Parsons Jeffrey T, Kutnick Alexandra H, Halkitis Perry N, Punzalan Joseph C, Carbonari Joseph P
Hunter College of the City University of New York, Department of Psychoology, New York 10021, USA.
J Psychoactive Drugs. 2005 Mar;37(1):27-36. doi: 10.1080/02791072.2005.10399746.
An ethnically diverse sample (79.0% men of color) of HIV seropositive (HIV+) men who have sex with men (MSM) with alcohol use disorders from the New York City metropolitan area was recruited from a variety of settings frequented by such men. Data were collected using quantitative assessments and calendar based techniques at the baseline assessment of a longitudinal study assessing the relationship between alcohol and substance use and sexual risk behaviors as well as alcohol use and HIV disease progression. Data were selected on a sample of 253 HIV+ MSM (mean age = 38.55, SD = 6.73). Of these, the majority of participants (80.2%, n=203) reported engaging in sexual behaviors with casual partners. In terms of sexual behaviors that put partners at greatest risk for HIV transmission, unprotected anal insertive intercourse was most likely to occur with unknown status casual partners (46.8%, n=95) than with either HIV negative casual partners (19.2%, n=39) or with HIV+ casual partners (40.8%, n=83). Further, bivariate analyses indicated significant relationships between the use of several substances and sexual behaviors that put partners at greatest risk for HIV transmission, as well as a significant positive relationship between drinks per drinking day and viral load.
从纽约市大都市区患有酒精使用障碍的男男性行为者（MSM）中招募了一个种族多样化的样本（79.0%为有色人种男性），这些人都是艾滋病毒血清阳性（HIV+）。样本来自这类男性经常光顾的各种场所。在一项纵向研究的基线评估中，使用定量评估和基于日历的技术收集数据，该研究评估酒精和物质使用与性风险行为之间的关系，以及酒精使用与艾滋病毒疾病进展之间的关系。数据选取了253名HIV+男男性行为者的样本（平均年龄 = 38.55，标准差 = 6.73）。其中，大多数参与者（80.2%，n = 203）报告与临时伴侣发生过性行为。就使伴侣面临最大艾滋病毒传播风险的性行为而言，与身份不明的临时伴侣发生无保护肛交的可能性最大（46.8%，n = 95），高于与艾滋病毒阴性临时伴侣（19.2%，n = 39）或与HIV+临时伴侣（40.8%，n = 83）。此外，双变量分析表明，几种物质的使用与使伴侣面临最大艾滋病毒传播风险的性行为之间存在显著关系，以及每日饮酒量与病毒载量之间存在显著正相关关系。
