Prevalence and Associations of Illicit Drug and Polydrug Use in People Living with HIV in Vienna.

Prevalence and Associations of Illicit Drug and Polydrug Use in People Living with HIV in Vienna.
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DOI:
10.1038/s41598-018-26413-5
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发表时间:
2018-05-23
期刊:
影响因子:
4.6
通讯作者:
Dorner TE
Dorner TE
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Grabovac I;Meilinger M;Schalk H;Leichsenring B;Dorner TE

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我们的目的是确定流行的药物和多种药物使用的艾滋病毒感染者在奥地利首次进行了两个中心的横断面研究。参与者是在定期安排的访视期间从连续患者中招募的。共有438名参与者被纳入分析。在这项研究中,我们使用了纸笔和在线问卷。非法药物使用流行率为60.5%;大麻使用率为31.5%,硝酸盐使用率为31.5%,西地那非/他达拉非使用率为24%,可卡因使用率为14%,是使用最多的物质。吸毒者使用一种以上药物(多种药物)的比例为69.4%,占总研究人群的42.0%。年轻、男性和居住在城市地区与药物使用有关。此外,在夜总会和性行为期间使用药物,艾滋病毒治疗不依从性和年轻与多种药物使用有关。42.4%的吸毒者报告了无避孕套的性行为,44.1%的人报告了他们不会在清醒的情况下进行的性行为。结果表明,在奥地利艾滋病毒携带者中非法药物使用的流行率很高。新的研究重点是艾滋病毒感染者使用非法药物,应侧重于在性行为和周围的做法中使用的物质。
We aimed to determine the prevalence of drug and polydrug use in people living with HIV in Austria for the first time for which a two center cross-sectional study was performed. Participants were recruited from consecutive patients during their regularly scheduled visits. In total 438 participants were included in the analysis. For this study we used paper-pencil and online-based questionnaires. The prevalence of illicit drug use was 60.5%; with cannabis use at 31.5%, nitrates at 31.5%, sildenafil/tadalafil at 24% and cocaine at 14%, being the most used substances. Use of more than one substance (polydrug) in drug users was 69.4% or 42.0% in the total study population. Younger age, male gender, and living in an urban area were associated with drug use. Moreover, drug use during clubbing and sex, HIV therapy non-adherence and younger age were associated with polydrug use. Drug users reported condomless sex in 42.4% and performing sexual acts they would not do sober in 44.1%. Results indicate a high prevalence of illicit drug use in PLWHIV in Austria. New research focusing on illicit drug use in PLWHIV should focus on the use of substances during sex and surrounding practices.
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