Reynolds Grace L, Fisher Dennis G, Laurenceau Jean-Philippe, Fortenberry J Dennis
Center for Behavioral Research and Services, California State University, Long Beach, 1250 Bellflower Blvd, Long Beach, CA, 90840, USA.
Department of Psychology, University of Delaware, Newark, DE, USA.
AIDS Behav. 2015 Dec;19(12):2325-32. doi: 10.1007/s10461-015-1045-7.
Women (N = 138) with histories of illicit drug use were recruited into an electronic diary study that used Android smartphones for data collection. The diary was to be completed each day for 12 weeks using an "app" created in HTML5 and accessed over the Internet via smartphone. Data collection included information on sexual behaviors with up to 10 partners per day and contextual factors surrounding sexual behavior such as drug use before/after, type of sexual behavior (oral, vaginal, anal), and other activities such as using condoms for vaginal and anal intercourse and use of sexual lubricants. The sample was predominantly African American (58 %); 20 % Latina, 20 % White and 2 % reported as Other. Most women reported either less than a high school education (33 %) or having a high school diploma (33 %). The mean age was 39 years (SD = 11.78). Anal intercourse occurred on days when women also reported using illicit drugs, specifically methamphetamine and cocaine. Anal intercourse was not an isolated sexual activity, but took place on days when vaginal intercourse and giving and receiving oral sex also occurred along with illicit drug use. Anal intercourse also occurred on days when women reported they wanted sex. HIV prevention interventions must address the risks of anal intercourse for women, taking into account concurrent drug use and sexual pleasure that may reduce individual harm-reduction behaviors.
有非法药物使用史的女性（N = 138）被招募进一项电子日记研究，该研究使用安卓智能手机进行数据收集。日记需每天完成，持续12周，通过一个用HTML5创建并可通过智能手机经互联网访问的“应用程序”来记录。数据收集包括每天与多达10名性伴侣的性行为信息，以及性行为的相关背景因素，如性行为前后的药物使用情况、性行为类型（口交、阴道性交、肛交），以及其他活动，如在阴道性交和肛交时使用避孕套和使用性润滑剂。样本主要是非洲裔美国人（58%）；20%为拉丁裔，20%为白人，2%报告为其他种族。大多数女性报告受教育程度低于高中（33%）或拥有高中文凭（33%）。平均年龄为39岁（标准差 = 11.78）。肛交发生在女性报告也使用非法药物，特别是甲基苯丙胺和可卡因的日子。肛交不是一种孤立的性行为，而是发生在女性同时进行阴道性交、口交以及使用非法药物的日子。肛交也发生在女性报告她们有性需求的日子。艾滋病预防干预措施必须考虑到女性肛交的风险，同时要考虑到同时使用药物和性快感可能会降低个人减少伤害行为的情况。
