Halkitis Perry N, Bub Kristen, Stults Christopher B, Bates Francesca C, Kapadia Farzana
a Department of Biostatistics, School of Public Health , Rutgers University , Piscataway Township , New Jersey , USA.
b Department of Social and Behavioral Health Sciences, School of Public Health , Rutgers University , Piscataway Township , New Jersey , USA.
Subst Use Misuse. 2018 Jan 2;53(1):101-113. doi: 10.1080/10826084.2017.1334067. Epub 2017 Aug 18.
HIV/AIDS continues to be a health disparity faced by sexual minority men, and is exacerbated by non-injection drug use.
We sought to delineate growth in non-injection drug use and condomless sex in a sample of racially and economically diverse of gay, bisexual, and other young men who have sex with men (YMSM) as they emerged into adulthood between the ages of 18 and 21 and who came of age in the post-HAART era.
Behavioral data on drug use and condomless sex, collected via a calendar based technique over 7 waves of a cohort study of 600 YMSM, were analyzed using latent growth curve modeling to document patterns of growth in these behaviors, their associations, and the extent to which patterns and associations are moderated by race/ethnicity and socioeconomic status.
Significant growth was noted in the frequencies of condomless oral and anal intercourse, alcohol to intoxication, marijuana use, and inhalant nitrate use. High levels of association were noted between all behaviors across time but associations did not differ by either race/ethnicity or socioeconomic status. The link between drug use and risky sexual behavior continue to be evident in YMSM with significant increases in these behaviors demonstrated as YMSM transition between adolescence and young adulthood. Conclusions/Importance: Healthcare for a new generation of sexual minority males must address the synergy of these behaviors and also nest HIV prevention and care within a larger context of sexual minority health that acknowledges the advances made in the last three decades.
艾滋病毒/艾滋病仍然是性少数群体男性面临的健康差异问题，并且因非注射吸毒而加剧。
我们试图描绘在18至21岁步入成年且处于高效抗逆转录病毒治疗（HAART）时代之后的种族和经济背景各异的男同性恋、双性恋及其他与男性发生性行为的年轻男性（YMSM）样本中，非注射吸毒和无保护性行为的增长情况。
通过基于日历的技术，在一项对600名YMSM的队列研究的7个波次中收集了关于吸毒和无保护性行为的行为数据，并使用潜在增长曲线模型进行分析，以记录这些行为的增长模式、它们之间的关联，以及这些模式和关联在多大程度上受到种族/族裔和社会经济地位的调节。
无保护口交和肛交、饮酒至醉酒、使用大麻以及使用吸入性硝酸盐的频率有显著增长。所有行为在不同时间之间都存在高度关联，但这种关联在种族/族裔或社会经济地位方面并无差异。在YMSM中，吸毒与危险性行为之间的联系仍然明显，随着YMSM从青春期过渡到青年期，这些行为有显著增加。结论/重要性：针对新一代性少数男性的医疗保健必须应对这些行为的协同作用，并且还应将艾滋病毒预防和护理纳入更广泛的性少数群体健康背景中，承认过去三十年所取得的进展。
