Conners Erin E, Swanson Kate, Morales-Miranda Sonia, Fernández Casanueva Carmen, Mercer Valerie J, Brouwer Kimberly C
Department of Medicine, University of California, San Diego, La Jolla, CA, USA.
Graduate School of Public Health, San Diego State University, San Diego, CA, USA.
AIDS Behav. 2017 Jul;21(7):2033-2045. doi: 10.1007/s10461-017-1726-5.
This study assessed correlates of inconsistent condom use with casual partners and the prevalence of sexual risk behaviors and STIs in the Mexico/Guatemala border region using a sample of 392 migrants (303 men, 85 women) who reported current substance use or problem drinking. We ran separate univariate logistic regression models for men and women, and multivariate logistic regression models for men only. Prevalence of syphilis was 1.2% among women and 2.3% among men; HIV prevalence was 2.4% among women and 1.3% among men. Inconsistent condom use with casual partners was higher in women with greater education and lower among women who sold sex. In men, less access to free condoms, drug use with sexual partners, and drug use before sex were independently associated with inconsistent condom use with casual partners. Sexual and substance use risk behaviors were common, and HIV/STI prevention efforts should target both genders and expand beyond most-at risk populations.
本研究以392名报告当前有药物使用或酗酒问题的移民（303名男性，85名女性）为样本，评估了墨西哥/危地马拉边境地区与临时伴侣不一致使用避孕套的相关因素以及性风险行为和性传播感染的流行情况。我们分别对男性和女性进行了单变量逻辑回归模型分析，仅对男性进行了多变量逻辑回归模型分析。女性梅毒患病率为1.2%，男性为2.3%；女性艾滋病毒患病率为2.4%，男性为1.3%。受教育程度较高的女性与临时伴侣不一致使用避孕套情况较多，而从事性交易的女性中这种情况较少。在男性中，获得免费避孕套的机会较少、与性伴侣一起吸毒以及性行为前吸毒与与临时伴侣不一致使用避孕套独立相关。性和药物使用风险行为很常见，艾滋病毒/性传播感染预防工作应针对男女两性，且应扩大到高危人群之外。
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