Drug and sexual risk in four men who have sex with men populations: Evidence for a sustained HIV epidemic in New York City
Drug and sexual risk in four men who have sex with men populations: Evidence for a sustained HIV epidemic in New York City
复制标题
DOI：
10.1093/jurban/jti019
复制
发表时间：
2005-03-01
影响因子：
6.6
通讯作者：
Yi, H
中科院分区：
文献类型：
--
作者：
Clatts, MC;Goldsamt, LA;Yi, H
本文的目的是调查纽约市 (NYC) 四个显着的男男性行为者 (MSM) 群体的毒品和性风险：(1) 无家可归的年轻 MSM (YMSM)、(2) 无家可归的 YMSM、(3) 成年 MSM Speed 使用者和 (4) HIV 阳性“POZ 党”MSM。每组中都突出显示了一生和当前接触药物、药物注射和选定的药物性别相互作用。数据来自最近完成的基于现场的民族流行病学研究，这些研究使用场地导向/有针对性的抽样和半结构化访谈。在所有四个群体中，研究结果表明，毒品和性风险在纽约市的 MSM 人群中仍然普遍存在。鉴于纽约市艾滋病毒和其他性传播疾病的背景流行率已经很高，而且艾滋病毒/艾滋病已经在男同性恋者中造成广泛的痛苦和死亡，这一点尤其令人不安。这些发现表明，当今可用的公共卫生干预措施在许多方面都未能触及、参与和影响纽约市 MSM 人群中的关键风险群体。
The objective of this article was to examine drug and sexual risk in four salient groups of men who have sex with men (MSM) in New York City (NYC): (1) nonhomeless young MSM (YMSM), (2) homeless YMSM, (3) adult MSM Speed users, and (4) HIV-positive "POZ Party" MSM. Lifetime and current exposure to drugs, drug injection, and selected drug sex interactions are highlighted in each group. Data derive from recently completed field-based, ethnoepidemiological studies that used venue-oriented/targeted sampling and semistructured interviews. Across all four groups, findings show that both drug and sexual risk remain prevalent in the MSM population in NYC. This is especially troubling given the already high background prevalence of HIV and other sexually transmitted diseases in NYC and the widespread suffering and death already wrought by HIV/AIDS among MSM. These findings suggest that available public health interventions today are, in many respects, failing to reach, engage, and affect critical risk groups within the NYC MSM population.