Fujimoto Kayo, Kim Ju Yeong, Ross Michael W, Williams Mark L
Department of Health Promotion & Behavioral Sciences, School of Public Health, The University of Texas Health Science Center at Houston, 7000 Fannin Street, UCT 2514, Houston, TX, 77030, USA.
Department of Biostatistics, School of Public Health, The University of Texas Health Science Center at Houston, 1200 Pressler Street, Houston, TX, 77030, USA.
J Behav Med. 2016 Oct;39(5):845-54. doi: 10.1007/s10865-016-9754-6. Epub 2016 Jul 14.
This study examined HIV risks in the multiplex crack-smoking and sexual networks of incarcerated drug-using men who have sex with men (MSM) and their associates. We estimated the associations between the network members' incarceration, self-reported HIV infection, and trading sex for money. Our analytic sample consisted of 508 crack-smoking or sexual partnerships of 273 high-risk MSM. Network members were specified by (1) crack smoking and sexual behavior or (2) crack smoking only. Longer incarceration of the crack-smoking and sexual network members was associated with self-reported HIV infection (AOR = 1.61, p < 0.05), which extended up to one's partners' partners' partners (AOR = 1.63, p < 0.05). Similar results were found for trading sex (AOR = 2.77, p < 0.05). The findings of the study call for the development of a system-level HIV intervention among former incarcerated MSM and their associates.
本研究调查了在监狱中吸毒且与男性发生性行为的男同性恋者（MSM）及其同伴复杂的吸食强效可卡因和性网络中的艾滋病毒感染风险。我们估计了网络成员的监禁情况、自我报告的艾滋病毒感染情况以及以性交易换取金钱之间的关联。我们的分析样本包括273名高危男同性恋者的508个吸食强效可卡因或性伴侣关系。网络成员通过以下方式确定：（1）吸食强效可卡因和性行为，或（2）仅吸食强效可卡因。吸食强效可卡因和性网络成员被监禁的时间越长，自我报告的艾滋病毒感染几率越高（比值比[AOR]=1.61，p<0.05），这种关联一直延伸到其伴侣的伴侣的伴侣（比值比[AOR]=1.63，p<0.05）。以性交易换取金钱的情况也有类似结果（比值比[AOR]=2.77，p<0.05）。该研究结果呼吁为曾被监禁的男同性恋者及其同伴制定系统层面的艾滋病毒干预措施。
