The trading of sex for money or drugs, sexually transmitted diseases (STDs), and HIV-related risk behaviors among multisubstance using alcoholic inpatients

The trading of sex for money or drugs, sexually transmitted diseases (STDs), and HIV-related risk behaviors among multisubstance using alcoholic inpatients
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DOI:
10.1016/s0376-8716(97)00136-1
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发表时间:
1997-12-30
影响因子:
4.2
通讯作者:
Windle, M
Windle, M
中科院分区:
医学2区
文献类型:
--
作者:
Windle, M

文献摘要

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分析了802名使用多种物质酗酒的住院患者(481名男性和321名女性)的数据,以确定以性交易换取金钱或毒品是否与自我报告的性传播疾病、自我报告的艾滋病毒感染以及对当前和未来可能感染的看法有关。使用Logistic和有序多分类回归模型评估性交易对性病和HIV相关行为的统计学意义,同时控制其他潜在的混杂变量,如可卡因滥用和电视药物使用。涉及性交易与更高的可卡因滥用、性传播疾病和自我报告的艾滋病毒感染有关。多变量(调整后)模型支持性交易在性传播疾病和艾滋病毒相关行为方面的重要性。研究结果表明,在这些使用多种药物的酗酒住院患者中,高水平的性交易换取金钱或毒品与自我报告的性传播疾病、艾滋病毒感染的一个辅助因素以及自我报告的艾滋病毒感染和感染风险的看法独立相关。(C)1997年爱思唯尔爱尔兰科学有限公司。
Data from 802 multisubstance using alcoholic inpatients (481 men and 321 women) were analyzed to determine whether trading sex for money or drugs was associated with self-reported STDs, self-reported HIV infection, and perceptions of current and future probable infection. Logistic and ordinal polychotomous regression models were used to evaluate the statistical significance of sex trade on STDs and HIV-related behaviors while controlling for other potential confounding variables such as cocaine abuse and TV drug use. Involvement in sex trade was associated with higher cocaine abuse, with STDs, and with self-reported HIV infection. The multivariate (adjusted) models supported the significance of sex trade with regard to STDs and HIV-related behaviors. The findings indicated that, among these multisubstance using alcoholic inpatients, high levels of trading sex for money or drugs were independently associated with self-reported STDs, a cofactor of HIV infection, as well as self-reported HIV infection and perceptions of risk for infection. (C) 1997 Elsevier Science Ireland Ltd.