年轻注射吸毒者中性伴侣关系、个人网络特征及个体属性与无保护性行为的关系。
The relationship of sexual dyad and personal network characteristics and individual attributes to unprotected sex among young injecting drug users.
作者信息
Gyarmathy V Anna, Neaigus Alan
机构信息
National Development and Research Institutes, Inc., 71 W 23rd St., 8th Floor, New York, NY 10010, USA.
出版信息
AIDS Behav. 2009 Apr;13(2):196-206. doi: 10.1007/s10461-007-9285-9. Epub 2007 Aug 10.
Abstract
We examine in the heterosexual partnerships (dyads) of IDUs the correlates of engaging in unprotected sex on three levels: individual attributes, social network characteristics, and dyad characteristics. Unprotected sex was significantly less likely to occur in dyads where the participant injected daily or had high safe-sex attitude scores, and in dyads where both members encouraged each other to use condoms. Unprotected sex was significantly more likely to occur in dyads that smoked crack together, shared needles with each other, and where the participant knew that the sex partner had concurrent sex partners. In the sexual dyads of IDUs there is a combined risk of unsafe injecting and unsafe sex. Both injecting and sexual risk, and their combination need to be addressed in interventions that target the sexual partnerships of IDUs. Such interventions should also aim to reduce injected and non-injected crack and other stimulant use associated with high-risk sex.
摘要
我们在注射吸毒者的异性伴侣关系（二元组）中，从三个层面研究了发生无保护性行为的相关因素：个体属性、社会网络特征和二元组特征。在参与者每日注射或安全性行为态度得分较高的二元组中，以及在双方都鼓励对方使用避孕套的二元组中，发生无保护性行为的可能性显著降低。在共同吸食强效可卡因、相互共用针头以及参与者知晓性伴侣有多个性伴侣的二元组中，发生无保护性行为的可能性显著增加。在注射吸毒者的性伴侣关系中，存在不安全注射和不安全性行为的综合风险。注射风险和性风险及其组合，都需要在针对注射吸毒者性伴侣关系的干预措施中加以解决。此类干预措施还应旨在减少与高危性行为相关的注射和未注射强效可卡因及其他兴奋剂的使用。
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