Substance use and high-risk sex among people with HIV: A comparison across exposure groups
Substance use and high-risk sex among people with HIV: A comparison across exposure groups
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DOI：
10.1023/a:1023906610710
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发表时间：
2003-06-01
影响因子：
4.4
通讯作者：
Beckman, R
中科院分区：
文献类型：
--
作者：
Beckett, M;Burnam, A;Beckman, R
药物使用与艾滋病毒阳性者通过性接触将艾滋病毒传染给未感染伴侣的风险增加有关。感染的最大风险群体是男男性行为者和注射毒品使用者，他们的药物使用率很高，但对他们在艾滋病毒诊断后的药物使用情况知之甚少。我们比较了这两组和第三组，异性恋男性和女性之间的物质使用的患病率，并测试了物质使用和性行为之间的差异之间的关联，在全国样本的患者在治疗艾滋病毒的暴露组物质使用是最普遍的男男性行为者。物质使用和目前的依赖与性活跃的男男性行为者，但不是注射吸毒者;大麻，酒精和硬毒品的使用与性活跃的男男性行为者最密切相关。尽管物质使用预示着高风险性行为，但在这些关联中，暴露组之间几乎没有差异。
Substance use is associated with increased risk for HIV transmission by HIV-positive people to uninfected partners through sexual contact. The largest risk groups for infection, men who have sex with men (MSM) and injecting drug users (IDUs), have high rates of substance use, but little is known about their substance use post-HIV diagnosis. We compared the prevalence of substance use between these two groups and a third group, heterosexual men and women, and tested for differential association between substance use and sexual behaviors across exposure groups in a national sample of patients in treatment for HIV Substance use was most prevalent among MSM. Substance use and current dependence were associated with being sexually active among MSM but not IDUs; marijuana, alcohol, and hard drug use were most strongly associated with being sexually active among MSM. Whereas substance use predicted high-risk sex, there were few differences among exposure groups in these associations.