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HIV 阳性男男性行为者的高危行为及其与心理健康、抗逆转录病毒治疗依从性和 HIV 指标的关联。

High-risk behaviours, and their associations with mental health, adherence to antiretroviral therapy and HIV parameters, in HIV-positive men who have sex with men.

机构信息

University College London, London, UK.

Brighton and Sussex Medical School, Brighton, UK.

出版信息

HIV Med. 2019 Feb;20(2):131-136. doi: 10.1111/hiv.12690. Epub 2018 Dec 12.

Abstract

OBJECTIVES

To investigate the patterns and frequency of multiple risk behaviours (alcohol, drugs, smoking, higher risk sexual activity) among men who have sex with men (MSM) living with HIV.

METHODS

Cross sectional study.

RESULTS

147 out of 819 HIV-positive MSM exhibited a high-risk phenotype (defined as >3 of smoking, excess alcohol, sexually transmitted infection and recent recreational drug use). This phenotype was associated with younger age, depressive symptoms and <90% adherence in multivariable logistic regression.

CONCLUSION

In a cohort of MSM, a small, but significant proportion exhibited multiple concurrent risk behaviours.

摘要

目的

调查与 HIV 共生存的男男性行为者(MSM)中多种危险行为(饮酒、吸毒、吸烟、高风险性行为)的模式和频率。

方法

横断面研究。

结果

在 819 名 HIV 阳性 MSM 中,有 147 名表现出高危表型(定义为吸烟、过量饮酒、性传播感染和最近的娱乐性药物使用>3 项)。在多变量逻辑回归中,这种表型与年龄较小、抑郁症状和 <90%的依从性有关。

结论

在 MSM 队列中,一小部分人表现出多种同时存在的危险行为。

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