Crack, sex, and STD.
Crack, sex, and STD.
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裂纹、性和性病。
DOI：
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发表时间：
1991
影响因子：
3.1
通讯作者：
J. Kahn
中科院分区：
文献类型：
--
作者：
R. Marx;S. Aral;R. Rolfs;C. Sterk;J. Kahn
梅毒、淋病、软下疳和性传播的人类免疫缺陷病毒感染率的增加似乎与快克可卡因的使用有关。这篇文章批判性地回顾了16项流行病学研究，这些研究调查了药物使用、性行为和性传播疾病（STD）。八项研究发现快克和性病之间存在联系，一项研究发现快克和性病之间没有联系，七项研究发现性病与其他毒品或可卡因使用方法有关。在七项研究中，性交易与性传播疾病有关。被审查的出版物有许多方法上的弱点：更广泛的抽样，未感染的比较组，更详细的说明药物使用和性风险行为是必要的。进一步的研究应该比较不同的药物和相关的性行为和性传播疾病，以评估裂纹所带来的独特风险。设计有效的干预措施需要调查危险行为的决定因素和卫生保健的障碍。
Increasing rates of syphilis, gonorrhea, chancroid, and sexually transmitted human immunodeficiency virus infection appear to be related to crack cocaine use. This article critically reviews 16 epidemiologic studies that examine drug use, sexual behavior, and sexually transmitted disease (STD). Eight studies found an association between crack and STD, one study found no association between crack and STD, and seven studies found STD to be related to other drugs or methods of cocaine use. The exchange of sex for money or drugs was associated with STD in seven studies. Publications that were reviewed have numerous methodologic weaknesses: broader sampling, uninfected comparison groups, and greater specification of drug use and sexual risk behaviors are needed. Further research should compare different drugs and associated sexual behavior and STD to assess the unique risk conferred by crack. Designing effective interventions will require investigation of risk behavior determinants and barriers to health care.