use severity were not associated with changes in unprotected sex. Substance use reductions may decrease HIV risk behaviors among male substance users. Our findings highlight the importance of integrating interventions in SUD treatment settings that address the intersection of sex risk behaviors and substance use.
机译：性危险行为和药物滥用是交织在一起的。即使加入药物滥用障碍（SUD）治疗，许多男性仍会继续从事高风险的性行为。我们假设在接受SUD治疗的男性中，性风险行为的改变与药物/酒精使用严重性的改变是一致的。在一项降低HIV风险的试验中，美沙酮维持治疗和门诊无药治疗（N = 359）的男性在基线和六个月后完成了评估。我们使用成瘾严重性指数-Lite（控制治疗条件）评估了性风险和药物使用严重性的变化。在多项逻辑回归中，酒精严重程度的降低与所报告的性伴侣的减少显着相关，酒精严重程度的增加与所报告的性伴侣的增加显着相关。药物滥用严重程度的增加与维持和开始与高风险伴侣的性行为显着相关，而酒精滥用严重程度的降低与在这种影响下终止性行为显着相关。但是，药物/酒精使用严重性的变化与无保护性行为的变化无关。减少毒品使用可能会减少男性毒品使用者中的HIV风险行为。我们的发现凸显了将干预措施整合到SUD治疗环境中的重要性，以解决性风险行为与药物滥用的交叉问题。

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