Timpson Sandra C, Williams Mark L, Bowen Anne M, Keel K Blair
Center for Health Promotion and Prevention, School of Public Health, University of Texas Houston, Houston, Texas 77030, USA.
Subst Abus. 2003 Dec;24(4):211-20. doi: 10.1023/a:1026043529583.
The purpose of this study was to investigate sexual risk behaviors and factors associated with consistent condom use of HIV+ African Americans receiving HAART who smoke crack. Participants were African Americans in Houston, Texas and over 18, being treated for HIV, and reported currently using crack. Measures included demographic variables, sexual behaviors, drug use, and nine psychosocial scales and seven escape scales. One hundred thirty seven participated in the study. Condom use was low across all partner types. Regression analyses revealed two demographic variables, and two psychosocial and one escape scale were significantly associated with intention to use condoms. One of the more alarming findings of this study concerns the large number of individuals who know they are HIV positive yet continue to have unprotected sex. The inconsistent condom use by these HIV+ individuals threatens the progress that has been made to stem the epidemic.
本研究的目的是调查接受高效抗逆转录病毒治疗（HAART）且吸食快克的HIV阳性非裔美国人的性风险行为以及与持续使用避孕套相关的因素。研究对象为德克萨斯州休斯顿市年龄超过18岁、正在接受HIV治疗且报告目前吸食快克的非裔美国人。测量指标包括人口统计学变量、性行为、药物使用情况，以及九个心理社会量表和七个逃避量表。137人参与了该研究。在所有伴侣类型中，避孕套的使用率都很低。回归分析显示，两个人口统计学变量、两个心理社会量表和一个逃避量表与使用避孕套的意愿显著相关。本研究中一个更令人担忧的发现是，大量已知自己HIV呈阳性的个体仍继续进行无保护性行为。这些HIV阳性个体不持续使用避孕套的行为威胁到了在遏制该流行病方面所取得的进展。
