Engagement in HIV Medical Care and Technology Use among Stimulant-Using and Nonstimulant-Using Men who have Sex with Men.
Engagement in HIV Medical Care and Technology Use among Stimulant-Using and Nonstimulant-Using Men who have Sex with Men.
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DOI：
10.1155/2013/121352
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发表时间：
2013
影响因子：
1.7
通讯作者：
Petroll AE
中科院分区：
文献类型：
--
作者：
Horvath KJ;Carrico AW;Simoni J;Boyer EW;Amico KR;Petroll AE
本研究的目的是评估兴奋剂使用与艾滋病毒医疗护理态度和参与之间的关系，并检查使用兴奋剂和不使用兴奋剂的男男性行为者（MSM）的技术使用情况。艾滋病毒阳性男男性行为者（276人，平均年龄42岁，71%为白人，非西班牙裔，43%具有大学学历）于2009年完成了一项在线调查。大多数男子（69%）在过去一年中没有错过任何预定的艾滋病毒医疗预约，而23%的人至少错过一次，9%的人没有参加任何预约。在未调整的模型中，兴奋剂使用与未参加任何艾滋病毒医疗预约显著相关（相对风险比(RRR) = 2.84, 95% CI[1.07, 7.58]），以及在人口统计学（RRR = 3.16, 95% CI[1.13, 8.84]）和社会心理（RRR = 3.44, 95% CI[1.17, 10.15]）因素调整的模型中（p < 0.05）。使用兴奋剂的男性比不使用兴奋剂的男性更少将艾滋病毒医疗护理列为优先事项（57%对85%；P < 0.01）。在使用兴奋剂和不使用兴奋剂的男男性行为者之间，在在线社交网络或手机使用方面几乎没有发现显著差异，即使按参与艾滋病毒护理进行分层也是如此。研究结果表明，在该样本中，兴奋剂使用与不参与艾滋病毒医疗护理有独特的关联，并且有可能通过在线社交网络和移动技术接触到使用兴奋剂的男男性行为者。
Aims of this study were to assess the associations between stimulant use and attitudes toward and engagement in HIV medical care and to examine technology use among stimulant-using and nonstimulant-using men who have sex with men (MSM). HIV-positive MSM (n = 276; mean age = 42 years; 71% white, non-Hispanic; 43% with college degree) completed an online survey in 2009. Most men (69%) had not missed any scheduled HIV medical appointments in the past year, while 23% had missed at least one, and 9% had not attended any appointments. Stimulant use was significantly associated with not attending any HIV medical appointments in the unadjusted model (relative risk ratio (RRR) = 2.84, 95% CI [1.07, 7.58]), as well as in models adjusted for demographic (RRR = 3.16, 95% CI [1.13, 8.84]) and psychosocial (RRR = 3.44, 95% CI [1.17, 10.15]) factors (Ps < 0.05). Fewer stimulant-using than non-stimulant-using men rated HIV medical care a high priority (57% versus 85%; P < 0.01). Few significant differences were found in online social networking or mobile phone use between stimulant-using and non-stimulant-using MSM, even when stratified by engagement in HIV care. Findings indicate that stimulant use is uniquely associated with nonengagement in HIV medical care in this sample, and that it may be possible to reach stimulant-using MSM using online social networking and mobile technologies.