Attitudes toward needle-sharing and HIV transmission risk behavior among HIV+ injection drug users in clinical care.
Attitudes toward needle-sharing and HIV transmission risk behavior among HIV+ injection drug users in clinical care.
复制标题
临床护理中艾滋病毒注射吸毒者对共用针头和艾滋病毒传播风险行为的态度。
DOI：
10.1080/09540120701867081
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发表时间：
2008
期刊：
影响因子：
1.7
通讯作者：
Fisher,JeffreyD
中科院分区：
文献类型：
--
作者：
Norton,WynneE;Amico,KRivet;Fisher,WilliamA;Copenhaver,MichaelM;Kozal,MichaelJ;Cornman,DeborahH;Friedland,Gerald;Fisher,JeffreyD
在美国，与注射吸毒有关的危险行为占艾滋病毒感染事件的相当大比例。大量注射吸毒者目前在临床环境中接受抗逆转录病毒治疗，并可接受减少风险干预措施，以减少抗药性艾滋病毒的传播和将艾滋病毒传播给其他未受感染的人。目前的研究调查了123名HIV阳性注射吸毒者在临床护理中对共用针头或设备的态度，以努力了解这种行为的动态，并为基于临床的降低风险干预措施创造基础。结果表明，在基线时，报告对共用针头持极端负面态度的参与者比那些态度不那么负面的参与者在过去一个月中分享针头的可能性更小。人口统计、行为和态度变量被输入Logistic回归模型，以检验HIV阳性注射吸毒者中共用针头的群体成员资格。女性和对分享持不那么极端的消极态度是分享行为的独立显著相关因素。在临床护理环境中采取针对共用针头态度的干预措施可能有利于减少艾滋病毒阳性注射吸毒者中的艾滋病毒传播。
Risky behavior related to injection drug use accounts for a considerable proportion of incident HIV infection in the United States. Large numbers of injection drug users (IDUs) currently receive antiretroviral therapy in clinical settings and are accessible for risk-reduction interventions to reduce transmission of drug-resistant HIV and spread of HIV to uninfected others. The current study examined attitudes toward needle- or equipment-sharing among 123 HIV-positive IDUs in clinical care in an effort to understand the dynamics of such behavior and to create a basis for clinic-based risk-reduction interventions. Results indicate that at baseline, participants who reported extremely negative attitudes toward needle-sharing were less likely to have shared during the past month than those with less-extreme negative attitudes. Demographic, behavioral, and attitudinal variables were entered into a logistic regression model to examine needle-sharing group membership among HIV-positive IDUs. Being female and having less-extreme negative attitudes toward sharing were independent and significant correlates of sharing behavior. Interventions targeting needle-sharing attitudes deployed within the clinical care setting may be well-positioned to reduce HIV transmission among HIV-positive IDUs.