An examination of indirect risk of exposure to HIV among wives of substance-abusing men
An examination of indirect risk of exposure to HIV among wives of substance-abusing men
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DOI：
10.1016/s0376-8716(02)00338-1
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发表时间：
2003-05-01
影响因子：
4.2
通讯作者：
Parks, K
中科院分区：
文献类型：
--
作者：
Fals-Stewart, W;Birchler, GR;Parks, K
本次调查的目的是探讨 362 名接受门诊治疗的已婚吸毒男子及其妻子的潜在 HIV 暴露风险和预防行为。在接受治疗之前的一年里，144 名丈夫 (40%) 报告称，他们的性行为或吸毒行为使他们面临感染艾滋病毒的高风险。这些丈夫的几乎所有妻子 (n = 138, 96 /0) 都报告说，她们在同一时期与配偶发生过性行为。在这些性行为活跃的夫妇中，有 108 名妻子（78%）表示，她们在与配偶性交时没有经常使用安全套，从而使她们面临间接感染艾滋病毒的高风险。这 108 名妻子中有 77 名 (71%) 表示她们并不知道自己的丈夫有高危行为，因此在不知不觉中处于间接感染艾滋病毒的高风险之中。在那些丈夫曾从事高风险行为的夫妇中，婚姻时间较长、丈夫被诊断为反社会人格障碍以及妻子对丈夫的高风险行为缺乏了解，与妻子间接接触艾滋病毒的高风险可能性增加有着独特的相关性。 (C) 2002 Elsevier Science Ireland Ltd. 保留所有权利。
The purpose of the present investigation was to explore risk and preventive behaviors for potential HIV exposure among 362 married drug-abusing men entering outpatient treatment and their wives. During the year before entering treatment, 144 husbands (40%) reported they had engaged in sexual or drug use behaviors that placed them at high risk for HIV exposure. Nearly all of the wives of these husbands (n = 138, 96 /0) reported they had sexual intercourse with their spouses during this same time period. Among these sexually active couples, 108 of the wives (78%) reported that condoms were not regularly used when they had intercourse with their spouses, thus placing them at high risk for indirect exposure to HIV. Seventy-seven (71%) of these 108 wives reported they were not aware their husbands had engaged in high risk behaviors and thus were unknowingly placed at high risk for indirect exposure to HIV. Among those couples with husbands who had engaged in a high risk behavior, longer marriages, a diagnosis of antisocial personality disorder for husbands, and wives' lack of knowledge of husbands' high risk behaviors were uniquely associated with an increased likelihood of wives being placed at high risk for indirect exposure to HIV. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.