男男性行为者（MSM）和女性、仅男男性行为者（MSMO）和仅与女性发生性行为的男性（MSWO）中的药物使用与性传播 HIV 风险：网络视角。
Drug Use and Sexual HIV Transmission Risk Among Men Who have Sex with Men and Women (MSMW), Men Who have Sex with Men only (MSMO), and Men Who have Sex with Women Only (MSWO) and the Female Partners of MSMW and MSWO: A Network Perspective.
机构信息
Department of Epidemiology and Biostatistics, The University of Maryland, 2234FF School of Public Health, College Park, MD, 20742, USA.
Population Health, New York University School of Medicine, New York, NY, USA.
出版信息
AIDS Behav. 2017 Dec;21(12):3590-3598. doi: 10.1007/s10461-017-1736-3.
Abstract
We described drug use, sex risk, and STI/HIV among men who have sex with men and women (MSMW) and their female partners. We used the Network, Norms and HIV/STI Risk among Youth (NNAHRAY) study to evaluate drug use, sex risk, and biologically-confirmed STI/HIV in (1) MSMW and men who had sex with men only (MSMO) versus men who had sex with women only (MSWO) and (2) female partners of MSMW versus female partners of MSWO (N = 182 men, 152 women). MSMW versus MSWO had 30 to 60% increased odds of substance use, over twice the odds of multiple partnerships, and almost five times the odds of sex trade and HIV infection. Female partners of MSMW versus female partners of MSWO had approximately twice the odds of substance use and 1.5-2 times the odds of multiple partnerships and sex trade. Interventions should address STI/HIV risk among MSMW and their female partners.
摘要
我们描述了男男性行为者和女性（MSMW）及其女性性伴侣中的药物使用、性风险和性传播感染/艾滋病毒（STI/HIV）情况。我们使用网络、规范和青年中的 HIV/STI 风险（NNAHRAY）研究评估了（1）MSMW 和仅与男性发生性关系的男男性行为者（MSMO）与仅与女性发生性关系的男男性行为者（MSWO）以及（2）MSMW 的女性性伴侣与 MSWO 的女性性伴侣之间的药物使用、性风险和经生物学确认的 STI/HIV。MSMW 与 MSWO 相比，药物使用的可能性增加了 30%至 60%，多伙伴关系的可能性增加了一倍以上，性交易和艾滋病毒感染的可能性增加了近五倍。MSMW 的女性性伴侣与 MSWO 的女性性伴侣相比，药物使用的可能性增加了约两倍，多伙伴关系和性交易的可能性增加了 1.5-2 倍。干预措施应针对 MSMW 及其女性性伴侣的性传播感染/艾滋病毒风险。
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