Variations in sexual risks in drug users: emerging themes in a behavioral context.
Variations in sexual risks in drug users: emerging themes in a behavioral context.
复制标题
DOI：
10.1007/s11904-008-0030-4
复制
发表时间：
2008-11
影响因子：
4.6
通讯作者：
Mehta, Shruti H
中科院分区：
文献类型：
--
作者：
Celentano, David D;Latimore, Amanda D;Mehta, Shruti H
在艾滋病毒危险行为研究的研究对象中，吸毒者是一个特别复杂的群体。虽然注射吸毒占美国累计艾滋病毒传播的三分之一以上，但所有吸毒的直接和间接影响的范围很难量化，特别是将艾滋病毒归因于通过非肠道接触直接吸毒或通过不安全的性行为间接吸毒。社会和毒品网络重叠、伴侣选择以及非法药物和勃起功能障碍药物的结合等重要行为问题增加了吸毒者性行为研究的复杂性。这篇综述涵盖了美国和加拿大最近关于注射吸毒者和非注射吸毒者的性危险行为当前主题的实质性研究。我们讨论了性别、情境和性偏好因素，这些因素可能会通过药物类别和给药途径影响影响艾滋病毒风险的性行为。特别关注少数群体，包括性别和种族/族裔，因为他们在当代社会中的边缘化角色给减少风险设置了特殊障碍。
Drug users are an especially complex population among those studied in HIV-risk behavior research. While injection drug use accounts for over one-third of cumulative HIV transmission in the U.S., the scope of the direct and indirect impact of all drug use is difficult to quantify, especially in relation to attributing HIV to either drug use directly via parenteral exposures or indirectly, through unsafe sex. Important behavioral issues such as social and drug network overlaps, partner selection and the combinations of illicit drugs with erectile dysfunction medications have added complexity to the studying of sexual behavior in drug users. This review covers recent substantive research in the U.S. and Canada on current themes in sexual risk behavior in injection drug and non-injection drug users. We address gender, situational and sexual preference factors that may influence sexual behaviors affecting HIV risk by class of drug and route of administration. Special attention is paid to minority populations, both sexual and race/ethnicity, as their marginalized role in contemporary society places special barriers for risk reduction.