HIV risk profiles among HIV-positive, methamphetamine-using men who have sex with both men and women.
HIV risk profiles among HIV-positive, methamphetamine-using men who have sex with both men and women.
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DOI：
10.1007/s10508-010-9713-1
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发表时间：
2011-08
影响因子：
3.8
通讯作者：
Patterson, Thomas L.
中科院分区：
文献类型：
--
作者：
Nakamura, Nadine;Semple, Shirley J.;Strathdee, Steffanie A.;Patterson, Thomas L.
关键词：
本研究探讨了人口统计学特征，性风险行为，性信仰，和物质使用模式的艾滋病毒阳性，甲基苯丙胺使用的男性谁有性行为的男性和女性（MSMW）（n = 50）相比，男性只有男性性行为（MSM）（n = 150）。进行单独的逻辑回归来预测群体成员资格。在最终的模型中，在12个变量中，有8个变量与群体成员身份独立相关。与MSMW独立相关的因素是通过注射吸毒获得艾滋病毒，是一个注射吸毒者，使用致幻剂，使用快克，不太可能在澡堂发生性关系，不太可能是高时接受的合作伙伴甲基苯丙胺，有更大的意图使用避孕套口交，并有更多的负面态度艾滋病毒的披露。这些结果表明，在HIV阳性的甲基苯丙胺用户，男男性工作者在他们的HIV危险行为方面显着不同。男同性恋者和艾滋病毒的研究通常也包括双性恋男子，将他们归为MSM，这可能掩盖了MSMW和MSM之间的重要差异。重要的是，未来的研究分别考虑男男性接触者和男男性工作者，以扩大我们的知识，这两个群体的艾滋病毒预防需求的差异。本研究表明，男男性接触者和男男性工作者在一级和二级预防需求方面存在重要差异。这些发现对这些高危人群的初级和二级艾滋病毒预防都有影响。
This study examined demographic characteristics, sexual risk behaviors, sexual beliefs, and substance use patterns in HIV-positive, methamphetamine-using men who have sex with both men and women (MSMW) (n = 50) as compared to men who have sex with men only (MSM) (n = 150). Separate logistic regressions were conducted to predict group membership. In the final model, of 12 variables, eight were independently associated with group membership. Factors independently associated with MSMW were acquiring HIV through injection drug use, being an injection drug user, using hallucinogens, using crack, being less likely to have sex at a bathhouse, being less likely to be the receptive partner when high on methamphetamine, having greater intentions to use condoms for oral sex, and having more negative attitudes about HIV disclosure. These results suggest that, among HIV-positive methamphetamine users, MSMW differ significantly from MSM in terms of their HIV risk behaviors. Studies of gay men and HIV often also include bisexual men, grouping them all together as MSM, which may obscure important differences between MSMW and MSM. It is important that future studies consider MSM and MSMW separately in order to expand our knowledge about differential HIV prevention needs for both groups. This study showed that there were important differences in primary and secondary prevention needs of MSM and MSMW. These findings have implications for both primary and secondary HIV prevention among these high-risk populations.
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DOI：
10.1097/01.qai.0000230530.02212.86
发表时间：
2006-11-01
影响因子：
3.6
作者：
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通讯作者：
Gorbach, Pamina M.
影响因子：
3.1
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Deiss, Robert G.;Brouwer, Kimberly C.;Strathdee, Steffanie A.
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影响因子：
3.6
作者：
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DOI：
10.1097/qai.0b013e3180417c99
发表时间：
2007-05-01
影响因子：
3.6
作者：
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通讯作者：
Jacobson, Lisa P.
影响因子：
3.4
作者：
Kalichman, SC;Rompa, D
通讯作者：
Rompa, D