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首页> 外文期刊>AIDS Research and Human Retroviruses >Prevalence and correlates of sexual risk behaviors among drug users in Western China: Implications for HIV transmission
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Prevalence and correlates of sexual risk behaviors among drug users in Western China: Implications for HIV transmission

机译：中国西部吸毒者性危险行为的流行及其相关性：对HIV传播的影响

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The prevalence and correlates of sexual risk behaviors among drug users in western China and the implications for HIV transmission in this population are described. A cross-sectional survey of male drug users was conducted in methadone maintenance therapy clinics and detoxification centers in three western provinces of China between September 2009 and December 2010. Participants in the study completed a questionnaire about demographics, HIV/AIDS knowledge, drug use history, sexual risk behaviors, and other psychosocial variables. Factors associated with HIV sexual risk behaviors were identified by multiple logistic regression analysis. Of 1,304 drug users surveyed, nearly 54% never used condoms during sexual intercourse with a spouse or cohabitant, and this behavior was associated with coming from Chongqing (OR=1.86, p<0.05), being aged 36 and older (OR=5.03, p<0.05), being married or cohabiting (OR=1.68, p<0.05), having first taken drugs at age 30 and above (OR=1.80, p<0.05), and having received AIDS advice or detection from authorities in the past year (OR=1.95, p<0.05). Twenty-six percent had had sex with casual sexual partners in the past year, and this behavior was associated with being married or cohabiting (OR=0.30, p<0.05), first taking drugs at age 31 and above (OR=0.42, p<0.05), and receiving AIDS advice or HIV detection from authorities in the past year (OR=0.70, p<0.05). About 34% never used a condom when having sex with casual sexual partners, and this behavior was associated with coming from Guangxi (OR=2.81, p<0.05) or Chongqing (OR=2.73, p<0.05). Almost 14% had had commercial sex in the past year, and this behavior was associated with coming from Guangxi (OR=6.26, p<0.05) or Chongqing (OR=5.44, p<0.05) and having exchanged needles or received clean needles from the Needle Exchange Centers in the past year (OR=2.76, p<0.05). Nearly 23% had never used condoms when having commercial sex, and this behavior was associated with having received free condoms from authorities in the past year (OR=0.26, p<0.05). Sexual risk behaviors among drug users in Guangxi, Chongqing, and Xinjiang are common. Additional intervention strategies are needed to control the spread of HIV in this population.
机译：描述了中国西部吸毒者中性风险行为的流行，相关性及其对艾滋病毒在这一人群中的传播的影响。 2009年9月至2010年12月，在中国西部三个省份的美沙酮维持治疗诊所和戒毒中心进行了一次男性吸毒者横断面调查。研究的参与者填写了有关人口统计学，艾滋病毒/艾滋病知识，吸毒史的问卷，性风险行为和其他社会心理变量。通过多重逻辑回归分析确定了与艾滋病毒性危险行为相关的因素。在接受调查的1,304名吸毒者中，将近54％的人未与配偶或同性性交时使用过安全套，并且这种行为与来自重庆的人（OR = 1.86，p <0.05），36岁及以上（OR = 5.03， p <0.05），已婚或同居（OR = 1.68，p <0.05），在30岁及以上首次服用药物（OR = 1.80，p <0.05），并且过去曾接受过艾滋病咨询或当局的检测年（OR = 1.95，p <0.05）。在过去的一年中，有26％的人与休闲性伴侣发生过性行为，并且这种行为与已婚或同居相关（OR = 0.30，p <0.05），首次在31岁及以上的年龄吸毒（OR = 0.42，p <0.05），并在过去一年中接受当局的艾滋病建议或艾滋病毒检测（OR = 0.70，p <0.05）。约有34％的人在与休闲性伴侣发生性关系时从未使用过安全套，并且这种行为与来自广西（OR = 2.81，p <0.05）或重庆市（OR = 2.73，p <0.05）有关。在过去的一年中，几乎有14％的人从事过商业性行为，这种行为与来自广西（OR = 6.26，p <0.05）或重庆（OR = 5.44，p <0.05）并曾交换过针头或接受过清洁针头有关。过去一年中的针交易中心（OR = 2.76，p <0.05）。几乎有23％的人在进行过性交易时从未使用过安全套，而这种行为与过去一年从当局获得免费安全套有关（OR = 0.26，p <0.05）。在广西，重庆和新疆，吸毒者的性危险行为很普遍。需要采取其他干预策略来控制艾滋病毒在该人群中的传播。

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