Substance Use and High Risk Sexual Behaviors among Women in Psychosocial Outpatient and Methadone Maintenance Treatment Programs
Substance Use and High Risk Sexual Behaviors among Women in Psychosocial Outpatient and Methadone Maintenance Treatment Programs
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DOI：
10.1080/00952990903108256
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发表时间：
2009-01-01
影响因子：
2.7
通讯作者：
Nunes, Edward V.
中科院分区：
文献类型：
--
作者：
Tross, Susan;Hanner, Jennifer;Nunes, Edward V.
目的：本研究的目的是评估药物使用/诊断和性风险行为之间的关联妇女参加了心理社会门诊（PS）和美沙酮维持（MM）治疗，并参与了国家药物滥用临床试验网络研究所内的艾滋病毒预防干预研究。研究方法：在基线评估时，515名性活跃女性报告了无保护性行为（USO）、肛交、性交易、吸毒性行为和多个男性性伴侣。结果如下：在PS样本中，可卡因使用诊断与拥有多个伴侣、以性换取毒品、肛交或与毒品发生性关系的风险增加一倍以上相关;酒精或阿片类药物使用诊断与较少的风险行为相关。在MM样本中，可卡因使用，酒精使用和阿片类药物使用诊断均与一到两种风险行为相关。在这两个样本中，性风险和物质使用天数之间的关联不太频繁。结论：这些研究结果强调，需要整合艾滋病毒性预防干预措施，解决性风险行为和药物使用诊断之间的关系，以药物滥用治疗计划。
Objectives: The purpose of the present study was to assess the association between substance use/diagnosis and sexual risk behaviors among women enrolled in both psychosocial outpatient (PS) and methadone maintenance (MM) treatment and involved in a HIV prevention intervention study within the National Institute for Drug Abuse Clinical Trials Network. Methods: 515 sexually active women reported on unprotected sexual occasions (USO), anal sex, sex trading, sex with drug occasions, and multiple male sex partners at the baseline assessment. Results: Within the PS sample, cocaine use diagnosis was associated with more than twice the risk of having multiple partners, trading sex for drugs, having anal sex, or having sex with drugs; alcohol or opioid use diagnosis was associated with fewer risk behaviors. Within the MM sample, cocaine use, alcohol use and opiate use diagnoses were each associated with one to two risk behaviors. Associations between sexual risk and substance using days were less frequent in both samples. Conclusions: These findings highlight the need for integration of HIV sexual prevention interventions that address the relationship between sexual risk behavior and substance use diagnoses into substance abuse treatment programs.