Associations between substance use and sexual risk among very young men who have sex with men
Associations between substance use and sexual risk among very young men who have sex with men
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DOI：
10.1097/01.olq.0000187207.10992.4e
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发表时间：
2006-04-01
影响因子：
3.1
通讯作者：
Torian, LV
中科院分区：
文献类型：
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作者：
Celentano, DD;Valleroy, LA;Torian, LV
目的：确定年轻男男性行为者（MSM）在性行为中受到酒精或药物的影响与参与增加人类免疫缺陷病毒（HIV）风险的性行为之间是否存在关联。研究设计：共有3492名年轻男同性恋者通过青年男性调查接受了采访，这是一项匿名、横断面、多地点、基于场所的调查，于1994年至1998年在美国7个城市的194个15至22岁的男同性恋者经常光顾的公共场所进行的。结果：大多数年轻的男男性接触者报告了接受性和插入性肛交，其中大约一半的人报告没有使用避孕套。在过去6个月内至少进行一次无保护的接受性肛交的报告与在性行为中受到酒精（校正优势比[AOR] = 1.5； 95%可信区间[CI] = 1.2-1.8）、可卡因（AOR = 1.6; 95% CI = 1.1-2.2）、安非他命（AOR = 1.5; 95% CI = 1.1-2.0）或大麻（AOR = 13; 95% CI = 1.1-1.6）的影响有关。报告在过去6个月内至少进行一次无保护插入性肛交与酒精（AOR = 1.2: 95% CI = 1.0-1.5）、可卡因（AOR = 1.5; 95% CI = 1.1-2.0）或安非他明（AOR = 1.9; 95% CI = 1.4-2.6）的影响有关。结论：针对年轻男男性行为者的艾滋病毒预防策略需要包括降低药物使用风险。
Objective: To determine if an association exists in young men who have sex with men (MSM) between being under the influence of alcohol or drugs during sex and participation in sexual behaviors which increase the risk of human immunodeficiency virus (HIV).Study Design: A total of 3492 young MSM were interviewed through the Young Men's Survey, an anonymous, cross-sectional, multisite, venue-based survey conducted from 1994 through 1998 at 194 public venues frequented by MSM aged 15 to 22 years in 7 US cities.Results: The majority of young MSM reported both receptive and insertive anal intercourse, and of these, approximately half reported not using condoms. Report of unprotected receptive anal intercourse at least once in the prior 6 months was associated with being under the influence of alcohol (adjusted odds ratio [AOR] = 1.5; 95% confidence interval [CI] = 1.2-1.8), cocaine (AOR = 1.6; 95% CI = 1.1-2.2), amphetamines (AOR = 1.5; 95% CI = 1.1-2.0) or marijuana during sex (AOR = 13; 95% CI = 1.1-1.6). Report of unprotected insertive anal intercourse at least once in the prior 6 months was associated with being under the influence of alcohol (AOR = 1.2: 95% CI = 1.0-1.5), cocaine (AOR = 1.5; 95% CI = 1.1-2.0) or amphetamines (AOR = 1.9; 95% CI = 1.4-2.6).Conclusions: HIV prevention strategies for young MSM need to incorporate substance use risk reduction.