Differences in sexual risk behaviors among male and female HIV-seronegative heterosexual methamphetamine users.

Differences in sexual risk behaviors among male and female HIV-seronegative heterosexual methamphetamine users.
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DOI:
10.1080/00952990902968585
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发表时间:
2009
期刊:
The American journal of drug and alcohol abuse
影响因子:
--
通讯作者:
Patterson TL
Patterson TL
中科院分区:
其他
文献类型:
--
作者:
Cheng WS;Garfein RS;Semple SJ;Strathdee SA;Zians JK;Patterson TL

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尽管人们对男男性行为者(MSM)使用甲基苯丙胺(MA)的认识和关注有所提高,但很少有研究探讨异性恋人群使用甲基苯丙胺(MA)的行为和影响。了解异性恋者使用MA的行为和影响是否因性别而异。我们研究了452名HIV阴性的MA使用者(306名男性,146名女性)在社会人口学特征,药物使用实践,性行为以及使用甲基苯丙胺(MA)的后果和动机方面的性别差异,他们在过去的两个月内进行了无保护的性行为并使用了MA。样本中的女性更年轻,更有可能已婚,在过去两个月内被诊断出患有性传播感染,并报告说是由性伴侣介绍给MA的。女性也更容易出现抑郁症状,并报告使用MA“减肥”。男性更有可能在MA高的时候参加性马拉松,并使用MA“来增强性快感”。这些差异表明了制定针对性别的干预信息的重要性,它们可能有助于识别有开始使用MA风险的个人。我们的研究结果有助于我们了解异性恋者使用MA的行为和影响的性别差异。未来的研究将受益于纵向数据的收集(评估因果关系)和对照组的使用(区分MA使用的相关性与一般药物使用的相关性)。
Despite increased awareness and attention towards methamphetamine (MA) use among men who have sex with men (MSM), few studies have examined behaviors and effects of MA use among heterosexual populations. To learn whether behaviors and effects of MA use among heterosexuals differ according to gender. We examined gender differences in sociodemographic characteristics, drug use practices, sexual behaviors, and consequences and motivations for methamphetamine (MA) use among 452 HIV-negative MA users (306 men, 146 women) who had engaged in unprotected sex and used MA in the previous two months. Females in the sample were younger and more likely to be married, to have been diagnosed with an STI in the last two months, and to report having been introduced to MA by a sexual partner. Women were also more likely to experience depressive symptoms and to report using MA “to lose weight.” Men were more likely to engage in sex marathons while high on MA and to use MA “to enhance sexual pleasure.” These differences suggest the importance of crafting gender-specific intervention messages, and they may contribute to identifying individuals at risk for initiating MA use. Our findings contribute to our knowledge of gender differences in behaviors and effects of MA use among heterosexuals. Future studies would benefit from collection of longitudinal data (to assess causal relationships) and use of a control group (to distinguish correlates of MA use from those of drug use in general).
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