抑郁、物质使用与男男性行为人群中 HIV 风险的概率抽样研究。
Depression, substance use and HIV risk in a probability sample of men who have sex with men.
机构信息
Center for Applied Behavioral Health Research, Helen Bader School of Social Welfare, University of Wisconsin-Milwaukee, United States.
出版信息
Addict Behav. 2013 Mar;38(3):1715-8. doi: 10.1016/j.addbeh.2012.09.005. Epub 2012 Sep 24.
Abstract
The persistent HIV epidemic among men who have sex with men (MSM) suggests that continued research on factors associated with risky sexual behavior is necessary. Drawing on prior literature, the role of depression and substance use in HIV risk is also inconclusive. Generalizability of past findings may also be limited to the extent that research has not employed probability samples. Here we report on one of the few probability samples of MSM to examine the role of depressive symptoms and substance use on risky sexual behavior (RSB). Multinomial logistic regression analysis suggested that depression and substance use are independently linked to our risk measure, such that those reporting high levels of depressive symptoms or substance use were more likely to report both unprotected receptive anal intercourse and unprotected insertive anal intercourse, and sex with a risky partner. Implications for prevention and treatment are discussed.
摘要
男男性行为者（MSM）中持续存在的艾滋病毒流行表明，有必要继续研究与危险性行为相关的因素。基于先前的文献，抑郁和物质使用与艾滋病毒风险之间的关系也没有定论。过去研究的普遍性也可能受到限制，因为研究没有采用概率抽样。在这里，我们报告了少数 MSM 概率样本之一，以研究抑郁症状和物质使用对危险性行为（RSB）的作用。多项逻辑回归分析表明，抑郁和物质使用与我们的风险衡量标准独立相关，即报告有高水平抑郁症状或物质使用的人更有可能报告无保护的接受性肛交和无保护的插入性肛交，以及与风险伙伴发生性关系。讨论了预防和治疗的意义。
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