Feist-Price Sonja, Logan T K, Leukefeld Carl, Moore Corey L, Ebreo Angels
Department of Special Education & Rehabilitation Counseling, Center for Drug and Alcohol Research, University of Kentucky, Lexington, Kentucky 40506-0001, USA.
Subst Use Misuse. 2003 Jul;38(9):1259-84. doi: 10.1081/ja-120018483.
The use of drugs in the African American community, particularly crack cocaine, has been linked to sexual risk-taking behavior, which increases the likelihood that persons will become infected with Human Immuno Virus. In order to more fully understand risk-taking behavior and to target interventions among African American men and women, this study used data collected from 1277 individuals residing in Lexington and Louisville, Kentucky, who were recruited into National Institute on Drug Abuse (NIDA) Cooperative Agreement Project from 1993 to 1998. The study compared African Americans treated for Sexually transmitted diseases (STDs) (n = 292) with African Americans who reported never being treated for a STD (n = 504) with regard to HIV information, awareness, and the number of HIV tests between those with and without STD exposure. Additionally, we examine gender differences among African Americans who have and have not been exposed to STDs on risk behaviors and HIV knowledge, awareness, and testing. It was hypothesized that African American drug users in the STD group would engage in more risk behaviors than those who reported no STDs. Results indicated that individuals in both groups, the STD exposure group and the no STD group, engaged in similar HIV-risky behaviors. However, the STD group used a greater number of different drugs in their lifetime. The STD group reported they were more likely to get HIV and were more frequently tested for HIV. Females with an STD history were more likely to have been in drug user treatment and to perceive themselves as homeless. Both males and females in the STD group were more likely to report involvement in exchanging sex.
在非裔美国人社区中，药物的使用，尤其是快克可卡因的使用，与性行为冒险行为有关，这增加了人们感染人类免疫缺陷病毒的可能性。为了更全面地了解冒险行为，并针对非裔美国男性和女性开展干预措施，本研究使用了从肯塔基州列克星敦和路易斯维尔的1277名居民收集的数据，这些人于1993年至1998年被招募进国家药物滥用研究所（NIDA）合作协议项目。该研究比较了接受性传播疾病（STD）治疗的非裔美国人（n = 292）和报告从未接受过STD治疗的非裔美国人（n = 504）在HIV信息、认知以及有无STD暴露者之间的HIV检测次数。此外，我们研究了有和没有暴露于STD的非裔美国人在冒险行为以及HIV知识、认知和检测方面的性别差异。研究假设是，STD组中的非裔美国吸毒者比那些报告没有STD的人会有更多的冒险行为。结果表明，两组个体，即STD暴露组和无STD组，都有类似的HIV风险行为。然而，STD组一生中使用的不同药物种类更多。STD组报告他们更有可能感染HIV，并且更频繁地接受HIV检测。有STD病史的女性更有可能接受过戒毒治疗，并且认为自己无家可归。STD组中的男性和女性都更有可能报告参与过性交易。
