High-risk sexual and drug using behaviors among male injection drug users who have sex with men in 2 Mexico-US border cities
High-risk sexual and drug using behaviors among male injection drug users who have sex with men in 2 Mexico-US border cities
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DOI：
10.1097/olq.0b013e31815abab5
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发表时间：
2008-03-01
影响因子：
3.1
通讯作者：
Strathdee, Steffanie A.
中科院分区：
文献类型：
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作者：
Deiss, Robert G.;Brouwer, Kimberly C.;Strathdee, Steffanie A.
目标：对男男性行为者 (MSM) 和注射吸毒者 (IDU) 的拉丁裔男性群体进行了充分研究。我们比较了墨西哥 2 个边境城市的 MSM/IDU 与其他男性 IDU 的风险行为。 研究设计：2005 年，在蒂华纳和华雷斯城采用受访者驱动抽样 (RDS) 方法招募了过去 30 天内注射过注射液的 IDU。他们接受了艾滋病毒、丙型肝炎病毒和梅毒的抗体检测以及访谈员进行的调查。如果男性报告有 >= 1 个终生男性伴侣，则被归类为 MSM。使用逻辑回归对 MSM/IDU 与非 MSM/IDU 进行比较。结果：377 名男性 IDU 中，有三分之一 (31%) 被归类为 MSM（蒂华纳为 47%，华雷斯城为 13%，P < 0.01）。经过 RDS 调整后，HIV 和丙型肝炎的合并患病率分别为 3% (95% CI: 1, 5) 和 96% (95% CI: 94, 99)，而 17% (95% CI: 2,36) 的 MSM 和 8% (95% CI: 3,12) 的非 MSM 梅毒抗体检测呈阳性。在根据地点调整的多变量逻辑回归中，MSM/IDU 比非 MSM/IDU 更有可能曾经使用过吸入剂（OR：3.4；95% CI：1.8，6.2）或口服镇静剂（OR：2.4；95% CI：1.3，4.6），接受药物问题治疗（OR：1.9；95% CI：1.1， 3.2）在过去六个月内共用针头（OR：2.1；95% Cl：1.0，4.2），并且终生女性伴侣的数量也较多（对数转换连续变量，OR：1.6；95% Cl：1.2，2.1）。结论：在这些墨西哥城市中，男性 IDU 中 MSM 的比例很高。与其他男性注射吸毒者相比，男男性行为者/注射吸毒者更有可能做出使他们面临感染艾滋病毒/性传播感染风险的行为。针对拉丁裔男男性行为者/吸毒者采取文化上适当的干预措施是必要的。
Objectives: The population of Latino men who have sex with men (MSM) and who are also injection drug users (IDUs) is understudied. We explored risk behaviors of MSM/IDUs compared with other male IDUs in 2 Mexican border cities.Study Design: In 2005, IDUs who had injected within the previous 30 days were recruited using respondent-driven sampling (RDS) in Tijuana and Ciudad Juarez. They underwent antibody testing for HIV, HCV, and syphilis and interviewer-administered surveys. Men were categorized as MSM if they reported >= 1 lifetime male partners. Logistic regression was used to compare MSM/IDUs with non-MSM/IDUs.Results: A third (31%) of 377 male IDUs were categorized as MSM (47% in Tijuana and 13% in Ciudad Juarez, P < 0.01). Combined RDS-adjusted prevalence of HIV and Hepatitis C was 3% (95% Cl: 1, 5) and 96%, (95% Cl: 94, 99) respectively, while 17% (95% CI: 2,36) of MSM and 8% (95% CI: 3,12) of non-MSM tested positive for syphilis antibody. In multivariate logistic regression adjusted for site, MSM/IDUs were more likely than non-MSM/IDUs to have ever used inhalants (OR: 3.4; 95% Cl: 1.8, 6.2) or oral tranquilizers (OR: 2.4; 95% Cl: 1.3, 4.6), received treatment for a drug problem (OR:1.9; 95% CI: 1.1, 3.2) shared needles in the last six months (OR: 2.1; 95% Cl: 1.0, 4.2) and also had higher numbers of lifetime female partners (log-transformed continuous variable, OR: 1.6; 95% Cl: 1.2, 2.1).Conclusions: In these Mexican cities, the proportion of MSM among male IDUs was high. Compared with other male IDUs, MSM/IDUs were more likely to engage in behaviors placing them at risk of acquiring HIV/STIs. Culturally appropriate interventions targeting Latino MSM/IDUs are warranted.