Psychiatric, Behavioural and Social Risk Factors for HIV Infection Among Female Drug Users
Psychiatric, Behavioural and Social Risk Factors for HIV Infection Among Female Drug Users
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DOI：
10.1007/s10461-011-9991-1
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发表时间：
2011-11-01
影响因子：
4.4
通讯作者：
Torrens, Marta
中科院分区：
文献类型：
--
作者：
Gilchrist, Gail;Blazquez, Alicia;Torrens, Marta
女性吸毒者报告的精神病理和危险行为比男性吸毒者更严重，使她们面临更大的艾滋病毒风险。这项混合方法研究确定了巴塞罗那118名女性吸毒者（27%（32/118）为艾滋病毒血清阳性）中艾滋病毒的精神、行为和社会风险因素。DSM-IV使用西班牙精神病学研究物质和精神障碍访谈来评估疾病。对30名参与者进行了深入访谈。在逐步多元后向logistic回归分析中，曾经注射过用过的注射器、反社会人格障碍、有HIV血清阳性的性伴侣和物质诱导的重度抑郁症与HIV血清阳性相关。定性研究结果说明了精神疾病和男性吸毒伙伴与这些风险因素相互作用的复杂方式。干预措施应涉及女性吸毒者生活的所有方面，以减少艾滋病毒。
Female drug users report greater psychopathology and risk behaviours than male drug users, putting them at greater risk for HIV. This mixed-methods study determined psychiatric, behavioural and social risk factors for HIV among 118 female drug users (27% (32/118) were HIV seropositive) in Barcelona. DSM-IV disorders were assessed using the Spanish Psychiatric Research Interview for Substance and Mental Disorders. 30 participants were interviewed in-depth. In stepwise multiple backward logistic regression, ever injected with a used syringe, antisocial personality disorder, had an HIV seropositive sexual partner and substance-induced major depressive disorder were associated with HIV seropositivity. Qualitative findings illustrate the complex ways in which psychiatric disorders and male drug-using partners interact with these risk factors. Interventions should address all aspects of female drug users' lives to reduce HIV.