Association between crack cocaine use and high-risk sexual behaviors after HIV diagnosis
Association between crack cocaine use and high-risk sexual behaviors after HIV diagnosis
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DOI：
10.1097/00126334-200010010-00015
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发表时间：
2000-10-01
期刊：
影响因子：
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通讯作者：
Jones, JL
中科院分区：
文献类型：
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作者：
Campsmith, ML;Nakashima, AK;Jones, JL
目的：描述艾滋病病毒感染人群中快克可卡因的使用情况，并研究艾滋病诊断后快克可卡因使用与异性恋男性、异性恋女性和男男性行为高危人群（MSM）的关系。方法：对1995年1月至1998年12月在12个州对艾滋病毒感染的成年人进行的横断面访谈进行分析。结果：10415例HIV / AIDS感染者中，66.6%从未使用过裂缝，10.7%在诊断前使用过裂缝，诊断后未使用过裂缝，22.7%在诊断后使用过裂缝。高危性行为在曾经使用过可卡因的人群中更为普遍，在诊断后使用过可卡因的人群中最为普遍。在多变量分析中，在所有三组：异性恋男性、异性恋女性和男同性恋者中，诊断后使用快克与拥有多个性伴侣和以性交易换取毒品/金钱有关。对于异性恋女性和男男性接触者，诊断后使用快客与与主要伴侣发生无保护的性行为有关，而在异性恋男性和男男性接触者中，与临时伴侣发生无保护的性行为有关。结论：HIV诊断后吸食快客与高危性行为相关。帮助人们戒烟的治疗方案是必要的，以帮助减少艾滋病毒从这一人群传播的风险。
Objective: To describe the prevalence of crack cocaine use in an HIV-infected population and to examine the association between crack use after HIV diagnosis and high-risk sexual behaviors for heterosexual men, heterosexual women, and men who have sex with men (MSM).Methods: Analysis of cross-sectional interviews conducted from January 1995 through December 1998 with HIV infected adults in 12 states.Results: Of 10,415 persons with HIV or AIDS, 66.6% never used crack, 10.7% used crack before HIV diagnosis but not after, and 22.7% used crack after diagnosis. High-risk sexual behaviors were more prevalent among those who had ever used crack and were most prevalent among those who used crack after diagnosis. In multivariable analyses, crack use after diagnosis was associated with having multiple sex partners and trading sex for drugs/money in ail three groups: heterosexual men, heterosexual women, and MSM. For heterosexual women and MSM, crack use after diagnosis was associated with unprotected sex with a main partner, and among heterosexual men and MSM, with unprotected sex with casual partners.Conclusions: Crack use after HIV diagnosis was associated with high-risk sexual behaviors. Treatment programs to assist people in quitting crack are needed to help reduce the risk of HIV transmission from this population.