Prescription Drug Misuse and Sexual Risk Taking Among HIV-Negative MSM
Prescription Drug Misuse and Sexual Risk Taking Among HIV-Negative MSM
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DOI：
10.1007/s10461-011-9993-z
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发表时间：
2013-03-01
影响因子：
4.4
通讯作者：
Parsons, Jeffrey T.
中科院分区：
文献类型：
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作者：
Kelly, Brian C.;Parsons, Jeffrey T.
男男性行为者（MSM）滥用处方药的比例很高。很少有研究探讨处方药滥用和艾滋病毒风险之间的联系在这一人群中。通过MSM的社区样本，作者评估了处方药滥用（不包括勃起功能障碍药物）和HIV阴性MSM的性风险行为。研究结果表明，最近的处方药滥用者进行无保护肛交的可能性更高（UAI; OR = 1.63），特别是接受UAI（OR = 1.58），并且更有可能与更多血清一致性伴侣发生UAI（B = 0.268）。最近报告在性接触中滥用处方药的MSM更有可能从事UAI（OR = 2.02），特别是插入UAI（OR = 1.86）。处方药滥用和作为一个barebacker识别之间没有关联。本研究表明，滥用处方药的MSM是一个危险群体，他们可能会受益于艾滋病预防和干预工作。
Men who have sex with men (MSM) misuse prescription drugs at high rates. Little research has examined the connection between prescription drug misuse and HIV risk in this population. With a community sample of MSM, the authors assessed prescription drug misuse-not including erectile dysfunction medications-and sexual risk behaviors among HIV-negative MSM. The findings indicate that recent prescription drug misusers had higher odds of engaging in unprotected anal intercourse (UAI; OR = 1.63), specifically receptive UAI (OR = 1.58), and more likely to have UAI with a higher number of seroconcordant partners (b = 0.268). MSM who reported recently misusing prescription drugs during sexual encounters were more likely to engage in UAI (OR = 2.02), specifically insertive UAI (OR = 1.86). There was no association between prescription drug misuse and identification as a barebacker. This research indicates that prescription drug misusing MSM are a risk group who may benefit from HIV prevention and intervention efforts.