Rapid assessment of drug-related HIV risk among men who have sex with men in three South African cities
Rapid assessment of drug-related HIV risk among men who have sex with men in three South African cities
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DOI：
10.1016/j.drugalcdep.2007.12.005
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发表时间：
2008-05-01
影响因子：
4.2
通讯作者：
Treger, Latasha
中科院分区：
文献类型：
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作者：
Parry, Charles;Petersen, Petal;Treger, Latasha
目前的评估是在南非开普敦、德班和比勒陀利亚这些已知的吸毒和性危险行为高发地区，对男男性行为者（MSM）的吸毒和性危险行为之间的联系进行审查的。采用街头拦截和有目的的滚雪球抽样方法招募吸毒的男男性行为者。进行了快速评估，包括观察、绘图、关键信息提供者访谈和对男男性行为者的焦点小组访谈。对吸毒重点举报人进行艾滋病毒检测。使用可卡因、大麻和甲基苯丙胺等毒品来促进性接触是显而易见的。毒品导致不一致的避孕套使用和其他高风险的性行为，尽管艾滋病毒风险知识很高。许多使用注射毒品的男男性行为者共用针头和重复使用设备。在同意接受艾滋病毒检测的男男性行为者中，三分之一的检测结果呈阳性。对药物和艾滋病毒治疗和预防服务及其疗效的看法不一。与会者强调了获得服务的各种障碍，包括对同性恋的污名化和治疗设施中药物的供应。建议包括解决艾滋病毒风险知识和实践之间的差距，扩大对男男性行为者的VCT服务，提高社区内药物滥用服务的可见度，解决对治疗中心药物供应的关切以及重返社会问题和对事后服务的需求，减少对男男性行为者的药物和艾滋病毒服务的污名化，最后，加强药物治疗服务与预防艾滋病毒之间的联系，将与艾滋病毒/毒品有关的风险纳入艾滋病毒预防工作，并将艾滋病毒风险纳入预防吸毒工作。2008爱思唯尔爱尔兰有限公司版权所有。
The current assessment was undertaken to examine the link between drug use and sexual risk behavior among men who have sex with men (MSM) in locations known to have high prevalence rates of drug use and sexual risk behavior in Cape Town, Durban and Pretoria, South Africa. Street intercepts and purposive snowball sampling were used to recruit drug-using MSM. A rapid assessment was undertaken which included observation, mapping, key informant interviews and focus group interviews with MSM. Drug using key informants were tested for HIV. The use of drugs like crack cocaine, cannabis and methamphetamine to specifically facilitate sexual encounters was evident. Drugs led to inconsistent condom use and other high-risk sexual activities despite HIV risk knowledge being high. Many injecting drug-using MSM shared needles and reused equipment. Among MSM who agreed to HIV testing, one-third tested positive. Views about drug and HIV treatment and preventive services and their efficacy were mixed. Various barriers to accessing services were highlighted including homosexual stigmatization and availability of drugs in treatment facilities. Recommendations include addressing the gap between HIV-risk knowledge and practice, extending VCT services for MSM, increasing the visibility of drug abuse services within communities, addressing concerns about drug availability in treatment centers as well as reintegration issues and the need for after-care services, reducing stigmatization in drug and HIV services for MSM and finally, strengthening the link between drug treatment services and HIV prevention by integrating HIV/drug-related risks into HIV prevention efforts and HIV risks into drug use prevention efforts. (c) 2008 Elsevier Ireland Ltd. All rights reserved.