Differences in HIV risk behaviors among people who inject drugs by gender and sexual orientation, San Francisco, 2012
Differences in HIV risk behaviors among people who inject drugs by gender and sexual orientation, San Francisco, 2012
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按性别和性取向划分的注射吸毒者艾滋病毒风险行为差异，旧金山，2012 年
DOI：
10.1016/j.drugalcdep.2014.10.015
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发表时间：
2014-12-01
影响因子：
4.2
通讯作者：
Raymond, H. Fisher
中科院分区：
文献类型：
--
作者：
Jin, Harry;Huriaux, Emalie;Raymond, H. Fisher
背景：共用药物注射设备是一个公认的病毒感染传播的危险因素，如人类免疫缺陷病毒（HIV）。然而，注射吸毒者（PWID）可以通过多种机制获得和传播艾滋病毒。异性恋男性、男男性行为者（MSM）和注射毒品的女性在药物使用和性行为方面的差异可能解释了健康差异。方法：采用美国国家艾滋病行为监测系统（NHBS）收集2012年旧金山地区的数据，对异性恋男性、MSM和女性的性行为、吸毒行为和病毒感染情况进行比较分析。结果：通过RDS抽样设计的加权分析，我们估计3.7%的异性恋男性注射吸毒者、24.0%的男男性接触者和13.0%的女性注射吸毒者是艾滋病毒携带者。女性和异性恋男性主要注射海洛因，而男男性行为者主要注射甲基苯丙胺。男男性行为者最有可能在性行为中接受物品或金钱，并进行无保护的性交。结论：这些数据表明异性恋男性、男同性恋者和女性在危险行为和病毒感染流行方面存在差异。研究结果还表明，公共卫生计划有必要优先考虑不同的PWID人群。2014爱思唯尔爱尔兰有限公司版权所有。
Background: Sharing of drug injection equipment is a well-established risk factor for the transmission of viral infections, such as human immunodeficiency virus (HIV). However, there are multiple mechanisms through which people who inject drugs (PWID) can acquire and transmit HIV. Differences in drug using and sexual behaviors among heterosexual males, males who have sex with males (MSM), and females who inject drugs may explain health disparities.Methods: Data were collected in San Francisco by the National HIV Behavioral Surveillance (NHBS) System of PWID in 2012, and were analyzed to compare the sexual behaviors, drug use behaviors, and prevalence of viral infections among heterosexual males, MSM, and females.Results: Using a weighted analysis for the RDS sampling design, we estimate that 3.7% of heterosexual males who inject drugs, 24.0% of MSM, and 13.0% of females who inject drugs are living with HIV. Females and heterosexual males primarily injected heroin, while MSM primarily injected methamphetamine. MSM were most likely to have received goods or money for sex and have unprotected intercourse.Conclusion: These data demonstrate differences in risk behaviors and prevalence of viral infections among heterosexual males, MSM, and females. The results also suggest that public health programs prioritizing the different populations of PWID are necessary. (C) 2014 Elsevier Ireland Ltd. All rights reserved.