AIDS Behav. 2010 Oct;14(5):1045-54. doi: 10.1007/s10461-010-9695-y.
Growing evidence suggests that drug and alcohol use are fueling the heterosexual transmission of HIV among African Americans. This study aims to examine the relative contribution of drug and alcohol use of male and female partners to risks of heterosexual transmission of HIV among 535 African American HIV serodiscordant couples (N = 1,070 participants) who participated in an HIV prevention trial. Associations found between use of drugs and alcohol by one or both partners and sexual risk indicators varied by type of substance and whether male or female partner or both partners reported use. The findings suggest multiple ways in which substance use of male and female partners may be contributing to the heterosexual transmission of HIV and other STDs among African Americans and underscore the need for HIV prevention strategies to address dyadic patterns of substance use that lead to sexual risks.
越来越多的证据表明，药物和酒精的使用正在助长非洲裔美国人之间异性恋传播艾滋病毒。本研究旨在检验在一项艾滋病毒预防试验中，535 对艾滋病毒血清不一致的非裔美国家庭（N=1070 名参与者）中，男性和女性伴侣的药物和酒精使用对异性恋传播艾滋病毒的风险的相对贡献。研究发现，一方或双方伴侣使用药物和酒精与性风险指标之间存在关联，其关联因物质类型以及男性或女性伴侣或双方报告使用的情况而异。这些发现表明，男性和女性伴侣的物质使用可能通过多种方式导致非洲裔美国人之间艾滋病毒和其他性传播疾病的异性恋传播，并强调需要制定艾滋病毒预防策略来解决导致性风险的对偶模式的物质使用。
