城市年轻成年女性样本中的种族/族裔、与涉毒男性的性伴侣关系以及性传播感染情况。
Race/ethnicity, sexual partnerships with men involved with drugs, and sexually transmitted infections among a sample of urban young adult women.
作者信息
Campbell Leah F, Brown Qiana, Cavanaugh Courtenay, Lawson April
机构信息
Commonwealth Institute for Child & Family Studies, Department of Psychiatry, Virginia Commonwealth University, Richmond, VA, USA
Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA TVCOFA Corporation, Baltimore, MD, USA.
出版信息
Int J STD AIDS. 2015 Oct;26(12):887-92. doi: 10.1177/0956462414563629. Epub 2014 Dec 12.
In many urban neighbourhoods in the United States, drug markets borne from disadvantage have produced risk for sexually transmitted infections through altered sexual norms and partnerships. Presently, we examined the association of race, sexual partnerships with men involved with drugs, and self-reported sexually transmitted infections among 240 African American and white women aged 18-30 years. Thirty seven per cent reported ever having a sexually transmitted infection. Almost 30% of Whites reported sex with a drug user, compared to 5% of African Americans. Fifty eight per cent of African Americans compared to 31% of Whites reported sex with a drug dealer. On Step 1 of a sequential logistic regression model, race was associated with lifetime sexually transmitted infections (OR = 4.7, 95% CI = 2.61-8.34). Results from the full sequential logistic regression model indicated a significant, but smaller association of race and lifetime sexually transmitted infections (Adjusted OR = 3.5, 95% CI = 1.78-7.02) and an association of sex with a drug dealer and lifetime sexually transmitted infections (Adjusted OR = 2.9, 95% CI = 1.55-5.20). Forming sexual partnerships with drug dealers may place women at increased risk for sexually transmitted infections and explain racial disparities. More research focused on drug dealers as core transmitters is needed.
在美国的许多城市社区,因贫困产生的毒品市场通过改变性规范和性伴侣关系,带来了性传播感染的风险。目前,我们调查了240名年龄在18至30岁之间的非裔美国女性和白人女性的种族、与涉毒男性的性伴侣关系以及自我报告的性传播感染之间的关联。37%的女性报告曾感染性传播疾病。近30%的白人报告与吸毒者发生过性行为,相比之下,非裔美国人中这一比例为5%。58%的非裔美国人报告与毒贩发生过性行为,相比之下,白人中这一比例为31%。在逐步逻辑回归模型的第一步中,种族与终生性传播感染有关(比值比=4.7,95%置信区间=2.61-8.34)。完整逐步逻辑回归模型的结果表明,种族与终生性传播感染之间存在显著但较小的关联(调整后比值比=3.5,95%置信区间=1.78-7.02),以及与毒贩发生性行为和终生性传播感染之间的关联(调整后比值比=2.9,95%置信区间=1.55-5.20)。与毒贩建立性伴侣关系可能会增加女性感染性传播疾病的风险,并解释种族差异。需要开展更多以毒贩为核心传播者的研究。
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