Marijuana Use as a Sex-Drug is Associated with HIV Risk Among Black MSM and Their Network.
Marijuana Use as a Sex-Drug is Associated with HIV Risk Among Black MSM and Their Network.
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DOI：
10.1007/s10461-015-1195-7
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发表时间：
2016-03
影响因子：
4.4
通讯作者：
UConnect Study Team
中科院分区：
文献类型：
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作者：
Morgan E;Skaathun B;Michaels S;Young L;Khanna A;Friedman SR;Davis B;Pitrak D;Schneider J;UConnect Study Team
在美国，与男性发生性行为的黑人男性(BMSM)是艾滋病毒血清转换风险最高的人群。很少有人注意到BMSM中使用大麻和潜在的艾滋病毒风险。通过回应者驱动抽样，产生202个BMSM样本。采用加权Logistic回归分析不同吸食大麻方式与HIV危险行为和社会网络因素的关系。在本次调查的BMSM中，60.4%的人一般使用大麻，20.8%的人使用大麻作为性毒品。普通使用大麻与参与群体性行为显著相关(AOR 3.50；95%CI 1.10~11.10)，而将大麻作为性毒品使用与参与无公寓性行为(AOR 2.86；95%CI 1.07~7.67)和群体性行为(AOR 3.39；95%CI 1.03~11.22)显著相关。对使用大麻的网络成员有中等或较高认知的受访者更有可能将大麻作为一种性毒品使用。网络成员使用大麻虽然与危险行为无关，但与个人使用大麻有关，而在性行为中使用个人大麻与风险做法有关。针对将大麻当作性毒品的个人及其各自的网络进行针对性干预可能会降低艾滋病毒风险。
Black men who have sex with men (BMSM) are highest risk for HIV seroconversion in the United States. Little attention has been paid to marijuana use among BMSM and potential for HIV risk. A sample of 202 BMSM was generated through respondent driven sampling. The relationship between differential marijuana use and both HIV risk behavior and social network factors were examined using weighted logistic regression. Of the BMSM in this sample 60.4% use marijuana in general and 20.8% use marijuana as sex-drug. General marijuana use was significantly associated with participation in group sex (AOR 3.50; 95% CI 1.10–11.10) while marijuana use as a sex drug was significantly associated with both participation in condomless sex (AOR 2.86; 95% CI 1.07–7.67) and group sex (AOR 3.39; 95% CI 1.03–11.22). Respondents with a moderate or high perception of network members who use marijuana were more likely to use marijuana both in general and as a sex-drug. Network member marijuana use, while not associated with risk behaviors, is associated with individual marijuana use and individual marijuana use in the context of sex is associated with risk practices. Targeting interventions towards individuals and their respective networks that use marijuana as a sex drug may reduce HIV risk.