Marijuana use is associated with risky sexual behaviors in treatment-seeking polysubstance abusers
Marijuana use is associated with risky sexual behaviors in treatment-seeking polysubstance abusers
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DOI：
10.3109/00952990.2013.803112
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发表时间：
2013-07-01
影响因子：
2.7
通讯作者：
Petry, Nancy M.
中科院分区：
文献类型：
--
作者：
Andrade, Leonardo F.;Carroll, Kathleen M.;Petry, Nancy M.
背景资料：多种类型的物质使用与艾滋病毒风险行为有关，但相对较少的研究已经检查了寻求治疗的多种物质滥用患者的大麻使用和危险性活动之间的关联。目的：这项研究评估了239名可卡因，阿片类药物或酒精使用障碍患者的大麻使用和性行为之间的关系，这些患者正在开始门诊药物使用治疗。研究方法：参与者完成了艾滋病毒风险行为量表，并根据他们的大麻使用史分为三组：从未（n = 66），过去但不是当前使用（n = 124）或当前使用（n = 49）。结果如下：与从未吸食大麻的人相比，现在和以前吸食大麻的人一生中有50多个性伴侣的可能性更大（比值比[OR]和95%置信区间[CI]分别为3.9 [1.0-15.7]和5.2 [1.6-17.3]）。与从未使用过大麻的人相比，曾使用大麻的人与临时伴侣使用避孕套的频率较低（OR [95%CI] = 2.9 [1.1-7.6]）。此外，目前的大麻使用者比从未使用者更有可能最近有两个以上的性伴侣（OR [95%CI] = 8.1 [1.94-33.44]）。结论：寻求治疗的多物质滥用者与当前或过去的大麻使用历史可能是在更大的风险艾滋病毒感染比他们的同行谁不使用大麻。这些数据强调了提高对大麻使用与多种物质滥用患者高风险性行为增加之间潜在关联的认识的重要性。
Background: Multiple types of substance use are associated with HIV risk behaviors, but relatively little research has examined the association between marijuana use and risky sexual activities in treatment-seeking polysubstance abusing patients. Objectives: This study evaluated the relationship between marijuana use and sexual behaviors in 239 patients with cocaine, opioid or alcohol use disorders who were initiating outpatient substance use treatment. Methods: Participants completed the HIV Risk Behavior Scale and were classified into one of three groups based on their marijuana use histories: never (n = 66), past but not current use (n = 124) or current use (n = 49). Results: Compared to never marijuana users, current and former marijuana users had a greater likelihood of having more than 50 lifetime sexual partners (odds ratio [OR] and 95% confidence interval [CI] = 3.9 [1.0-15.7] and 5.2 [1.6-17.3], respectively). Former marijuana users had increased risk of low frequency condom use with casual partners relative to never users (OR [95% CI] = 2.9 [1.1-7.6]). Moreover, current marijuana users were more likely than never users to have had more than two recent sexual partners (OR [95% CI] = 8.1 [1.94-33.44]). Conclusion: Treatment-seeking polysubstance abusers with current or past marijuana use histories may be at greater risk of HIV infection than their counterparts who do not use marijuana. These data underscore the importance of increasing awareness about the potential association between marijuana use and increased high-risk sexual behavior among polysubstance abusing patients.