The influence of gender on factors associated with HIV transmission risk among young Russian injection drug users
The influence of gender on factors associated with HIV transmission risk among young Russian injection drug users
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DOI：
10.1081/ada-120026267
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发表时间：
2003-01-01
影响因子：
2.7
通讯作者：
Kozlov, A
中科院分区：
文献类型：
--
作者：
Gore-Felton, C;Somlai, AM;Kozlov, A
俄罗斯联邦的艾滋病毒感染率急剧上升。流行病学研究表明，注射吸毒者 (IDU) 的艾滋病毒发病率上升幅度最大。报告注射吸毒情况的年轻人 (N = 188) 完成了评估注射吸毒行为、性行为和艾滋病毒相关知识的调查和访谈。参与者的平均年龄为21.3岁。多元线性回归分析发现，男性性别和首次性行为年龄较小与拥有多个性伴侣呈显着正相关。性别调节了过去一个月首次性行为和注射毒品次数的影响。较早开始性行为的男性更有可能报告有多个性伴侣，而报告吸毒频率较高的女性更有可能报告有多个性伴侣。性别是一个重要因素，也是俄罗斯注射吸毒者危险行为的调节因素。推迟首次性行为，特别是对于男性来说，可能是减少后续危险行为的有效策略。注射吸毒者的预防工作需要将性危险行为与注射危险行为结合起来。
HIV infection rates are dramatically increasing in the Russian Federation. Epidemiological studies indicate that the greatest rise of HIV incidence has been among injection drug users (IDU). Young adults (N = 188) who reported injecting drug use completed surveys and interviews that assessed injection drug use behavior, sexual behavior, and HIV-related knowledge. The average age of participants was 21.3 years. Multiple linear regression analysis found male gender and younger age at sexual debut was positively and significantly associated with having multiple sexual partners. Gender moderated the effects of sexual debut and number of times injected drugs were used in the past month. Males who initiate sex at a younger age were more likely to report multiple sex partners and females who reported higher frequency of drug use were more likely to report multiple sex partners. Gender is an important factor, as well as moderator of risk behavior among Russian injection drug users. Delaying sexual debut, particularly for males, may be an effective strategy to reduce subsequent risk behavior. Prevention efforts among IDUs need to address sexual risk behavior in conjunction with injection risk behavior.