Gore-Felton Cheryl, Somlai Anton M, Benotsch Eric G, Kelly Jeffrey A, Ostrovski Dimitri, Kozlov Andrei
Medical College of Wisconsin, Center for AIDS Intervention Research, Milwaukee, Wisconsin 53202, USA.
Am J Drug Alcohol Abuse. 2003;29(4):881-94. doi: 10.1081/ada-120026267.
HIV infection rates are dramatically increasing in the Russian Federation. Epidemiological studies indicate that the greatest rise of HIV incidence has been among injection drug users (IDU). Young adults (N = 188) who reported injecting drug use completed surveys and interviews that assessed injection drug use behavior, sexual behavior, and HIV-related knowledge. The average age of participants was 21.3 years. Multiple linear regression analysis found male gender and younger age at sexual debut was positively and significantly associated with having multiple sexual partners. Gender moderated the effects of sexual debut and number of times injected drugs were used in the past month. Males who initiate sex at a younger age were more likely to report multiple sex partners and females who reported higher frequency of drug use were more likely to report multiple sex partners. Gender is an important factor, as well as moderator of risk behavior among Russian injection drug users. Delaying sexual debut, particularly for males, may be an effective strategy to reduce subsequent risk behavior. Prevention efforts among IDUs need to address sexual risk behavior in conjunction with injection risk behavior.
俄罗斯联邦的艾滋病毒感染率正在急剧上升。流行病学研究表明，艾滋病毒发病率上升幅度最大的是注射吸毒者。报告有注射吸毒行为的年轻成年人（N = 188）完成了评估注射吸毒行为、性行为和艾滋病毒相关知识的调查与访谈。参与者的平均年龄为21.3岁。多元线性回归分析发现，男性以及首次性行为时年龄较小与拥有多个性伴侣呈正相关且具有显著相关性。性别对首次性行为的影响以及过去一个月内注射毒品的次数具有调节作用。首次性行为年龄较小的男性更有可能报告有多个性伴侣，而报告吸毒频率较高的女性更有可能报告有多个性伴侣。性别是俄罗斯注射吸毒者中风险行为的一个重要因素，也是风险行为的调节因素。推迟首次性行为，尤其是对男性而言，可能是减少后续风险行为的有效策略。针对注射吸毒者的预防工作需要同时解决性风险行为和注射风险行为。
