Department of Nutrition, Food Studies & Public Health, New York University, New York, 10012, USA.
AIDS Behav. 2011 Oct;15(7):1309-18. doi: 10.1007/s10461-009-9569-3. Epub 2009 May 16.
We investigated the longitudinal influence of individual-, relationship- and social-level factors on condom use by partner type among young injections drug users (IDUs) enrolled in the Collaborative Injection Drug Users Study-III/Drug Users Intervention Trial (CIDUS-III/DUIT) from 2002 to 2004. Based on longitudinal analysis using generalized estimating equations (GEE), consistent condom use with main partners was more commonly reported among males and those with greater self-efficacy for condom use; main partner's desire for pregnancy and needle sharing were negatively associated with consistent condom use. Among those with casual partners, having fewer sex partners was associated with consistent condom use. Positive attitudes toward condom use and partner norms supporting condom use were associated with greater consistent condom use with both partner types. These findings suggest that intervention strategies targeting individual- and partner-level factors may provide avenues for intervening upon sexual risks among young IDUs.
我们研究了个体、关系和社会层面因素对 2002 至 2004 年参加合作注射吸毒者研究 III/吸毒者干预试验（CIDUS-III/DUIT）的年轻注射吸毒者（IDU）与不同类型性伴侣发生性行为时使用安全套的纵向影响。基于广义估计方程（GEE）的纵向分析结果表明，男性以及自我效能感较高的 IDU 更常报告与主要性伴侣坚持使用安全套；主要性伴侣希望怀孕和共用针具与坚持使用安全套呈负相关。对于偶尔发生性行为的性伴侣，性伴侣数量较少与坚持使用安全套有关。对安全套使用持积极态度以及伴侣支持安全套使用的规范与与两种类型的性伴侣坚持使用安全套呈正相关。这些发现表明，针对个体和伴侣层面因素的干预策略可能为干预年轻 IDU 的性风险提供途径。
