HIV risk-related sexual behaviors among heterosexuals in New York City: associations with race, sex, and intravenous drug use.
HIV risk-related sexual behaviors among heterosexuals in New York City: associations with race, sex, and intravenous drug use.
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纽约市异性恋者中与艾滋病毒风险相关的性行为：与种族、性别和静脉注射毒品的关系。
DOI：
10.1097/00002030-199303000-00016
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发表时间：
1993
期刊：
影响因子：
--
通讯作者：
Wolfe,H
中科院分区：
文献类型：
--
作者：
Kim,MY;Marmor,M;Dubin,N;Wolfe,H
目的：探讨与HIV感染相关的异性行为与种族、性别和静脉吸毒的关系。方法：对1986年至在纽约市贝尔维尤医院中心就诊的受试者进行性行为和静脉吸毒的访谈。分析基于1561名黑人、白人或西班牙裔个人，他们报告与异性有过性接触。结果：27%的研究人群是黑人，43%是西班牙裔，31%是白人。黑人比白人或西班牙裔更有可能在很小的时候就开始性行为，并患上性传播疾病。与女性吸毒者的性行为在白人男性中更常见，与妓女的接触在西班牙裔男性中更频繁。在女性中，拉美裔的性风险因素总体上比白人或黑人要少。屏障避孕药的使用率在所有民族中都很低。静脉注射毒品与性行为风险显著相关。女性比男性更有可能有静脉吸毒(IVDU)的性伴侣。结论：本研究中观察到的高危性行为的大量存在，强调了继续有必要针对那些异性传播HIV的高危人群--少数民族、IVDU及其性伴侣--开展艾滋病预防工作。
Objective: To investigate the relationship between heterosexual behaviors associated with HIV infection and ethnicity, sex, and intravenous drug use.Methods: Subjects were recruited from Bellevue Hospital Center, New York City between 1986 and 1989, and interviewed about sexual behaviors and intravenous drug use. Analyses were based on 1561 black, white, or Hispanic individuals who reported having sexual contact with a member of the opposite sex.Results: Twenty-seven per cent of the study population were black, 43% Hispanic, and 31% white. Blacks were more likely than whites or Hispanics to have initiated sexual intercourse at an early age, and to have had a sexually transmitted disease. Sex with a female drug user was more common among white men, and contact with a prostitute more frequent among Hispanic men. Among the women, Hispanics had fewer sexual risk factors overall than whites or blacks. Use of barrier contraceptives was uniformly low across all ethnic groups. Intravenous drug use was significantly associated with sexual risk-taking. Women were more likely than men to have an intravenous drug-using (IVDU) sexual partner.Conclusions: The large prevalence of high-risk sexual practices observed in this study emphasizes the continuing need to target AIDS prevention programs at those at highest risk of heterosexually transmitted HIV: racial minorities, IVDU, and their sexual partners.