López Luz Marilis, Zerden Lisa de Saxe, Fitzgerald Therese C, Lundgren Lena M
Boston University School of Social Work, 264 Bay State Road, Boston, MA 02215, USA.
Eval Program Plann. 2008 Feb;31(1):64-73. doi: 10.1016/j.evalprogplan.2007.05.013. Epub 2007 Jul 7.
This study examines whether place of residence is a factor associated with reporting a positive HIV/AIDS, Hepatitis C (HCV), or Sexually Transmitted Disease (STD) status in a sample of 400 injection drug users (IDUs) residing on the Island of Puerto Rico (N=139) and in western Massachusetts (N=261). Logistic regression models revealed that IDUs residing in western Massachusetts were 66% less likely to be HIV positive compared to IDUs residing in Puerto Rico (p<.000) while IDUs residing in western Massachusetts were about 67% less likely to have a positive STD status than those residing in Puerto Rico (p<.000). Place of residence was not significantly associated with HCV status. Results indicate the need to develop prevention programs tailored to the unique socio-cultural context of Puerto Rican IDUs residing on the Island of Puerto Rico whose circumstances differ from those in the mainland US. To reduce drug use, HIV/AIDS, HCV, and STDs among Puerto Ricans in both locales, the Capacity Enhancement Model is proposed in order to develop more effective prevention programs.
本研究调查了居住地是否是与报告艾滋病毒/艾滋病、丙型肝炎（HCV）或性传播疾病（STD）呈阳性状态相关的一个因素，该研究以居住在波多黎各岛（N = 139）和马萨诸塞州西部（N = 261）的400名注射吸毒者（IDU）为样本。逻辑回归模型显示，与居住在波多黎各的注射吸毒者相比，居住在马萨诸塞州西部的注射吸毒者艾滋病毒呈阳性的可能性低66%（p <.000），而居住在马萨诸塞州西部的注射吸毒者性传播疾病呈阳性的可能性比居住在波多黎各的注射吸毒者低约67%（p <.000）。居住地与丙型肝炎状态无显著关联。结果表明，有必要针对居住在波多黎各岛的波多黎各注射吸毒者独特的社会文化背景制定预防方案，他们的情况与美国大陆的情况不同。为了减少两个地区波多黎各人中的药物使用、艾滋病毒/艾滋病、丙型肝炎和性传播疾病，提出了能力增强模型，以便制定更有效的预防方案。
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