Condomless Sex and Psychiatric Comorbidity in the Context of Constrained Survival Choices: A Longitudinal Study Among Homeless and Unstably Housed Women.
Condomless Sex and Psychiatric Comorbidity in the Context of Constrained Survival Choices: A Longitudinal Study Among Homeless and Unstably Housed Women.
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DOI：
10.1007/s10461-018-2280-5
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发表时间：
2019-03
影响因子：
4.4
通讯作者：
Riley ED
中科院分区：
文献类型：
--
作者：
Meacham MC;Bahorik AL;Shumway M;Marquez C;Riley ED
我们试图确定社区招募的无家可归和不稳定的cisgender成年女性队列中无避孕套性行为的流行率和独立相关性，这些女性每两年随访一次，持续三年（N=143 HIV+，N=139 HIV-）。近一半（44%）的参与者在基线前6个月内报告了无安全套性行为，在整个研究期间增加到65%。在调整了主要伴侣之后，艾滋病毒感染者中无安全套性行为的纵向几率在那些报告<每日使用酒精或大麻（AOR=2.09，p= 0.002和1.88，p= 0.005）和PTSD（AOR=1.66，p= 0.034）的女性中显着更高。在未感染艾滋病毒的女性中，报告<每日甲基苯丙胺使用（AOR=2.02，p= 0.012），惊恐发作（AOR=1.74，p= 0.029）和无家可归（AOR =1.67，p= 0.006）的无安全套性行为的调整纵向几率显著较高。当调整性别交换时，相关性略有减弱。针对住房不稳定妇女的艾滋病毒/性传播感染方案应解决焦虑和创伤性疾病、不经常使用药物和住房挑战。
We sought to identify the prevalence and independent correlates of condomless sex within a cohort of community-recruited homeless and unstably-housed cisgender adult women who were followed biannually for three years (N=143 HIV+, N=139 HIV-). Nearly half (44%) of participants reported condomless sex in the 6 months before baseline, which increased to 65% throughout the study period. After adjusting for having a primary partner, longitudinal odds of condomless sex among women with HIV were significantly higher among those reporting <daily use of alcohol or cannabis (AOR=2.09, p=.002, and 1.88, p=.005, respectively) and PTSD (AOR=1.66, p=.034). Among women without HIV, adjusted longitudinal odds of condomless sex were significantly higher for those reporting <daily methamphetamine use (AOR=2.02, p=.012), panic attack (AOR=1.74, p=.029), and homelessness (AOR=1.67, p=.006). Associations were slightly attenuated when adjusting for sex exchange. Targeted HIV/STI programs for unstably housed women should address anxiety and trauma disorders, infrequent substance use, and housing challenges.
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影响因子：
12.7
作者：
Cook, JA;Grey, D;Hessol, NA
通讯作者：
Hessol, NA
吸食快克可卡因的妇女以性换取毒品或金钱的相关因素
影响因子：
1.8
作者：
Edwards, Jessica M.;Halpern, Carolyn T.;Wechsberg, Wendee M.
通讯作者：
Wechsberg, Wendee M.
DOI：
10.1159/000351953
发表时间：
2013-01-01
期刊：
ANXIETY DISORDERS
影响因子：
--
作者：
Bandelow, Borwin;Baldwin, David S.;Zwanzger, Peter
通讯作者：
Zwanzger, Peter
影响因子：
3.1
作者：
Buchacz, K;McFarland, W;Katz, MH
通讯作者：
Katz, MH
影响因子：
11.3
作者：
BLOUIN, AG;PEREZ, EL;BLOUIN, JH
通讯作者：
BLOUIN, JH