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Intoxication Before Intercourse and Risky Sexual Behavior in Male Veterans With and Without Human Immunodeficiency Virus Infection

机译：有和没有人免疫缺陷病毒感染的男性退伍军人性交前中毒和危险的性行为

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Background: Male veterans represent a large population at risk for acquiring or transmitting human immunodeficiency virus (HIV) infection. We sought to determine the prevalence of risky sexual behavior among veterans with and without HIV infection and to assess the relationship of intoxication before intercourse and other measures of drug and alcohol use to risky sexual behavior in this population. Methods: We analyzed baseline data on 1009 HIV-positive (mean age 49 years) and 710 HIV-negative male veterans (mean age 55 years) who were participating in the Veterans Aging Cohort 5-Site Study (VACS 5), Participants completed a written questionnaire that included measures of alcohol and drug use and risky sexual behavior. Results: Compared with HIV-negative veterans, HIV-positive veterans were more likely to report 5 or more sexual partners in the past year(14% vs.. 4%, P < 0,01), less likely to report not using a condom at last intercourse (25% vs. 75%, P < 0,01), and similarly likely to report having 2 or more partners and inconsistent condom use (10% vs. 10%). Among sexually active HIV-positive veterans,intoxication before intercourse was significantly associated with having 5 or more sexual partners in the past year (odds ratio [OR] 1,8, 95% confidence interval [CI] 1.1-2.8), inconsistent condom use (OR 1,8, 95% CI 1,2-2,7), and the combined measure of 2 or more partners and inconsistent condom use (OR 1,8, 95% CI 1.1-3.0). Intoxication before intercourse was not significantly associated with these behaviors in HIV-negative veterans, although similar trends were noted.Conclusion: Risky sexual behavior was common among male veterans attending outpatient clinics and is more common among HIV-positive veterans who use alcohol and drugs in sexual situations. Asking HIV-positive men a single question about intoxication before intercourse could help to identify men at increased risk of engaging in risky sexual behavior, and specific advice to avoid intoxication in sexual situations could help to reduce risky sexual behavior.
机译：背景：男性退伍军人代表着大量人群有获取或传播人类免疫缺陷病毒（HIV）感染的风险。我们试图确定有或没有HIV感染的退伍军人中危险的性行为的患病率，并评估性交前中毒和其他吸毒和酗酒措施与该人群中危险性行为的关系。方法：我们分析了参加退伍军人老龄化队列5站点研究（VACS 5）的1009名HIV阳性（平均年龄49岁）和710名HIV阴性的男性退伍军人（平均年龄55岁）的基线数据，参与者完成了一项书面问卷，其中包括酗酒和吸毒以及危险性行为的测量。结果：与HIV阴性退伍军人相比，过去一年中HIV阳性退伍军人更有可能报告5个或更多的性伴侣（14％对4％，P <0.01），较少报告不使用性伴侣的可能性。最后一次性交时使用安全套（25％比75％，P <0.01），同样有可能报告有2个或更多伴侣，并且使用安全套不一致（10％比10％）。在性活跃的HIV阳性退伍军人中，过去一年中性交前中毒与5个或更多性伴显着相关（优势比[OR] 1,8，95％置信区间[CI] 1.1-2.8），使用避孕套不一致（OR 1,8，95％CI 1,2-2,7），以及两个或两个以上伴侣的综合测量和避孕套使用不一致（OR 1,8，95％CI 1.1-3.0）。尽管注意到了相似的趋势，但性交前中毒与这些HIV阴性退伍军人的行为没有显着相关。性情况。在性交前向艾滋病毒阳性男性询问一个有关醉酒的单一问题，可以帮助确定那些从事危险性行为的风险增加的男性，而避免性行为中毒的具体建议可以帮助减少危险的性行为。

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