Sexual-risk reduction following the referral of syringe exchange registrants to methadone maintenance: Impact of gender and drug use.
Sexual-risk reduction following the referral of syringe exchange registrants to methadone maintenance: Impact of gender and drug use.
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DOI：
10.1016/j.jsat.2021.108286
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发表时间：
2021-05
影响因子：
3.9
通讯作者：
Peirce J
中科院分区：
文献类型：
--
作者：
Kidorf M;Brooner RK;Yan H;Peirce J
本研究评估了美沙酮维持治疗中登记注射器交换登记者对性风险行为改变的影响。巴尔的摩针具交换计划（BNEP）登记者（n = 210）参加了一项母研究，评估开始美沙酮维持治疗的策略，该研究对他们进行了6个月的随访。在整个治疗期间，研究工作人员每月进行一次风险评估组合（RAB）。工作人员每周进行一次尿液分析检测。结果表明，治疗登记在第1个月减少了性风险行为，尽管更长的治疗持续时间没有进一步减少风险行为。在整个观察期内，女性报告的性风险水平较高，可卡因的使用减少了降低风险的益处。这些研究结果表明，参与美沙酮维持治疗可以减少注射器交换登记者的性风险行为。努力帮助更多的患者减少可卡因的使用，并帮助女性解决性别特异性的心理社会脆弱性，可能会进一步减少治疗期间的危险行为。
This study evaluates the impact of enrolling syringe exchange registrants in methadone maintenance on change in sexual-risk behaviors. Baltimore Needle Exchange Program (BNEP) registrants (n = 210) participated in a parent study evaluating strategies for initiating methadone maintenance treatment and the study followed them for six months. Study staff administered the Risk Assessment Battery (RAB) monthly throughout treatment. Staff conducted urinalysis testing weekly. Results showed that treatment enrollment reduced sexual-risk behaviors at month 1, though a longer treatment duration provided no further reductions in risky behaviors. Women reported higher levels of sexual risk throughout the observation period, and the use of cocaine diminished risk-reduction benefits. These findings demonstrate that participation in methadone maintenance reduces sexual-risk behaviors in syringe exchange registrants. Efforts to help more patients reduce cocaine use, and to help women address gender-specific psychosocial vulnerabilities, may further reduce risky behaviors during the treatment episode.
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