越南有注射吸毒史人群中的酒精使用、艾滋病毒治疗依从性及性风险
Alcohol Use, HIV Treatment Adherence, and Sexual Risk Among People with a History of Injecting Drug Use in Vietnam.
作者信息
Li Li, Luo Sitong, Lan Chiao-Wen, Lin Chunqing, Tuan Le Anh, Feng Nan, Tuan Nguyen Anh
机构信息
Semel Institute for Neuroscience and Human Behavior, University of California, 10920 Wilshire Blvd., Suite 350, Los Angeles, CA, 90024, USA.
National Institute of Hygiene and Epidemiology, Hanoi, Vietnam.
出版信息
AIDS Behav. 2017 Nov;21(Suppl 2):167-173. doi: 10.1007/s10461-017-1860-0.
Abstract
Alcohol use can limit the effectiveness of antiretroviral therapy (ART) for people living with HIV (PLH) who have a history of injecting drug use. This study described the patterns of alcohol use among PLH with a history of injecting drug use in Vietnam and examined the relationships between alcohol use, adherence to ART, and sexual risks. We utilized cross-sectional data of 109 PLH on ART collected from a randomized controlled intervention trial in Vietnam. Approximately 30 and 46% of the participants were frequent and occasional drinkers, respectively. Frequent drinkers reported the highest number of missed medication days. About 61% of frequent drinkers reported having sex after using alcohol. Additionally, 23, 34, and 24% of nondrinkers, occasional drinkers, and frequent drinkers, respectively, reported inconsistent condom use during sex. Future intervention programs should address the issues of alcohol use and sexual risks to maximize the effectiveness of HIV treatment programs in Vietnam.
摘要
对于有注射吸毒史的艾滋病毒感染者（PLH）而言，饮酒会降低抗逆转录病毒疗法（ART）的疗效。本研究描述了越南有注射吸毒史的艾滋病毒感染者的饮酒模式，并探讨了饮酒、抗逆转录病毒疗法依从性和性风险之间的关系。我们利用了从越南一项随机对照干预试验中收集的109名接受抗逆转录病毒疗法的艾滋病毒感染者的横断面数据。分别约有30%和46%的参与者为频繁饮酒者和偶尔饮酒者。频繁饮酒者报告的漏服药物天数最多。约61%的频繁饮酒者报告在饮酒后发生性行为。此外，不饮酒者、偶尔饮酒者和频繁饮酒者中分别有23%、34%和24%报告在性行为中使用避孕套的情况不一致。未来的干预项目应解决饮酒和性风险问题，以最大限度提高越南艾滋病毒治疗项目的效果。
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