Severity of drug dependence, economic pressure and HIV-related risk behaviors among non-institutionalized female injecting drug users who are also sex workers in China
Severity of drug dependence, economic pressure and HIV-related risk behaviors among non-institutionalized female injecting drug users who are also sex workers in China
复制标题
DOI：
10.1016/j.drugalcdep.2008.03.029
复制
发表时间：
2008-10-01
影响因子：
4.2
通讯作者：
Li, Zhenglin
中科院分区：
文献类型：
--
作者：
Gu, Jing;Chen, Hongyao;Li, Zhenglin
背景：女性注射吸毒者兼为性工作者(FSW-IDUs)是将HIV从吸毒人群传播到暗娼服务对象的重要桥梁人群。药物依赖的严重程度、经济压力与HIV相关危险行为之间的关系知之甚少。方法：采用滚雪球抽样的方法招募281名非制度化参与者。结果：在过去的6个月里，64.1%的参与者与他们的客户使用避孕套不一致；28.5%的参与者每天至少为2个客户提供服务；48.4%的参与者至少实践了三种共用针头行为中的一种。药物依赖的严重程度(调整后OR=1.05，p<；0.01)和经济压力(调整后OR=1.07至2.52，p<；0.05)与最近6个月与客户不一致使用避孕套显著相关。药物依赖的严重程度(调整后OR=1.15，p<；0.01)和与感知经济压力相关的变量(调整后OR=1.09~3.05，p<；0.05)与较高的商业性交易频率显著相关。药物依赖的严重程度(调整后的OR=1.07，p<；0.01)也与共用针头行为有关。在总结模型中，药物依赖的严重程度(OR=1.17，p<；0.001)、经济压力(OR=1.39，p<；0.001)及其相互作用时间(OR=0.98p<；0.001)都与最近6个月与顾客不一致使用避孕套有关。结论：无保护措施商业性行为的发生率很高，并且与药物依赖的严重程度和经济压力独立相关：药物依赖的严重程度也与共用针头的行为有关，在计划研究和干预时需要充分考虑这些问题。(C)2008爱思唯尔爱尔兰有限公司。保留所有权利。
Background: Female injecting drug users (IDUs) who are also sex workers (FSW-IDUs) is an important bridge population transmitting HIV from the IDU population to clients of FSWs. Little is known about the relationships between severity of drug dependence, economic pressure and relevant HIV-related risk behaviors.Methods: 281 non-institutionalized participants were recruited using snowball sampling methods. Anonymous face-to-face interviews were administered by trained doctors.Results: 64.1% of participants used condoms inconsistently with their clients in the past 6 months; 28.5% served at least 2 clients per day and 48.4% practiced at least one of the three studied needle sharing behaviors. Severity of drug dependence (adjusted OR = 1.05, p < 0.01) and economic pressure (adjusted OR = 1.07 to 2.52, p < 0.05) were significantly associated with inconsistent condom use with clients in the last 6 months. Severity of drug dependence (adjusted OR = 1.15, p < 0.01) and variables related to perceived economic pressure (adjusted OR = 1.09-3.05, p < 0.05) were significantly associated with higher frequency of commercial sex transaction. Severity of drug dependence (adjusted OR = 1.07, p < 0.01) were also associated with needle sharing behaviors. In summary models, severity of drag dependence (OR = 1.17, p < 0.001), economic pressure (OR = 1.39, p < 0.001) and their interaction term (OR = 0.98, p < 0.001) were all associated with inconsistent condom use with clients in the last 6 months.Conclusions: Prevalence of unprotected commercial sex was high and was independently associated with severity of drug dependence and economic pressure: severity of drug dependence was also associated with needle sharing behaviour such issues need to be fully considered when planning research studies and interventions. (c) 2008 Elsevier Ireland Ltd. All rights reserved.