Bell D C, Lee D, Yang S J, Heath V
Affiliated Systems Corporation, Houston, Texas 77027-6022, USA.
J Urban Health. 2001 Jun;78(2):313-26. doi: 10.1007/BF02410362.
Human immunodeficiency virus (HIV) and syphilis are relationship-based diseases that are typically transmitted by the cooperative activities (sex or drug injection) of two persons. A sample of 215 drug users and 52 sociodemographically matched nonusers was collected to examine the behaviors and relationships related to HIV and syphilis transmission. Results showed that, although drug users had more risk opportunities (more sex partners and, of course, more injection partners) than nonusers, actual sex risk behaviors (never using condoms) did not differ appreciably among drug users and nonusers or with opposite-sex partners and same-sex partners. The similarity of sexual risk was supported by the similar levels of syphilis between drug users and nonusers. The unique risk to drug users was drug injection, although drug users were found to engage in fewer risky injection behaviors (sharing of drug injection equipment) than the risky sexual behaviors in which all participants engaged. Although drug users interacted as frequently with partners as nonusers, nonuser relationships were longer lasting and emotionally closer.
人类免疫缺陷病毒(HIV)和梅毒是基于关系传播的疾病,通常通过两人的合作行为(性行为或药物注射)传播。收集了215名吸毒者和52名社会人口统计学匹配的非吸毒者样本,以研究与HIV和梅毒传播相关的行为及关系。结果显示,尽管吸毒者比非吸毒者有更多的风险机会(更多性伴侣,当然也有更多注射伙伴),但实际的性风险行为(从不使用避孕套)在吸毒者和非吸毒者之间、与异性伴侣和同性伴侣之间并无明显差异。吸毒者和非吸毒者梅毒水平相似,这支持了性风险的相似性。吸毒者面临的独特风险是药物注射,尽管发现吸毒者从事的危险注射行为(共用药物注射设备)比所有参与者都参与的危险性行为要少。尽管吸毒者与伴侣互动的频率与非吸毒者相同,但非吸毒者的关系持续时间更长,情感上更亲密。