Sexual Risk and Transmission Behaviors, Partnerships and Settings Among Young Adult Nonmedical Opioid Users in New York City.
Sexual Risk and Transmission Behaviors, Partnerships and Settings Among Young Adult Nonmedical Opioid Users in New York City.
复制标题
DOI：
10.1007/s10461-016-1672-7
复制
发表时间：
2017-04
影响因子：
4.4
通讯作者：
Guarino H
中科院分区：
文献类型：
--
作者：
Friedman SR;Mateu-Gelabert P;Ruggles KV;Goodbody E;Syckes C;Jessell L;Teubl J;Guarino H
非医疗处方阿片类药物的使用已变得普遍。它可能导致使用海洛因、注射毒品和感染艾滋病毒。我们描述了年轻成人阿片类药物使用者的性风险行为，伙伴关系和环境。464名年龄在18 - 29岁的青少年在过去30天内报告使用阿片类药物，他们使用响应者驱动抽样法招募。符合条件的参与者完成了一个计算机辅助的，由面试官管理的风险问卷，并进行了性病和艾滋病毒检测。参与者（33%为女性; 66%为非西班牙裔白色人）几乎都在过去90天内发生过性行为; 42%的人报告有不止一个伴侣。3%的男性和11%的女性报告了同性性行为。坚持使用避孕套的情况很少。7%的人报告在过去90天内参与了群体性行为，但终身群体性行为在男性和女性中很常见。年轻的阿片类药物使用者无保护的性行为，多个伴侣和群体性行为使他们和其他人处于艾滋病毒和性传播感染的高风险之中。
Nonmedical prescription opioid use has become widespread. It can lead to heroin use, drug injection and HIV infection. We describe young adult opioid users’ sexual risk behavior, partnerships and settings. 464 youth aged 18 – 29 who reported opioid use in the past 30 days were recruited using Respondent-Driven Sampling. Eligible participants completed a computer-assisted, interviewer-administered risk questionnaire and were tested for STIs and HIV. Participants (33% female; 66% white non-Hispanic) almost all had sex in the prior 90 days; 42% reported more than one partner. Same-sex sex was reported by 3% of men and 11% of women. Consistent condom use was rare. Seven percent reported group sex participation in the last 90 days but lifetime group sex was common among men and women. Young opioid users’ unprotected sex, multiple partners and group sex puts them and others at high HIV and STI risk.