Methamphetamine use is associated with childhood sexual abuse and HIV sexual risk behaviors among patrons of alcohol-serving venues in Cape Town, South Africa.
Methamphetamine use is associated with childhood sexual abuse and HIV sexual risk behaviors among patrons of alcohol-serving venues in Cape Town, South Africa.
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DOI：
10.1016/j.drugalcdep.2012.05.024
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发表时间：
2012-11-01
影响因子：
4.2
通讯作者：
Kalichmann, Seth C.
中科院分区：
文献类型：
--
作者：
Meade, Christina S.;Watt, Melissa H.;Sikkema, Kathleen J.;Deng, Lisa X.;Ranby, Krista W.;Skinner, Donald;Pieterse, Desiree;Kalichmann, Seth C.
过去十年中，南非西开普省的甲基苯丙胺（“冰毒”）使用量急剧增加。人们担心冰毒可能会进一步加剧该国艾滋病毒的流行，因为它与危险的性行为有关。这项研究描述了酒精服务场所顾客中冰毒使用的流行率及其与艾滋病毒性危险行为的关系。参与者 (N=3,328) 在一个混血小镇的 12 个地点接受了调查。使用逻辑回归模型检验冰毒使用与性危险行为之间的关系，使用结构方程模型检验冰毒使用是否介导儿童性虐待与当前性风险之间的关系。过去 4 个月内，有色人种使用冰毒的情况比黑人更常见（10.5% 对 3.5%）。冰毒使用者比非使用者更有可能使用大麻、吸入剂和注射毒品，有儿童期性虐待和/或身体虐待史，以及经历和/或实施亲密伴侣暴力。在男性和女性中，冰毒的使用与从事性危险行为的可能性更大有关，并且冰毒的使用在一定程度上介导了儿童期性虐待与所有性危险行为之间的关系。在这种情况下，吸毒者感染艾滋病毒的风险更高，因为他们更有可能从事危险性行为和处于暴力关系中。迫切需要为居住在开普敦乡镇的冰毒使用者提供有针对性的艾滋病毒预防和药物滥用治疗。
South Africa’s Western Cape has experienced a dramatic increase in methamphetamine (“meth”) use over the past decade. There is concern that meth may further fuel the HIV epidemic in this country because of its association with risky sexual behaviors. This study describes the prevalence of meth use and its relation to HIV sexual risk behaviors among patrons of alcohol-serving venues. Participants (N=3,328) were surveyed in 12 venues in a mixed race township. Logistic regression models were used to examine the relations between meth use and sexual risk behaviors, and structural equation models were used to test whether meth use mediates the relationship between childhood sexual abuse and current sexual risk. Meth use in the past 4 months was more common among Coloured than Black persons (10.5% vs. 3.5%). Meth users were more likely than non users to use marijuana, inhalants, and injection drugs, have a history of childhood sexual and/or physical abuse, and experience and/or perpetrate intimate partner violence. Among both men and women, meth use was associated with greater odds of engaging in sexual risk behaviors, and meth use partially mediated the relationships between childhood sexual abuse and all sexual risk behaviors. Meth users in this setting are at increased risk for HIV due to their greater likelihood of engaging in sexual risk behaviors and being in violent relationships. There is an urgent need to provide targeted HIV prevention and substance abuse treatment to meth users living in townships in Cape Town.
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影响因子：
7.3
作者：
KAPLAN, ML;ASNIS, GM;CHORNEY, P
通讯作者：
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影响因子：
5.4
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影响因子：
5
作者：
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通讯作者：
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影响因子：
4.4
作者：
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通讯作者：
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