Gender differences in risk behaviors among HIV+ persons with an IDU history - The link between partner characteristics and women's higher drug-sex risks

Gender differences in risk behaviors among HIV+ persons with an IDU history - The link between partner characteristics and women's higher drug-sex risks
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DOI:
10.1097/00007435-199810000-00008
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发表时间:
1998-10-01
影响因子:
3.1
通讯作者:
Moatti, JP
Moatti, JP
中科院分区:
医学4区
文献类型:
--
作者:
Gollub, EL;Rey, D;Moatti, JP

文献摘要

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背景和目标:冒险行为在女性和男性注射毒品使用者(IDU)中不同。目标:明确女性IDU和前IDU的性和毒品冒险行为的性质,以及它与伴侣特征的关系。设计:在法国马赛进行的一项前瞻性队列研究中,对324名HIV+受试者进行横断面分析。结果:与男性相比,女性更有可能报告与主要伴侣不使用避孕套(31%对12%)。他们更有可能在最后一次注射时与伴侣一起射击(39%对12%),但不太可能消毒用过的针头(4%对16%)。三分之二的男性和女性报告与血清反应阴性的伴侣一致使用避孕套,但只有47%的男性和23%的女性报告与血清反应阳性的伴侣使用避孕套。在妇女中,针头和注射器的共享与一致使用的避孕套。结论:妇女报告的行为,保护他们的合作伙伴从性病感染更频繁的行为,保护自己。必须更加关注艾滋病毒阳性妇女的性风险。
Background and Objectives: Risk-taking behaviors differ among women and men injection drug users (IDU).Goal: To specify the nature of sexual and drug risk-taking among women IDU and ex-IDU and how it relates to partner characteristics.Design: A cross-sectional analysis of 324 HIV+ subjects enrolled into a prospective cohort study in Marseille, France.Results: Women, as compared with men, were considerably more likely to report nonuse of condoms with a main partner (31% versus 12%). They were more likely to shoot with a partner at last injection (39% versus 12%), but far less likely to sterilize used needles (4% versus 16%). Two thirds of both men and women reported consistent condom use with a seronegative partner, but only 47% of men and 23% of women reported the same with a seropositive partner. Among the women only, needle and syringe sharing was associated with consistent use of a condom.Conclusions: Women reported behaviors which protect their partners from STD infection more frequently than behaviors which protect themselves. Greater attention must be paid to sexual risk-taking among HIV+ women.