HIV infection among female injection-drug users recruited in community settings.

HIV infection among female injection-drug users recruited in community settings.
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在社区环境中招募的女性注射吸毒者中的艾滋病毒感染情况。

DOI:
10.1097/00007435-199411000-00005
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发表时间:
1994
影响因子:
3.1
通讯作者:
Lorvick,JJ
Lorvick,JJ
中科院分区:
医学4区
文献类型:
--
作者:
Watters,JK;Estilo,MJ;Kral,AH;Lorvick,JJ

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背景与目的探讨社区女性注射吸毒者(IDUs)性行为、药物使用和HIV感染之间的关系。研究设计:对1991年至1992年期间从旧金山3个市中心社区招募的女性注射吸毒者407份调查问卷和匹配的HIV血清学(n = 403)进行风险分析。结果本组HIV血清阳性率为11.4%。54%的人报告在过去30天内使用过快克可卡因。在吸食可卡因的人群中,艾滋病病毒的血清阳性率为10.5%,在不吸烟的人群中为12.5%。在多变量分析中,HIV感染与性交易史相关(调整优势比[AOR] = 3.11; 95%可信区间[95% ci] = 137, 7.02);梅毒史(AOR = 330; 95%CI = 136, 7.99);非裔美国人(AOR = 531; 95%CI = 2.05, 13.73)。在多变量模型中,过去30天内吸食可卡因(AOR = 0.33; 95%CI = 0.15,0.71)和目前有稳定的性伴侣(AOR = 0.48; 95%CI = 0.24, 0.94)与HIV感染均呈负相关。当控制上述因素时,我们的注射相关变量都不能预测或保护HIV感染。结论无保护性异性性行为是三藩市女性注射吸毒者感染HIV的主要危险因素。目前,高艾滋病毒感染率并未反映出快客吸烟者报告的更大的性风险行为,这可能是因为他们的性伴侣中艾滋病毒感染率较低。
Background and ObjectivesTo identify relationships between sexual behavior, drug use, and HIV infection among female injection-drug users (IDUs) recruited in community settings.Study DesignRisk analysis of 407 survey questionnaires and matched HIV serologies (n = 403) from female IDUs recruited from community settings in 3 inner-city neighborhoods in San Francisco during 1991 and 1992.ResultsThe HIV seroprevalence of our sample was 11.4%. Fifty-four percent reported using crack cocaine in the past 30 days. HIV seroprevalence was 10.5% among crack cocaine smokers and 12.5% among nonsmokers. In multivariate analysis, HIV infection was associated with a history of sex for money exchanges (adjusted odds ratio [AOR] = 3.11; 95% confidence interval [95%CI] = 137, 7.02); history of syphilis (AOR = 330; 95%CI = 136, 7.99); and African American ethnicity (AOR = 531; 95%CI = 2.05, 13.73). Crack smoking in the past 30 days (AOR = 0.33; 95%CI = 0.15,0.71) and having a current steady sexual partner (AOR = 0.48; 95%CI = 0.24, 0.94) were both inversely associated with HIV infection in the multivariate model. None of our injection-related variables were predictive or protective of HIV infection, when controlled for the above factors.ConclusionsUnprotected heterosexual activity is a principal risk factor for HIV infection among female IDUs in San Francisco. Greater reported sexual risk behavior of crack smokers was not reflected by a higher HIV rate at present, perhaps because of lower prevalence of HIV among their sexual partners.
低血清流行率和高血清流行率地区女性注射吸毒者和快克吸毒者的艾滋病毒感染和风险模式
DOI: --
发表时间: 2000
期刊: AIDS Care
影响因子: 1.7
作者:
S. Tortu;M. Beardsley;Sherry Deren;M. Williams;H. Mccoy;M. Stark;A. Estrada;Marjorie F. Goldstein
通讯作者: Marjorie F. Goldstein
针对妇女的暴力行为:其对艾滋病毒/艾滋病的重要性。
DOI: --
发表时间: 2000
期刊: AIDS (London)
影响因子: --
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DOI: --
发表时间: 2001
期刊: CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
影响因子: --
作者:
Wood,E;Tyndall,MW;Spittal,PM;Li,K;Kerr,T;Hogg,RS;Montaner,JS;O'Shaughnessy,MV;Schechter,MT
通讯作者: Schechter,MT
DOI: 10.1016/s0277-9536(99)00270-1
发表时间: 2000-02-01
影响因子: 5.4
作者:
Maman, S;Campbell, J;Gielen, AC
通讯作者: Gielen, AC
DOI: 10.1258/0956462971920497
发表时间: 1997-07-01
影响因子: 1.4
作者:
Patrick, DM;Strathdee, SA;OShaughnessy, MV
通讯作者: OShaughnessy, MV