Bell Ann V, Ompad Danielle, Sherman Susan G
Infectious Disease Program, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Suite E6543, Baltimore, MD 21215.
Am J Public Health. 2006 Jun;96(6):1066-72. doi: 10.2105/AJPH.2004.061077. Epub 2006 May 2.
We examined risk behaviors of female drug users, comparing those who reported recently having had sex with women (recent WSW), those who reported previously having had sex with women (former WSW), and those who reported never having had sex with women (never WSW).
We used data from the Risk Evaluation and Assessment of Community Health III Study. Adjusted odds for predictors of WSW status were determined via multinomial logistic regression analyses.
Of the participants, 75% were never WSW, 12% were former WSW, and 13% were recent WSW. In comparison with never WSW status, significant predictors of recent WSW status were living away from one's parents as a child (adjusted odds ratio [OR]=3.05; 95% confidence interval [CI]=1.07, 8.67) and recently having been paid for sex by men (adjusted OR=4.02; 95% CI=1.67, 9.68). Also, recently having been paid for sex by men was a significant predictor of former WSW status as opposed to never WSW status (adjusted OR=3.97; 95% CI=1.65, 9.59).
The recency with which they had sex with women is one of the facets influencing the risk profile of WSW. The diverse characteristics of the WSW population need to be incorporated into future studies and risk interventions targeting this group.
我们研究了女性吸毒者的风险行为，比较了那些报告近期与女性发生过性行为的人（近期与女性发生性行为者）、那些报告过去曾与女性发生过性行为的人（既往与女性发生性行为者）以及那些报告从未与女性发生过性行为的人（从未与女性发生性行为者）。
我们使用了社区健康风险评估与评价III研究的数据。通过多项逻辑回归分析确定与女性发生性行为状况预测因素的调整比值。
在参与者中，75%为从未与女性发生性行为者，12%为既往与女性发生性行为者，13%为近期与女性发生性行为者。与从未与女性发生性行为的状况相比，近期与女性发生性行为状况的显著预测因素包括童年时离家生活（调整后的比值比[OR]=3.05；95%置信区间[CI]=1.07，8.67）以及近期曾接受男性付费性行为（调整后的OR=4.02；95%CI=1.67，9.68）。此外，近期曾接受男性付费性行为是既往与女性发生性行为状况而非从未与女性发生性行为状况的显著预测因素（调整后的OR=3.97；95%CI=1.65，9.59）。
她们与女性发生性行为的近期情况是影响与女性发生性行为者风险状况的一个方面。与女性发生性行为者群体的不同特征需要纳入未来针对该群体的研究和风险干预措施中。
