Baldwin J A, Maxwell C J, Fenaughty A M, Trotter R T, Stevens S J
Department of Health, Physical Education, Exercise Science and Nutrition, NAU P.O. Box 15095, Flagstaff, AZ 86011, USA.
Am Indian Alsk Native Ment Health Res. 2000;9(1):1-16. doi: 10.5820/aian.0901.2000.1.
Quantitative alcohol interviews conducted as part of the National Institute on Drug Abuse (NIDA) Native American Supplement revealed very high rates of alcohol use among American Indian and Alaska Native active crack and injection drug users (IDUs). Of 147 respondents who completed the alcohol questionnaire, 100& percent had drunk alcohol within the past month, almost 42& percent reported that they drank every day, and 50& percent drank until they were drunk one-half of the time or more. Injection drug users (IDUs) demonstrated the highest frequency and quantity of alcohol use in the past 30 days. A significant positive association was also found between crack and alcohol use in the past 48 hours (c(2)=5.30, p<.05). Finally, those claiming more episodes of using alcohol before or during sex, reported significantly more events of unprotected sexual intercourse. Qualitative data from all four sites corroborated these quantitative findings. Many individuals also reported episodes of blacking out while drinking, and learned later that they had had unprotected sex with complete strangers or individuals they would not otherwise accept as partners. Implications of these findings for HIV/AIDS prevention efforts are addressed.
作为美国国立药物滥用研究所（NIDA）美国原住民补充项目的一部分进行的定量酒精使用访谈显示，美国印第安人和阿拉斯加原住民活跃的快克可卡因使用者及注射吸毒者（IDUs）中酒精使用率极高。在147名完成酒精调查问卷的受访者中，100%在过去一个月内饮酒，近42%报告称他们每天饮酒，50%的人有一半或更多时间会喝到醉酒。注射吸毒者（IDUs）在过去30天内酒精使用的频率和量最高。在过去48小时内，快克可卡因使用与酒精使用之间也发现了显著的正相关（c(2)=5.30，p<.05）。最后，那些声称在性行为前或性行为期间饮酒次数更多的人，报告的无保护性行为事件显著更多。来自所有四个地点的定性数据证实了这些定量研究结果。许多人还报告了饮酒时昏厥的情况，后来得知他们与完全陌生的人或他们在其他情况下不会接受为伴侣的人发生了无保护性行为。本文探讨了这些发现对艾滋病毒/艾滋病预防工作的影响。
