binge 饮酒、HIV/HPV 合并感染风险和 HIV 检测：与美国年轻人 HPV 疫苗接种相关的因素。
Binge drinking, HIV/HPV co-infection risk, and HIV testing: Factors associated with HPV vaccination among young adults in the United States.
机构信息
Department of Biology, Texas A&M University, Butler Hall, 3258, 525 Lubbock Street, College Station, TX 77843, United States of America.
Texas A&M University, College of Education and Human Development, Department of Health and Kinesiology, Division of Health Education, United States of America.
出版信息
Prev Med. 2020 May;134:106023. doi: 10.1016/j.ypmed.2020.106023. Epub 2020 Feb 28.
Human papillomavirus (HPV) is a common sexually transmitted infection. Binge drinkers often engage in HIV/HPV co-infection high-risk behaviors. We examined the association between binge drinking, HIV/HPV co-infection risk, HIV testing and HPV vaccination among young adults. Data from the 2017 Behavioral Risk Factor Surveillance System survey were examined. Participants (N = 430/450,016; 0.11%) were HPV vaccine-eligible young adults ages 18-26 years. Multivariable logistic regression examined the association between binge drinking in the past 30 days, HIV/HPV co-infection high-risk risk behaviors, HIV testing, and HPV vaccination (initiated/completed, unvaccinated) among young adults. Respondents were primarily cisgender (99.8%), non-Hispanic White (41.4%), employed (46.2%) or student (35.4%), and insured (68.2%). Most did not binge drink (55.2%). The majority did not engage in HIV/HPV co-infection high-risk risk behaviors (78.2%). More than one-half had never been tested for HIV (59%) nor vaccinated against HPV (60.6%). Although binge drinkers (44.8%) were significantly more likely to engage in HIV/HPV co-infection high-risk behaviors (OR = 2.1; 95% CI: 1.0-4.5), binge drinking was not positively associated with HIV testing (OR = 0.98; 95% CI: 0.63-1.53). After adjusting for demographics and HIV/HPV co-infection high-risk behaviors, one (aOR = 2.71; 95% CI: 1.11-6.65) and two episodes (aOR = 3.05; 95% CI: 1.26-7.41) of binge drinking in the past 30 days were significantly associated with HPV vaccination uptake. Positive associations between HPV vaccination and participants having an HIV test in 2017 (aOR = 3.86; 95% CI: 1.42-10.55) and before 2017 (aOR = 2.62; 95% CI: 1.23-5.56) were also statistically significant. Because young adult binge drinkers are more likely to engage in HIV/HPV co-infection high-risk behaviors, promoting HPV vaccination and HIV testing are important public health objectives.
人乳头瘤病毒（HPV）是一种常见的性传播感染。狂饮者经常从事 HIV/HPV 合并感染的高危行为。我们研究了年轻成年人中狂饮、HIV/HPV 合并感染风险、HIV 检测和 HPV 疫苗接种之间的关联。对 2017 年行为危险因素监测系统调查的数据进行了检查。参与者（N=430/450,016；0.11%）为 18-26 岁的 HPV 疫苗合格的年轻成年人。多变量逻辑回归检查了过去 30 天内狂饮、HIV/HPV 合并感染高危行为、HIV 检测和 HPV 疫苗接种（开始/完成，未接种）之间的关系。受访者主要是顺性别（99.8%）、非西班牙裔白人（41.4%）、就业（46.2%）或学生（35.4%），并获得保险（68.2%）。大多数人没有狂饮（55.2%）。大多数人没有从事 HIV/HPV 合并感染的高危行为（78.2%）。超过一半的人从未接受过 HIV 检测（59%）或 HPV 疫苗接种（60.6%）。尽管狂饮者（44.8%）更有可能从事 HIV/HPV 合并感染的高危行为（OR=2.1；95%CI：1.0-4.5），但狂饮与 HIV 检测没有正相关（OR=0.98；95%CI：0.63-1.53）。调整人口统计学和 HIV/HPV 合并感染高危行为后，过去 30 天内发生一次（调整后的比值比[aOR]=2.71；95%CI：1.11-6.65）和两次（aOR=3.05；95%CI：1.26-7.41）狂饮与 HPV 疫苗接种率显著相关。HPV 疫苗接种与参与者在 2017 年（aOR=3.86；95%CI：1.42-10.55）和 2017 年之前（aOR=2.62；95%CI：1.23-5.56）接受 HIV 检测之间的阳性关联也具有统计学意义。
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