Sexual risk, substance use, and psychological distress in HIV-positive gay and bisexual men who also inject drugs
Sexual risk, substance use, and psychological distress in HIV-positive gay and bisexual men who also inject drugs
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DOI：
10.1097/01.aids.0000167351.00503.92
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发表时间：
2005-04-01
期刊：
影响因子：
3.8
通讯作者：
Gómez, CA
中科院分区：
文献类型：
--
作者：
Ibañez, GE;Purcell, DW;Gómez, CA
目的：在美国，男同性恋和双性恋男性以及注射吸毒者（IDU）是HIV暴露风险的两个主要群体，但很少有研究关注这两个群体的交集。人们对hiv阳性的同性恋和双性恋的IDU知之甚少。本研究的目的是识别和比较艾滋病毒阳性男同性恋和双性恋男性注射与非注射吸毒在艾滋病毒传播风险行为和心理困扰方面的差异。方法：数据来自一项针对HIV阳性男同性恋和双性恋男性的HIV预防干预的随机对照试验的基线评估。结果：1168例男性中，有236例（20%）报告有注射吸毒，500例（43%）报告仅有非注射吸毒，422例（36%）报告没有吸毒。更多的注射过量者报告与女性发生过性行为，并认为自己是“无保护肛交者”（即故意进行无保护肛交的男性）。与不使用药物的男性相比，IDU报告了更多的无保护的性行为，但他们的性风险行为与使用非注射药物的男性相似。与其他药物使用者相比，IDU报告使用非注射型甲基苯丙胺、安非他明、巴比妥酸盐和γ羟基丁酸盐更多。与其他两组相比，更多的注射过量者报告了性虐待、焦虑和敌意。结论：hiv阳性的男同性恋和双性恋IDU是与其他hiv阳性的男同性恋和双性恋男性不同的群体。这一人群需要预防病例管理和干预措施，帮助男性应对多种健康问题并预防艾滋病毒传播。(c) 2005年Lippincott Williams & Wilkins。
Objectives: Gay and bisexual men and injection drug users (IDU) are the two main groups at risk of HIV exposure in the United States, but few studies have focused on the intersection of these two groups. Little is known about HIV-positive gay and bisexual IDU. The aim of this study is to identify and compare differences in HIV transmission risk behaviors and psychological distress in HIV-positive gay and bisexual men by injection versus non-injection drug use.Methods: Data were from the baseline assessment of a randomized controlled trial of an HIV prevention intervention for HIV-positive gay and bisexual men.Results: Of the 1168 men, 236 (20%) reported injection drug use, 500 (43%) reported only non-injection drug use, and 422 (36%) reported no drug use. More of the IDU reported having sex with women, and identified themselves as 'barebackers' (i.e. men who intentionally have unprotected anal intercourse). IDU reported more unprotected sexual behaviors than men who did not use drugs, but their sexual risk behaviors were similar to those of men who used non-injection drugs. IDU, compared with other drug users, reported more use of non-injected methamphetamine, amphetamine, barbiturates, and gamma hydroxybutyrate. More IDU, compared with the other two groups, reported sexual abuse, anxiety, and hostility.Conclusion: HIV-positive gay and bisexual IDU are a distinct group from other HIV-positive gay and bisexual men. Prevention case management and interventions that help men cope with multiple health concerns and prevent HIV transmission are needed for this population. (c) 2005 Lippincott Williams & Wilkins.