Crosby G M, Stall R D, Paul J P, Barrett D C
AIDS Research Institute, Center for AIDS Prevention Studies, Department of Epidemiology and Biostatistics,University of California, San Francisco 94105-3411, USA.
AIDS Educ Prev. 2000 Feb;12(1):38-48.
This analysis was undertaken to identify (a) the level of HIV sexual risk behaviors of men who drop out of treatment and (b) baseline variables associated with later treatment dropout. A cross-sectional sample of 340 gay/bisexual men were recruited from an outpatient substance abuse treatment facility in San Francisco. We compared participants who completed less than 15 visits with participants who graduated from the program. Men who dropped out were more likely than treatment graduates to report injection drug use, social problems related to substance use, self-blaming coping strategies, and more recent substance use prior to entering treatment and less likely to have a college degree, report using sex for tension relief, and have previously attended Alcoholics Anonymous or Narcotics Anonymous. Given the strong link between the substance abuse and HIV epidemics, substance abuse treatment agencies have been forced into addressing the issues of HIV sexual risk taking with their clients. Strategies toward reducing substance use relapse and HIV risk reduction are offered.
(a) 退出治疗的男性的艾滋病毒性行为风险水平；(b) 与后期治疗退出相关的基线变量。从旧金山的一家门诊药物滥用治疗机构招募了340名男同性恋者/双性恋男性作为横断面样本。我们将就诊次数少于15次的参与者与完成该项目的参与者进行了比较。退出治疗的男性比完成治疗的男性更有可能报告注射吸毒、与药物使用相关的社会问题、自责应对策略，以及在进入治疗前最近有药物使用情况，而获得大学学位、报告通过性行为缓解紧张情绪、以及之前参加过戒酒互助会或戒毒互助会的可能性较小。鉴于药物滥用与艾滋疫情之间存在紧密联系，药物滥用治疗机构被迫着手解决其客户的艾滋病毒性行为风险问题。文中还提供了减少药物使用复发和降低艾滋病毒风险的策略。
