El-Bassel Nabila, Marotta Phillip L, Shaw Stacey A, Chang Mingway, Ma Xin, Goddard-Eckrich Dawn, Hunt Tim, Johnson Karen, Goodwin Sharun, Almonte Maria, Gilbert Louisa
1 Social Intervention Group, Columbia University, New York, New York, USA.
2 The New York City Department of Probation, New York, New York, USA.
Int J STD AIDS. 2017 Feb;28(2):160-169. doi: 10.1177/0956462416633624. Epub 2016 Jul 10.
Although the incidence of HIV among women on probation, parole and alternatives to incarceration programs is significant to public health, drivers of this concentrated epidemic among women under community corrections remain understudied. This study examined prevalence of HIV and sexually transmitted infections and the associations between substance use, socio-demographic factors and the prevalence of biologically-confirmed HIV and other sexually transmitted infections among a sample of 337 substance-using women recruited from community correction sites in New York City. Prevalence of HIV was 13% and sexually transmitted infections was 26% ( Chlamydia, trachomatis and Neisseria gonorrhea). After adjusting for covariates, HIV-positive women were 1.42 times more likely to use crack/cocaine than HIV-negative women (95% CI = 1.05-1.92). HIV-positive women were 25% less likely than HIV-negative women to report any unprotected vaginal and anal sex with their main partner (95% CI = 0.57-0.99). They were 70% less likely than HIV-negative women to report unprotected vaginal sex with a non-paying casual partner (95% CI = 0.1-0.9) and 22% less likely to report unprotected vaginal sex across all partners (95% CI = 0.61-0.99). Community corrections settings may be optimal venues to launch HIV/sexually transmitted infections prevention that have potential to reach and engage an ever-growing number of substance-using women.
尽管处于缓刑期、假释期以及采用非监禁项目的女性中艾滋病毒的发病率对公共卫生意义重大,但社区惩教中女性这一集中流行情况的驱动因素仍未得到充分研究。本研究调查了337名从纽约市社区惩教场所招募的使用毒品女性样本中艾滋病毒和性传播感染的流行情况,以及药物使用、社会人口学因素与经生物学确认的艾滋病毒及其他性传播感染流行率之间的关联。艾滋病毒的流行率为13%,性传播感染(沙眼衣原体和淋病奈瑟菌)的流行率为26%。在对协变量进行调整后,艾滋病毒呈阳性的女性使用强效可卡因/可卡因的可能性比艾滋病毒呈阴性的女性高1.42倍(95%置信区间=1.05-1.92)。艾滋病毒呈阳性的女性向主要伴侣报告任何无保护阴道和肛交行为的可能性比艾滋病毒呈阴性的女性低25%(95%置信区间=0.57-0.99)。她们向无酬临时伴侣报告无保护阴道性行为的可能性比艾滋病毒呈阴性的女性低70%(95%置信区间=0.1-0.9),向所有伴侣报告无保护阴道性行为的可能性比艾滋病毒呈阴性的女性低22%(95%置信区间=0.61-0.99)。社区惩教场所可能是开展艾滋病毒/性传播感染预防工作的理想场所,有可能覆盖并吸引越来越多使用毒品的女性。
Int J STD AIDS. 2017-2
J Acquir Immune Defic Syndr. 2017-7-1
Emerg Infect Dis. 2024-4
Subst Abuse Rehabil. 2023-11-13
J Correct Health Care. 2022-2
Int J Drug Policy. 2015-2
Public Health Rep. 2014