Gender differences in the prevalence and behavioral risk factors of HIV in South African drug users.

Gender differences in the prevalence and behavioral risk factors of HIV in South African drug users.
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DOI:
10.1007/s10461-008-9467-0
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发表时间:
2009-04
期刊:
影响因子:
4.4
通讯作者:
Latimer WW
Latimer WW
中科院分区:
医学2区
文献类型:
--
作者:
Hedden SL;Whitaker D;Floyd L;Latimer WW

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南非仍然是全球艾滋病毒感染的中心。此外,在艾滋病毒感染方面存在着广泛的性别差异,女性感染艾滋病毒/艾滋病的可能性是男性的四倍。在南非比勒陀利亚地区招募的吸毒者(N = 385)的横断面收集被用来模拟艾滋病毒感染的性风险行为和药物使用的功能修改的性别。从非法来源获得金钱和认识艾滋病患者与艾滋病毒有松散的联系。年龄、可卡因使用和避孕套使用的性别相互作用。性别分层分析显示,使用避孕套、年龄较小且可卡因使用检测呈阴性的男性艾滋病毒检测呈阳性的可能性较小。研究结果表明,男性可能有更多的控制风险行为,并支持性别特异性预防策略的需要。
South Africa continues to be the global epicenter of HIV infection. Further, extensive gender disparities in HIV infection exist with females four times as likely to be infected with HIV/AIDS as males. A cross-sectional collection of drug users recruited in the Pretoria region of South Africa (N = 385) was used to model HIV infection as a function of sexual risk behaviors and drug use as modified by gender. Receiving money from illicit sources and knowing someone with AIDS were loosely associated with HIV. Gender interactions were observed for age, cocaine use and condom use. Gender stratified analyses revealed that males who used condoms, were younger and tested negative for cocaine use were less likely to test positive for HIV. Findings suggest that males may have more control of risk behaviors and support the need for gender specific prevention strategies.
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