美国接受常规 HIV 护理的女性、男男性行为者和男女性行为者中的酒精使用模式及随后的性行为。

Alcohol Use Patterns and Subsequent Sexual Behaviors Among Women, Men who have Sex with Men and Men who have Sex with Women Engaged in Routine HIV Care in the United States.

机构信息

Department of Psychiatry, Johns Hopkins University School of Medicine, Meyer 3-147, 600 N. Wolfe St, Baltimore, MD, 21287, USA.

Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.

出版信息

AIDS Behav. 2019 Jun;23(6):1634-1646. doi: 10.1007/s10461-018-2337-5.

DOI:10.1007/s10461-018-2337-5

PMID:30443807

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6830881/

Abstract

Among people with HIV, alcohol use is associated with increased prevalence of sexual transmission behaviors. We examined associations between alcohol use in the prior year and sexual behaviors approximately six months later among 1857 women, 6752 men who have sex with men (MSM) and 2685 men who have sex with women (MSW). Any alcohol use was associated with increased risk of unsafe vaginal sex among women; anal sex and =>2 anal sex partners among MSM; and anal sex, =>2 anal or vaginal sex partners, and unsafe vaginal sex among MSW. In particular, among women >7 alcoholic drinks/week and among MSW =>5 alcoholic drinks/drinking day increased the likelihood of certain subsequent sexual behaviors. For all groups, especially women, the risk of sex under the influence of drugs/alcohol markedly increased with increases in quantity and frequency of alcohol consumption. These different patterns of drinking and sexual behaviors indicate the importance of tailored counseling messages to women, MSM and MSW.

摘要

在 HIV 感染者中，饮酒与性传播行为的发生率增加有关。我们研究了 1857 名女性、6752 名男男性接触者（MSM）和 2685 名男女性接触者（MSW）中，过去一年的饮酒行为与大约六个月后性行为之间的关联。任何饮酒行为都与女性发生不安全阴道性行为的风险增加有关；与 MSM 发生肛交和=>2 名肛交伴侣有关；与 MSW 发生肛交、=>2 名肛交或阴道交伴侣和不安全阴道性行为有关。特别是在每周饮酒>7 次的女性和每天饮酒>5 次的 MSW 中，某些后续性行为的可能性增加。对于所有人群，尤其是女性，随着饮酒量和频率的增加，在药物/酒精影响下发生性行为的风险显著增加。这些不同的饮酒和性行为模式表明，需要针对女性、MSM 和 MSW 提供有针对性的咨询信息。