Wells Brooke E, Kelly Brian C, Rendina H Jonathon, Parsons Jeffrey T
a Center for HIV Educational Studies and Training.
J Sex Res. 2015;52(6):659-68. doi: 10.1080/00224499.2014.918085. Epub 2015 Jan 8.
Though research indicates a complex link between substance use and sexual risk behavior, there is limited research on the association between sexual risk behavior and prescription drug misuse. In light of alarming increases in prescription drug misuse and the role of demographic characteristics in sexual risk behavior and outcomes, the current study examined demographic differences (gender, sexual identity, age, relationship status, parental class background, and race/ethnicity) in sexual risk behavior, sexual behavior under the influence of prescription drugs, and sexual risk behavior under the influence of prescription drugs in a sample of 402 young adults (ages 18 to 29) who misused prescription drugs. Nearly half of the sexually active young adult prescription drug misusers in this sample reported recent sex under the influence of prescription drugs; more than three-quarters reported recent sex without a condom; and more than one-third reported recent sex without a condom after using prescription drugs. Zero-inflated Poisson regression models indicated that White race, younger age, higher parental class, and being a heterosexual man were all associated with sexual risk behavior, sex under the influence of prescription drugs, and sexual risk under the influence of prescription drugs. Findings have implications for the targeting of prevention and intervention efforts.
尽管研究表明物质使用与性风险行为之间存在复杂联系，但关于性风险行为与处方药滥用之间关联的研究却很有限。鉴于处方药滥用现象惊人地增加，以及人口统计学特征在性风险行为及后果中的作用，本研究调查了402名滥用处方药的年轻成年人（年龄在18至29岁之间）在性风险行为、受处方药影响下的性行为以及受处方药影响下的性风险行为方面的人口统计学差异（性别、性取向、年龄、恋爱状况、父母阶层背景和种族/族裔）。在这个样本中，近一半有性活动的滥用处方药的年轻成年人报告称近期有在受处方药影响下的性行为；超过四分之三的人报告近期性行为未使用避孕套；超过三分之一的人报告在使用处方药后近期性行为未使用避孕套。零膨胀泊松回归模型表明，白人种族、较年轻的年龄、较高的父母阶层以及身为异性恋男性均与性风险行为、受处方药影响下的性行为以及受处方药影响下的性风险相关。研究结果对预防和干预措施的目标设定具有启示意义。
