Laboratory of Infectious Disease Prevention, New York Blood Center, New York, NY 10021, USA.
AIDS Behav. 2010 Feb;14(1):132-40. doi: 10.1007/s10461-008-9440-y. Epub 2008 Jul 25.
Data are limited about anal intercourse among women at risk of HIV infection. HIV-negative non-injection drug using women at sexual risk (N = 404) were recruited. At baseline, 41.7% reported anal intercourse in the prior 3 months; of these, 88.2% reported unprotected anal intercourse (UAI). Factors associated with UAI varied by partner type: UAI with a steady partner was associated with younger age, depressive symptoms, and experience of battering; UAI with casual partners was associated with younger age, cocaine use and negative outcome expectancies for condom use; UAI with exchange partners was associated with cocaine use, negative outcome expectancies for condom use and depressive symptoms. Younger women were more likely to report unprotected anal intercourse if they did not use birth control. Specific counseling messages are needed to identify and address this risk and associated factors, including partner relationships, substance use, birth control, mental health issues and domestic violence.
关于有感染 HIV 风险的女性的肛交，数据有限。招募了有性风险的 HIV 阴性非注射吸毒女性（N=404）。在基线时，41.7%的人报告在过去 3 个月中有过肛交；其中，88.2%的人报告了无保护的肛交（UAI）。与 UAI 相关的因素因伴侣类型而异：与固定伴侣发生 UAI 与年龄较小、抑郁症状和受虐经历有关；与偶然伴侣发生 UAI 与年龄较小、可卡因使用和对避孕套使用的负面预期结果有关；与交换伴侣发生 UAI 与可卡因使用、对避孕套使用的负面预期结果和抑郁症状有关。如果年轻女性不使用避孕药，她们更有可能报告无保护的肛交。需要有针对性的咨询信息来识别和解决这一风险及相关因素，包括伴侣关系、物质使用、避孕药具、心理健康问题和家庭暴力。
