A neglected population: Drug-using women and women's methods of HIV/STI prevention
A neglected population: Drug-using women and women's methods of HIV/STI prevention
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DOI：
10.1521/aeap.2008.20.2.107
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发表时间：
2008-04-01
影响因子：
1.8
通讯作者：
Gollub, Erica L.
中科院分区：
文献类型：
--
作者：
Gollub, Erica L.
女性吸毒者面临着通过性传播感染艾滋病毒和性传播感染（STI）的极高风险，但在促进妇女发起的艾滋病毒/性传播感染预防方法的干预研究中仍然被严重忽视。稀疏的可用数据表明这些女性对女性发起的方法有很高的兴趣和热情。此外，与其他高危妇女群体相比，吸毒妇女可能能够最大程度地利用妇女发起的方法的众多优点，并且最不受其缺点的阻碍。这些优点包括，例如，可以在不被醉酒或“兴奋”的伴侣注意到的情况下预先放置和使用女用安全套，长期和/或秘密使用宫颈屏障，以及为最初不愿意使用女用屏障的伴侣或客户提供“避孕理由”。对这一极其难以接触的群体开展有针对性的、基于社区的外展和教育工作，以及扩大对妇女方法的公共资助是当务之急。
Women drug users are at extremely high risk of HIV and sexually transmitted infections (STIs) from sexual transmission, but remain seriously neglected in intervention research promoting women-initiated methods of HIV/STI prevention. Sparse available data indicate a high interest and enthusiasm for women-initiated methods among these women. Moreover, drug-using women may be in a position to capitalize most on the myriad advantages of women-initiated methods and be the least hindered by their disadvantages, as compared with other populations of at-risk women. These advantages include, for example, the potential for prior placement and use of a female condom without being noticed by a drunk or "high" partner, long-term and/or clandestine use of cervical barriers, and the "contraceptive justification" to partners or clients initially unwilling to accede to use of a female barrier. Targeted, community-based outreach and educational efforts to this extremely hard-to-reach group as well as expanded public funding for women's methods are urgent priorities.