Binge use of crack cocaine and sexual risk behaviors among African-American, HIV-positive users.
Binge use of crack cocaine and sexual risk behaviors among African-American, HIV-positive users.
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DOI：
10.1007/s10461-008-9450-9
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发表时间：
2009-12
影响因子：
4.4
通讯作者：
Bowen, Anne M.
中科院分区：
文献类型：
--
作者：
Harzke, Amy Jo;Williams, Mark L.;Bowen, Anne M.
这项研究描述了303名非洲裔美国人，HIV阳性使用者的滥用快克可卡因，滥用者和他们的性风险行为。最近的狂欢使用被定义为，在过去的30天里，“尽可能多地使用快克可卡因，直到你用完快克或无法再使用”。51%的人报告最近有过可卡因狂欢。典型的裂缝狂欢持续了3.7天，平均吸了40块石头。近三分之二的人报告说，他们最后一次狂欢是在自己或他人家中。72%的人在上一次狂欢中发生了性行为，平均有3.1名伴侣。在多变量逻辑回归分析中，最近的狂欢者比非狂欢者更有可能认为自己无家可归，有任何收入来源，使用裂缝更长，并且在冒险和需要帮助解决毒品问题方面得分更高。在多变量有序和逻辑回归分析中，最近的暴饮暴食者在过去的6个月零30天内有更多的性伴侣，并且更有可能在过去的30天内从未使用过避孕套。在男性使用者中，最近的狂欢者更有可能报告一生和最近的性交易和性交易。在男性和女性使用者中，最近的狂欢者更有可能报告终身性交易毒品。非洲裔美国人，艾滋病毒阳性的可卡因狂欢用户似乎增加了艾滋病毒传播的风险。应考虑进一步调查滥用可卡因和性风险行为，并针对这一群体采取干预措施。
This study describes binge use of crack cocaine, binge users, and their sexual risk behaviors in a sample of 303 African-American, HIV-positive users. Recent binge use was defined as, “using as much crack cocaine as you can, until you run out of crack or are unable to use any more” in the last 30 days. Fifty-one percent reported a recent crack binge. The typical crack binge lasted 3.7 days and involved smoking 40 rocks on average. Nearly two-thirds reported their last binge was in their own or another's home. Seventy-two percent had sex during the last binge, with an average of 3.1 partners. In multivariable logistic regression analyses, recent bingers were more likely than non-bingers to consider themselves homeless, to have any income source, to have used crack longer, and to score higher on risk-taking and need for help with their drug problem. In multivariable ordinal and logistic regression analyses, recent bingers had more sex partners in the last six months and 30 days and were more likely to have never used a condom in the last 30 days. Among male users, recent bingers were more likely to report lifetime and recent exchange of money for sex and drugs for sex. Among both male and female users, recent bingers were more likely to report lifetime trading of sex for drugs. African-American, HIV-positive binge users of crack cocaine appear to be at increased risk for HIV transmission. Further investigations of binge crack use and sexual risk behaviors and interventions targeting and tailored to this group should be considered.
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影响因子：
2
作者：
Daniulaityte, Raminta;Carlson, Robert G.;Siegal, Harvey A.
通讯作者：
Siegal, Harvey A.
影响因子：
1.4
作者：
Kang, SY;Goldstein, MF;Deren, S
通讯作者：
Deren, S
DOI：
10.1080/09540120410001683394
发表时间：
2004-04-01
影响因子：
1.7
作者：
Harzke, AJ;Williams, ML;Keel, KB
通讯作者：
Keel, KB
DOI：
10.1016/s0899-3289(01)00063-3
发表时间：
2001-01-01
期刊：
JOURNAL OF SUBSTANCE ABUSE
影响因子：
--
作者：
McKirnan, DJ;Vanable, PA;Hope, B
通讯作者：
Hope, B
影响因子：
4.9
作者：
Cunningham, Chinazo O.;Sohler, Nancy L.;Heller, Daliah
通讯作者：
Heller, Daliah