Estimated HIV risk among Hispanics in a national sample of drug users.

Estimated HIV risk among Hispanics in a national sample of drug users.
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全国吸毒者样本中西班牙裔人群的艾滋病毒风险估计。

DOI:
10.1097/00126334-199905010-00006
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发表时间:
1999
期刊:
Journal of acquired immune deficiency syndromes (1999)
影响因子:
--
通讯作者:
Trevino,RA
Trevino,RA
中科院分区:
--
文献类型:
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作者:
Montoya,ID;Bell,DC;Richard,AJ;Carlson,JW;Trevino,RA

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目的:估计和比较三个西班牙裔亚人群的艾滋病毒风险。方法:对参加全国药物使用干预研究的慢性吸毒者进行药物使用和性行为方面的访谈。艾滋病毒风险的估计使用了个人的艾滋病毒相关行为、这些行为发生的社会背景(如城市)以及各种危险行为的艾滋病毒传播的公布估计信息。考虑到社会人口因素、性取向和地理区域,采用多元线性回归分析调查波多黎各人、墨西哥裔美国人和墨西哥吸毒者之间估计艾滋病毒风险的差异。结果:与墨西哥裔美国人和墨西哥人相比,波多黎各人估计总体艾滋病毒风险、估计注射风险以及总体上估计性风险显著更高。在这个样本中,墨西哥裔美国人和墨西哥人之间没有发现任何估计风险的显著差异。在任何亚组中,使用避孕套进行肛交和不使用避孕套进行接受性肛交的估计风险都没有显著差异。结论:这些发现表明,波多黎各吸毒者比其他西班牙裔吸毒者感染艾滋病毒的风险更高。需要进行研究,以确定哪些经济、社会和文化因素导致了这种风险的增加。
Objective:To estimate and compare the HIV risks among three Hispanic subpopulations.Methods:Chronic drug users participating in a nationwide intervention study on drug use were interviewed with regard to drug use and sexual behavior. HIV risk was estimated using information about individuals” HIV-relevant behaviors, the social context (ie, city) in which such behaviors occur, and published estimates of HIV transmission for various risk behaviors. Multiple linear regression analysis was used to investigate differences in estimated HIV risk between Puerto Rican, Mexican-American, and Mexican drug users, accounting for sociodemographic factors, sexual preference, and geographic region.Results:Puerto Ricans had significantly greater estimated overall HIV risk, estimated injection risk, and in general, significantly greater estimated sexual risk than Mexican Americans and Mexicans. No significant differences were found in any estimated risk between Mexican Americans and Mexicans in this sample. No significant differences were found among any of the subgroups for estimated risk from having anal sex while using a condom, or from having receptive anal sex without using a condom.Conclusions:These findings suggest that Puerto Ricans who use drugs experience a higher risk of HIV infection than other Hispanic drug users. Research is needed to identify which economic, social, and cultural components account for this increased risk.