Hirshfield S, Remien R H, Humberstone M, Walavalkar I, Chiasson M A
Medical and Health Research Association of New York City, Inc., New York, NY 10013, USA.
AIDS Care. 2004 Nov;16(8):1036-47. doi: 10.1080/09540120412331292525.
This paper describes drug and sexual risk behaviors during a six-month period in 2001 of 2,916 gay and bisexual men who were recruited online. Bivariate and multivariate analyses examined correlates of unprotected anal intercourse (UAI). Drug and alcohol use were also examined by US region. UAI was associated with using alcohol or drugs, including poppers, crystal methamphetamine, cocaine, marijuana and Viagra before or during sex. Meeting sex partners both online and offline and having multiple sex partners were also predictive of UAI. Significant regional differences were seen in the prevalence of drug use and alcohol use. Findings are discussed in relation to the need to integrate messages about the relationship between drug use and sexual behavior into HIV prevention programs.
本文描述了2001年为期6个月的时间里，通过网络招募的2916名男同性恋者和双性恋男性的药物及性风险行为。双变量和多变量分析研究了无保护肛交（UAI）的相关因素。还按美国地区对药物和酒精使用情况进行了考察。UAI与在性行为之前或期间使用酒精或药物有关，这些药物包括Poppers、冰毒、可卡因、大麻和伟哥。通过线上和线下方式结识性伴侣以及拥有多个性伴侣也可预测UAI。在药物使用和酒精使用的流行率方面存在显著的地区差异。结合将有关药物使用与性行为之间关系的信息纳入艾滋病预防项目的必要性对研究结果进行了讨论。
