纽约市年轻成年非医用阿片类药物使用者的性风险与传播行为、性伴侣关系及场所
Sexual Risk and Transmission Behaviors, Partnerships and Settings Among Young Adult Nonmedical Opioid Users in New York City.
作者信息
Friedman S R, Mateu-Gelabert P, Ruggles K V, Goodbody E, Syckes C, Jessell L, Teubl Jennifer, Guarino H
机构信息
Institute for Infectious Disease Research, National Development and Research Institutes, 71 West 23rd Street, 4th Floor, New York, NY, 10010, USA.
Department of Population Health, New York University School of Medicine, New York, NY, USA.
出版信息
AIDS Behav. 2017 Apr;21(4):994-1003. doi: 10.1007/s10461-016-1672-7.
Abstract
Nonmedical prescription opioid use has become widespread. It can lead to heroin use, drug injection and HIV infection. We describe young adult opioid users' sexual risk behavior, partnerships and settings. 464 youth aged 18-29 who reported opioid use in the past 30 days were recruited using Respondent-Driven Sampling. Eligible participants completed a computer-assisted, interviewer-administered risk questionnaire and were tested for STIs and HIV. Participants (33% female; 66% white non-Hispanic) almost all had sex in the prior 90 days; 42% reported more than one partner. Same-sex sex was reported by 3% of men and 10% of women. Consistent condom use was rare. Seven percent reported group sex participation in the last 90 days but lifetime group sex was common among men and women. Young opioid users' unprotected sex, multiple partners and group sex puts them and others at high HIV and STI risk.
摘要
非医疗用途的处方阿片类药物使用已变得十分普遍。它可能导致海洛因使用、药物注射和艾滋病毒感染。我们描述了年轻成年阿片类药物使用者的性风险行为、性伴侣关系及所处环境。采用应答驱动抽样法招募了464名年龄在18至29岁之间、在过去30天内报告使用过阿片类药物的年轻人。符合条件的参与者完成了一份由计算机辅助、访员执行的风险调查问卷，并接受了性传播感染和艾滋病毒检测。参与者（33%为女性；66%为非西班牙裔白人）几乎所有人在之前的90天内都有过性行为；42%的人报告有不止一个性伴侣。3%的男性和10%的女性报告有同性性行为。坚持使用避孕套的情况很少见。7%的人报告在过去90天内参与过群交，但群交在男性和女性的一生中都很常见。年轻的阿片类药物使用者的无保护性行为、多个性伴侣和群交行为使他们自己及他人面临感染艾滋病毒和性传播感染的高风险。
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