Alcohol use and subsequent sex among HIV-infected patients in an ethnic minority area of Yunnan Province, China.
Alcohol use and subsequent sex among HIV-infected patients in an ethnic minority area of Yunnan Province, China.
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DOI：
10.1371/journal.pone.0061660
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发表时间：
2013
期刊：
影响因子：
3.7
通讯作者：
He N
中科院分区：
文献类型：
--
作者：
Luo X;Duan S;Duan Q;Pu Y;Yang Y;Ding Y;Gao M;He N
目的探讨云南省某农村社区少数民族艾滋病病毒感染者/艾滋病患者（PLWHA）的饮酒情况及其相关危险行为。在合格的参与者中进行了一项面对面问卷访谈的横断面研究。在482名合格的HIV患者中，共有455名（94.4%）参与了研究。其中，82.6%是少数民族; 15.4%从未结婚; 96.5%有性经验; 55.4%使用过药物，67%正在接受抗逆转录病毒治疗。超过65%的人曾经饮酒，其中61.5%的人现在饮酒。在目前的饮酒者中，32.4%的人每天饮酒，41.2%的人是危险饮酒者。中国白色葡萄酒是首选。饮酒者在前一个月内饮酒水平较高与男性（OR = 2.76，95%CI：1.03-7.43）、少数民族（OR景颇族= 2.21，95%CI：1.06-4.59; OR其他少数民族= 3.20，95%CI：1.34-7.62）、高等教育（OR 1 -6 = 1.98，95%CI：0.99-3.96; OR≥7 = 2.35，95%CI：1.09-5.06）和ART初治（OR = 2.69，95%CI：1.67-4.32）呈正相关。 大约39%的饮酒者报告说，自艾滋病毒诊断以来，他们在酒后发生过性行为。46岁以下（OR 16 -25 = 7.77，95%CI：1.22-49.60，OR 26 -35 = 2.79，95%CI：1.06-7.35，OR 36 -45 = 2.96，95%CI：1.57-7.58）、危险饮酒者（OR = 1.99，95%CI：1.00-3.97）和吸毒者（OR = 3.01，95%CI：1.19-7.58）更有可能发生酒后性行为。 大约56%的吸毒者在饮酒后吸毒。云南省农村地区HIV感染者饮酒及随后的危险行为（包括性行为和吸毒）的流行率较高，需要采取综合措施预防和控制酒精、毒品滥用和HIV传播。
To examine alcohol use and subsequent HIV risky behaviors among a sample of predominately ethnic minority people living with HIV/AIDS (PLWHA) in a rural community in Yunnan Province, China. A cross-sectional study with a face-to-face questionnaire interview was conducted among eligible participants. In total, 455 (94.4%) out of 482 eligible HIV patients participated in the study. Of them, 82.6% were ethnic minorities; 15.4% were never married; 96.5% were sexually experienced; 55.4% had used drugs, 67% were receiving antiretroviral therapy (ART). Over 65% were ever drinkers; of whom 61.5% were current drinkers. Among current drinkers, 32.4% drank daily and 41.2% were hazardous drinkers. Chinese white wine was the preferred choice. Higher level of alcohol use among drinkers in the preceding month was positively associated with being males (OR = 2.76, 95%CI: 1.03–7.43), ethnic minorities (OR Jingpo = 2.21, 95%CI: 1.06–4.59; OR other minorities = 3.20, 95%CI: 1.34–7.62), higher education (OR1–6 = 1.98, 95%CI: 0.99–3.96; OR≥7 = 2.35, 95%CI: 1.09–5.06) and being ART-naive (OR = 2.69, 95%CI: 1.67–4.32). About 39% of ever drinkers reported having engaged in sex after drinking since HIV diagnosis. Those who were younger than 46 years (OR16–25 = 7.77, 95%CI: 1.22–49.60, OR26–35 = 2.79, 95%CI: 1.06–7.35, OR36–45 = 2.96, 95%CI: 1.57–7.58), hazardous drinkers (OR = 1.99, 95%CI: 1.00–3.97) and drug users (OR = 3.01, 95%CI: 1.19–7.58) were more likely to have had sex after drinking. Approximately 56% of drug users had used drugs after drinking. High prevalence of alcohol use and subsequent risky behaviors including sexual engagement and drug use among HIV patients in rural Yunnan require tremendous and integrated efforts for prevention and control of alcohol and drug abuse and HIV spreading.
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DOI：
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