Correlates of consistent condom use with main partners by partnership patterns among young adult male injection drug users from five US cities
Correlates of consistent condom use with main partners by partnership patterns among young adult male injection drug users from five US cities
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DOI：
10.1016/j.drugalcdep.2007.01.004
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发表时间：
2007-11-01
影响因子：
4.2
通讯作者：
Garfein, R. S.
中科院分区：
文献类型：
--
作者：
Kapadia, F.;Latka, M. H.;Garfein, R. S.
本文研究了异性恋男性注射吸毒者 (IDU) 与主要伴侣持续使用安全套的相关性。使用来自年轻注射吸毒者的多地点样本的数据。我们确定了 1770 名性活跃男性，其中 24% (429/1770) 报告称有唯一的主要女性性伴侣，49% (862/1770) 报告称同时有主要和临时女性性伴侣。在有唯一主要性伴侣和有多个性伴侣的男性中，与主要性伴侣一致使用安全套的比例较低（分别为 12% 和 17%）。在多变量分析中，在不同的伙伴关系模式中，与主要伙伴一致使用安全套与预期对安全套使用请求的积极回应以及伙伴对安全套使用的支持直接相关；持续使用安全套与主要伴侣的怀孕意愿呈负相关。在拥有唯一主要伴侣的男性中，持续使用安全套也与与主要伴侣共用针头呈负相关。在有多个性伴侣的男性中，与主要伴侣持续使用安全套与使用用过的针头注射和亲密伴侣暴力呈负相关。在异性性行为活跃的男性注射吸毒者中，与主要女性伴侣持续使用安全套的比例较低，这表明男性与其主要性伴侣之间传播艾滋病毒的风险增加。有必要对异性恋男性进行干预，以增加主要关系中安全套的使用。 (C) 2007 年，爱思唯尔爱尔兰有限公司出版。
This paper examined correlates of consistent condom use with a main partner among heterosexual male injection drug users (IDUs). Using data from a multi-site sample of young IDUs. we identified 1770 sexually active men of whom 24% (429/1770) reported an exclusive main female sex partner and 49% (862/1770) reported both main and casual female sex partners. Consistent condom use with a main partner was low among men with an exclusive main partner and those with multiple partners (12% and 17%, respectively). In multivariate analysis, consistent condom use with a main partner across partnership patterns was directly associated with anticipating a positive response to requests for condom use and by partner support of condom use; consistent condom use was inversely associated with a main partner's pregnancy desires. Among men with an exclusive main partner, consistent condom use was also inversely associated with needle sharing with a main partner. Among men with multiple partners, consistent condom use with a main partner was inversely associated with injecting with a used needle and intimate partner violence. The low prevalence of consistent condom use with main female partners among heterosexually active male IDUs indicates an increased risk for HIV transmission between men and their primary sex partners. Interventions for heterosexual males that are geared toward increasing condom use in primary relationships are warranted. (C) 2007 Published by Elsevier Ireland Ltd.