Sexual transmissibility of HIV among opiate users with concurrent sexual partnerships: an egocentric network study in Yunnan, China.
Sexual transmissibility of HIV among opiate users with concurrent sexual partnerships: an egocentric network study in Yunnan, China.
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有性伴侣的鸦片使用者中艾滋病毒的性传播：中国云南的一项以自我为中心的网络研究。
DOI：
10.1111/j.1360-0443.2011.03459.x
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发表时间：
2011-10
期刊：
影响因子：
--
通讯作者：
Detels R
中科院分区：
文献类型：
--
作者：
Li J;Liu H;Li J;Luo J;Koram N;Detels R
目的：调查青少年阿片类药物使用者并发性伴侣的情况及吸毒和性网络中并发性伴侣中艾滋病毒的性传播。横断面设计。中国云南的426名年轻鸦片吸食者。采用受访者驱动抽样（RDS）方法招募参与者。采用多元logistic回归分析同时性伴侣与自我中心社会网络成分、HIV危险性行为和药物使用习惯的关系。经rds校正的阿片类药物使用者中并发性伴侣的患病率为42.9%。与没有性伴侣的人相比，同时有性伴侣的阿片类药物使用者更有可能从事与艾滋病毒相关的危险性行为。具体来说，他们更有可能报告有四个或更多的性伴侣（26.3%对2.0%），有配偶或男女朋友同时有性伴侣（28.1%对8.2%），以毒品交换性行为（12.4%对3.8%），有非注射吸毒者的性伴侣（22.6%对10.1%），有注射吸毒者的性伴侣（25.3%对13.5%），以及使用俱乐部毒品（26.3%对13.5%）。有性并发性行为的鸦片使用者和没有性并发性行为的鸦片使用者在持续使用避孕套方面没有显著差异。两组中有相同比例（25.8%）的鸦片使用者报告在与固定伴侣发生性行为时一直使用避孕套，有同时性行为的鸦片使用者中有46.3%和没有同时性行为的鸦片使用者中有36.4%在与非固定伴侣发生性行为时一直使用避孕套。中国艾滋病毒流行从高危人群向普通人群扩展可能是由同时发生的性伙伴关系推动的。针对安全性行为的行为干预措施应纳入减少危害规划。
To investigate the patterns of concurrent sexual partnerships among young opiate users and sexual transmissibility of HIV in concurrent sexual partnerships in drug-use and sexual networks. Cross-sectional design. 426 young opiate users in Yunnan, China. Respondent-driven sampling (RDS) was used to recruit participants. Multiple logistic regressions were performed to analyze the relationships of concurrent sexual partnerships with egocentric social network components, risky sexual behavior for HIV, and drug-use practices. The RDS-adjusted prevalence of concurrent sexual partners was 42.9% among opiate users. Opiate users with concurrent sexual partnerships were more likely to engage in risky HIV-related sexual behavior, compared to those without. Specifically, they were more likely to report having had four or more sexual partners (26.3% vs. 2.0%), having had a spouse or boy/girl friends who also had concurrent sexual partnerships (28.1% vs. 8.2%), having exchanged drug for sex (12.4% vs. 3.8%), having had sexual partners who were non-injection drug users (22.6% vs. 10.1%), having had sexual partners who were injection drug users (25.3% vs. 13.5%), and having used club drugs (26.3% vs. 13.5%). There were no significant differences in consistent condom use between opiate users with sexual concurrency and those without. The same proportion (25.8%) of opiate users in the two groups reported having consistently used condoms when having sex with regular partners, and 46.3% of opiate users with sexual concurrency and 36.4% of those without such concurrency consistently used condoms with non-regular partners. The expansion of the HIV epidemic from high risk populations to the general population in China may be driven by concurrent sexual partnerships. Behavioral interventions targeting safer sex should be integrated into harm reduction programmes.
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影响因子：
4.5
作者：
Liu H;Li J;Lu Z;Liu W;Zhang Z
通讯作者：
Zhang Z
影响因子：
4.4
作者：
Morris, Martina
通讯作者：
Morris, Martina
影响因子：
4.4
作者：
Li J;Ha TH;Zhang C;Liu H
通讯作者：
Liu H
影响因子：
11.8
作者：
Colfax, G;Guzman, R
通讯作者：
Guzman, R
DOI：
10.1097/qai.0b013e3181c7d6ff
发表时间：
2010-02-01
影响因子：
3.6
作者：
Jia, Manhong;Luo, Hongbing;Lu, Lin
通讯作者：
Lu, Lin