Bruce Douglas, Kahana Shoshana, Harper Gary W, Fernández M Isabel
Master of Public Health Program, DePaul University, Chicago, IL, USA.
AIDS Care. 2013;25(5):559-65. doi: 10.1080/09540121.2012.720363. Epub 2012 Sep 13.
Although the relationship between substance use and heightened sexual risk behaviors have been documented in samples of young men who have sex with men (YMSM) and HIV-positive adult men who have sex with men (MSM), there is a dearth of research on the role of substance use in the sexual risk behaviors of HIV-positive YMSM. We examined associations between alcohol and other drug use with sexual risk behaviors among a sample of HIV-positive YMSM (N=200). There were no significant predictors of either receptive or insertive unprotected anal intercourse (UAI) with HIV-positive partners among the substance use variables. Failure to use a condom after drinking alcohol (β=2.00, p<0.01) was significantly associated with insertive UAI with HIV-negative partners or partners of unknown status. Failure to use a condom after drinking alcohol (β=1.36, p<0.05) and age (β=0.35, p<0.05) were significantly associated with receptive UAI with HIV-negative partners or partners of unknown status. Findings from this article underscore the role of alcohol in facilitating UAI among HIV-positive YMSM and their HIV-negative and status-unknown partners.
尽管在与男性发生性行为的年轻男性（YMSM）以及感染艾滋病毒的成年男性同性恋者（MSM）样本中，已记录了物质使用与高发性风险行为之间的关系，但关于物质使用在感染艾滋病毒的YMSM性风险行为中的作用的研究却很匮乏。我们在一个感染艾滋病毒的YMSM样本（N = 200）中，研究了酒精和其他药物使用与性风险行为之间的关联。在物质使用变量中，没有显著预测与感染艾滋病毒的伴侣进行接受性或插入性无保护肛交（UAI）的因素。饮酒后未使用避孕套（β = 2.00，p < 0.01）与与艾滋病毒阴性伴侣或身份不明的伴侣进行插入性UAI显著相关。饮酒后未使用避孕套（β = 1.36，p < 0.05）和年龄（β = 0.35，p < 0.05）与与艾滋病毒阴性伴侣或身份不明的伴侣进行接受性UAI显著相关。本文的研究结果强调了酒精在促进感染艾滋病毒的YMSM与其艾滋病毒阴性及身份不明的伴侣之间进行无保护肛交方面的作用。
