Correlates of unprotected sex in a sample of young club drug users.

Correlates of unprotected sex in a sample of young club drug users.
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DOI:
10.6061/clinics/2013(11)01
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发表时间:
2013-11
期刊:
Clinics (Sao Paulo, Brazil)
影响因子:
--
通讯作者:
Pechansky F
Pechansky F
中科院分区:
其他
文献类型:
--
作者:
Remy L;Narvaez J;Sordi A;Guimarães LS;Von Diemen L;Surratt H;Kurtz S;Pechansky F

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评估俱乐部吸毒者样本的人口学特征、精神症状、物质使用模式和性危险行为,以确定在访谈前12个月内与无保护性行为相关的因素。这项横断面研究采用了目标抽样和人种志测绘方法,通过在酒吧和电子音乐节进行面对面访谈,使用了一份改编的、半结构化的全球个人需求评估问卷。样本包括240名年轻的男性和女性,他们在采访前90天内使用过摇头丸和/或LSD,并且没有接受过酒精或药物滥用治疗。入选的240名受试者(平均年龄:22.9±4.5岁)中,57.9%为男性;在男性受试者中,52.5%的人报告在过去12个月内有过无保护措施的性行为。在总样本中,63.33%的人报告有过无保护措施的性行为。多因素回归分析显示,肛交(PR = 1.26, 95%可信区间(CI): 1.044-1.543;p = 0.017)和使用酒精/药物使性行为持续更长时间(PR = 1.430; 95% CI: 1.181-1.732; p<0.001)与无保护的性行为有关。在执行旨在减少性危险行为的干预战略时,应考虑到吸毒者的具体特点,并应包括发展更安全的性行为谈判技巧。
To assess the demographic characteristics, psychiatric symptoms, substance use patterns, and sexual risk behaviors in a sample of club drug users to identify factors associated with unprotected sex during the 12 months prior to the interview. This cross-sectional study employed the targeted sampling and ethnographic mapping approaches via face-to-face interviews conducted at bars and electronic music festivals using an adapted, semi-structured version of the Global Appraisal of Individual Needs questionnaire. The sample comprised 240 male and female young adults who had used ecstasy and/or LSD in the 90 days prior to the interview and who were not receiving treatment for alcohol or drug abuse. Of the 240 subjects selected (mean age: 22.9±4.5 years), 57.9% were men; of the male subjects, 52.5% reported having had unprotected sex in the previous 12 months. Of the total sample, 63.33% reported having had unprotected sex. Multivariate regression analysis showed that anal sex (PR = 1.26; 95% confidence interval (CI): 1.044–1.543; p = 0.017) and the use of alcohol/drugs to make sex last longer (PR = 1.430; 95% CI: 1.181–1.732; p<0.001) are associated with unprotected sex. The implementation of intervention strategies aimed at reducing sexually risky behaviors should take into consideration the specific characteristics of drug users and should include the development of safer sex negotiation skills.
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