Gender Differences in HIV Sexual Risk Behaviors Among Clients of Substance Use Disorder Treatment Programs in the U.S.
Gender Differences in HIV Sexual Risk Behaviors Among Clients of Substance Use Disorder Treatment Programs in the U.S.
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DOI：
10.1007/s10508-015-0686-y
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发表时间：
2017-05
影响因子：
3.8
通讯作者：
Feaster DJ
中科院分区：
文献类型：
--
作者：
Pan Y;Metsch LR;Wang W;Wang KS;Duan R;Kyle TL;Gooden LK;Feaster DJ
这项研究考察了参加CTN-0032的1281名患者(777名男性和504名女性)在性别和时间上的差异，这些患者来自全美12个基于社区的物质使用障碍治疗计划，CTN-0032是在国家药物滥用治疗临床试验网络内进行的一项随机对照试验。统计分析采用零膨胀负二项模型(ZINB)和负二项模型(NB)。结果表明，无论干预武器是什么，吸毒者的大多数类型的性危险行为都显着减少。在性危险行为上也存在显著的性别差异。男性与非主要性伴发生无套性行为(IRR=1.80，95%CI=1.21~2.69)和无套肛交(IRR=1.74，95%CI=1.11~2.72)多于女性，但无套性伴(IRR=0.87，95%CI=0.77~0.99)、无套阴道性行为(IRR=0.83，95%CI=0.69~1.00)、吸毒或饮酒后2小时内无套肛交(IRR=0.70，95%CI=0.53~0.90)较少。在物质使用障碍的治疗中，需要针对性别的干预方法。
This study examined differences in sexual risk behaviors by gender and over time among 1281 patients (777 males and 504 females) from 12 community-based substance use disorder treatment programs throughout the United States participating in CTN-0032, a randomized control trial conducted within the National Drug Abuse Treatment Clinical Trials Network. Zero-inflated negative binomial (ZINB) and negative binomial (NB) models were used in the statistical analysis. Results indicated significant reductions in most types of sexual risk behaviors among substance users regardless of the intervention arms. There were also significant gender differences in sexual risk behaviors. Men (compared with women) reported more condomless sex acts with their non-primary partners (IRR=1.80, 95% CI=1.21–2.69) and condomless anal sex acts (IRR=1.74, 95% CI=1.11–2.72), but fewer condomless sex partners (IRR=0.87, 95% CI=0.77–0.99), condomless vaginal sex acts (IRR=0.83, 95% CI=0.69–1.00), and condomless sex acts within two hours of using drugs or alcohol (IRR=0.70, 95% CI=0.53–0.90). Gender specific intervention approaches are called for in substance use disorder treatment.
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影响因子：
4.4
作者：
Khan, Maria R.;Berger, Amanda;Hemberg, Jordana;O'Neill, Allison;Dyer, Typhanye Penniman;Smyrk, Kristina
通讯作者：
Smyrk, Kristina
DOI：
10.1111/j.2517-6161.1995.tb02031.x
发表时间：
1995-01-01
影响因子：
5.8
作者：
BENJAMINI, Y;HOCHBERG, Y
通讯作者：
HOCHBERG, Y
影响因子：
4.4
作者：
Absalon, Judith;Fuller, Crystal M.;Vlahov, David
通讯作者：
Vlahov, David
影响因子：
3.6
作者：
Ghanem, KG;Hutton, HE;Erbelding, EJ
通讯作者：
Erbelding, EJ
影响因子：
4.6
作者：
Celentano, David D;Latimore, Amanda D;Mehta, Shruti H
通讯作者：
Mehta, Shruti H