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Who is not using condoms among HIV-positive patients in treatment in the largest city in Brazil?

机译:在巴西最大的城市中,谁不使用HIV阳性患者中的避孕套进行治疗?

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Data on risky sexual behaviors in people living with HIV/AIDS (PLWHA) is still scarce in some populations around the world. The purpose of this study was to assess the factors associated with the use of condoms in a representative sample of PLWHA in outpatient treatment in the city of Sao Paulo. Six hundred and sixty-seven HIV-positive patients (383 men and 284 women) who were being treated at eight centers participated in this study. Data were collected using a sociodemographic survey, the Beck depression and anxiety inventories, a survey of alcohol and other drugs use, the Alcohol Use Disorders Identification Test, a sexual behavior survey, and the Sexual Risk Behavior Assessment Schedule. The majority of study participants were sexually active (almost 62% of the sample had at least one sexual partner in the last three months), and at least one-fourth engaged in unsafe sex (25.3% did not use condoms during at least one instance of anal and/or vaginal intercourse in the past three months). Multivariate logistic regression showed that engaging in unprotected sex was more likely among females (p < .001), persons with an HIV-positive partner (p < .001), and people using cannabis before sex (p = .002). These findings should stimulate health-care workers to create specific groups for women, seroconcordant couples, and cannabis users to discuss condom use, as they seem to be vulnerable groups.
机译:在世界各地的某些人群中,关于艾滋病毒/艾滋病感染者(PLWHA)的危险性行为的数据仍然很少。这项研究的目的是评估与圣保罗市门诊治疗中代表性的PLWHA样本中使用安全套相关的因素。在八个中心接受治疗的667名HIV阳性患者(383名男性和284名女性)参加了这项研究。使用社会人口统计学调查,贝克抑郁和焦虑量表,酒精和其他药物使用情况调查,酒精使用障碍识别测试,性行为调查以及性风险行为评估表收集数据。大多数研究参与者有性行为(在最近三个月中,有近62%的样本至少有一位性伴侣),至少四分之一从事不安全的性行为(有25.3%的人至少在一次实例中未使用安全套)最近三个月的肛门和/或阴道性交)。多变量逻辑回归分析表明,女性(p <.001),艾滋病毒呈阳性伴侣的人(p <.001)和性行为前使用大麻的人(p = .002)更容易从事无保护的性行为。这些发现将刺激医护人员为妇女,血清调和夫妇和大麻使用者创建特定的群体,以讨论使用安全套的问题,因为她们似乎是弱势群体。

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