Nguyen Phuong L T, Bruno Raimondo, Alati Rosa, Lenton Simon, Burns Lucy, Dietze Paul M
Centre for Population Health, Burnet Institute, Melbourne, Australia.
Drug Alcohol Rev. 2014 Mar;33(2):211-4. doi: 10.1111/dar.12105. Epub 2013 Dec 12.
Previous studies suggest that people who consume alcohol and drugs are at increased risk of sexually transmitted infections (STI). We examined the prevalence and predictors of self-reported STI testing and diagnosis among self-reported regular ecstasy users (REU).
Nine hundred and fifty-five REUs from the 2011 and 2012 Ecstasy and Related Drugs Reporting System were included in the analysis. Bivariate and multivariate Poisson regression were used to identify predictors of recent STI testing, and logistic regression was used to identify predictors of recent STI diagnosis.
Forty-four per cent of REUs reported having a recent STI test, and 5% reported a recent diagnosis. Of the 421 REUs who reported a recent test, 10% reported a recent STI diagnosis. In multivariate analysis, REUs were more likely to report a recent STI test if they were female versus male [risk ratio (RR) = 1.56; 95% confidence interval (CI) = 1.36-1.80], aged 25-29 years versus 16-19 years (RR = 1.34; 95% CI = 1.05-1.72), or reported ≥2 casual sex partners versus no casual partners (RR = 1.48; 95% CI = 1.01-2.14). REUs reporting cannabis use in the past six months were 0.78 times less likely to report a recent STI test (95% CI = 0.66-0.94). There were no significant predictors associated with STI diagnosis.
Encouragingly, REUs who reported having multiple casual partners in the past six months were more likely to report a recent test. However, younger REUs aged 16-19 years were least likely to test, suggesting health promotion needs to be directed to this age group. Further research is required to explain the lower testing among cannabis users.
先前的研究表明，饮酒和吸毒者感染性传播感染（STI）的风险更高。我们调查了自我报告的经常使用摇头丸者（REU）中自我报告的性传播感染检测和诊断的患病率及预测因素。
对2011年和2012年摇头丸及相关药物报告系统中的955名经常使用摇头丸者进行了分析。采用双变量和多变量泊松回归来确定近期性传播感染检测的预测因素，采用逻辑回归来确定近期性传播感染诊断的预测因素。
44%的经常使用摇头丸者报告近期进行了性传播感染检测，5%报告近期被诊断为性传播感染。在421名报告近期进行检测的经常使用摇头丸者中，10%报告近期被诊断为性传播感染。在多变量分析中，经常使用摇头丸的女性比男性更有可能报告近期进行了性传播感染检测[风险比（RR）=1.56；95%置信区间（CI）=1.36 - 1.80]，年龄在25 - 29岁的比16 - 19岁的更有可能（RR = 1.34；95% CI = 1.05 - 1.72），或者报告有≥2个临时性伴侣的比没有临时性伴侣的更有可能（RR = 1.48；95% CI = 1.01 - 2.14）。在过去六个月内报告使用大麻的经常使用摇头丸者进行近期性传播感染检测的可能性降低0.78倍（95% CI = 0.66 - 0.94）。没有与性传播感染诊断相关的显著预测因素。
令人鼓舞的是，在过去六个月内报告有多个临时性伴侣的经常使用摇头丸者更有可能报告近期进行了检测。然而，16 - 19岁的年轻经常使用摇头丸者进行检测的可能性最小，这表明健康促进需要针对这个年龄组。需要进一步研究来解释大麻使用者检测率较低的原因。
