National Drug and Alcohol Research Centre, University of New South Wales NSW, 2052 Australia.
Addict Behav. 2010 Feb;35(2):157-60. doi: 10.1016/j.addbeh.2009.09.001. Epub 2009 Sep 11.
Substance users may be at a heightened risk for the transmission of HIV and other blood-borne viral infections (BBVI) through injecting drug use or risky sexual behaviours. The current study aimed to investigate the engagement in BBVI-risk behaviours among a sentinel group of regular ecstasy users in Australia, with a particular focus on sexual practices and describe the occurrence of BBVI testing among this group. Participants were regular ecstasy users recruited across Australia in 2007 who were administered a structured interview that contained questions regarding substance use, sexual behaviours and occurrence of BBVI testing. Results indicate high levels of unprotected sex in the past 6 months (77% reported inconsistent condom use with a regular partner; 54% with a casual partner). Half the sample reported never having an HIV test. Unprotected sex was associated with being heterosexual; despite this, heterosexuals were also less likely to report HIV testing status. These data suggest that targeted health promotion messages may be needed for this group of predominantly young, heterosexual substance users who may fall out of the reach of traditional messages.
物质使用者可能因注射吸毒或危险性行为而面临更高的 HIV 和其他血源病毒感染（BBVI）传播风险。本研究旨在调查澳大利亚一组定期摇头丸使用者的 BBVI 风险行为，特别关注性行为，并描述该组中 BBVI 检测的发生情况。参与者是 2007 年在澳大利亚各地招募的定期摇头丸使用者，他们接受了一项结构化访谈，其中包含有关药物使用、性行为和 BBVI 检测发生情况的问题。结果表明，过去 6 个月中无保护性行为的比例很高（77%的人报告与固定伴侣使用避孕套不规律；54%的人与偶然伴侣）。一半的样本报告从未进行过 HIV 检测。无保护性行为与异性恋有关；尽管如此，异性恋者也不太可能报告 HIV 检测状况。这些数据表明，对于主要是年轻异性恋物质使用者这一群体，可能需要有针对性的健康促进信息，因为他们可能无法获得传统信息。
