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中国四川非机构性活跃女性注射吸毒者与不同类型性伴侣的性混合和 condom 使用。

Sexual mixing and condom use with different types of sex partners among non-institutionalized sexually active female injecting drug users in Sichuan, China.

机构信息

Centre for Health Behaviours Research, School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, 5/F., Prince of Wales Hospital, Shatin, NT, Hong Kong, China.

出版信息

AIDS Behav. 2011 Jan;15(1):86-94. doi: 10.1007/s10461-010-9754-4.

DOI:10.1007/s10461-010-9754-4
PMID:20625925
Abstract

Behavioral surveillance data of 1422 sexually active female injecting drug users (IDU) in Sichuan China were analyzed. The prevalence of syringe-sharing was 43.5%. Respectively, 59.0%, 38.5% and 55.7% had regular, non-regular, and commercial sex-partner (RP, NRP, and CSP); 44.3% had multiple types of sex partners; 23.6 and 36.2% of those with RP had NRP and CSP. The prevalence of unprotected sex (last episode) with RP, NRP and CSP were respectively 75.4%, 50.7% and 39.3%; these three variables were associated with each other and with syringe sharing (univariate OR = 1.58-30.13). About 85% of the participants had attempted quitting drug use; the experience was not associated with condom use. HIV voluntary counseling and testing was associated with lower likelihood of unprotected sex with RP, NRP and CSP (multivariate OR= 0.44-0.60); the coverage was only 40.7%. Potential bridging of HIV transmission from IDU to non-IDU populations is a serious concern.

摘要

对中国四川 1422 名有性行为的女性注射吸毒者(IDU)的行为监测数据进行了分析。共用注射器的流行率为 43.5%。分别有 59.0%、38.5%和 55.7%的人有固定、非固定和商业性性伴侣(RP、NRP 和 CSP);44.3%的人有多种性伴侣;有 RP 的人中,分别有 23.6%和 36.2%有 NRP 和 CSP。与 RP、NRP 和 CSP 发生无保护性行为(上次)的流行率分别为 75.4%、50.7%和 39.3%;这三个变量相互关联,与共用注射器也有关联(单变量 OR=1.58-30.13)。约 85%的参与者曾试图戒毒;这一经历与安全套使用无关。艾滋病毒自愿咨询和检测与无保护性行为的可能性降低有关(与 RP、NRP 和 CSP 发生性关系的多变量 OR=0.44-0.60);覆盖率仅为 40.7%。艾滋病毒从 IDU 传播到非 IDU 人群的潜在桥梁是一个严重的问题。

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