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描述菲律宾艾滋病毒危机新兴时期跨性别女性和顺性别男性的药物滥用问题:对政策研究的启示。

Characterizing Problematic Drug Use Among Transgender Women and Cisgender Men During the Emerging HIV Crisis in the Philippines: Implications for Policy Research.

机构信息

University of Washington School of Public Health, Seattle, Washington and Johns Hopkins University, Bloomberg School of Public Health, Baltimore, Maryland.

Brown University School of Public Health, Providence, Rhode Island.

出版信息

AIDS Educ Prev. 2022 Apr;34(2):116-130. doi: 10.1521/aeap.2022.34.2.116.

Abstract

Drug use and HIV are key issues for public health interventions in the Philippines. We examined associations of problematic drug use among 320 Filipinx transgender women (trans-WSM) and cisgender men who have sex with men (cis-MSM). The prevalence of exhibited problematic drug use in this sample was 29.38%. Greater odds of problematic drug use were observed among Filipinx participants who recently engaged in sex work (adjusted OR [aOR] = 2.79, 95% CI [1.08, 7.18]), reported having HIV positive and unknown status vs. negative status (aOR = 3.61, 95% CI [1.39, 9.39], and aOR = 13.99, 95% CI [2.04, 29.69], respectively), exhibited low HIV knowledge (aOR = 4.15, 95% CI [1.82, 9.44]), and displayed hazardous drinking (aOR = 2.77, 95% CI [1.21, 6.33]). Given its correlates of HIV-related indicators, integration of HIV and harm reduction services as a public health intervention could potentially decrease problematic drug use.

摘要

药物使用和艾滋病病毒是菲律宾公共卫生干预的关键问题。我们研究了 320 名菲律宾跨性别女性(跨性别女性)和与男性发生性关系的顺性别男性(顺性别男性)中存在的药物使用问题之间的关联。该样本中表现出的药物使用问题的流行率为 29.38%。在最近从事性工作的菲律宾参与者中,药物使用问题的可能性更大(调整后的比值比 [aOR] = 2.79,95%置信区间 [1.08, 7.18]),报告 HIV 阳性和未知状态与阴性状态(aOR = 3.61,95%置信区间 [1.39, 9.39],和 aOR = 13.99,95%置信区间 [2.04, 29.69]),表现出低 HIV 知识(aOR = 4.15,95%置信区间 [1.82, 9.44]),和显示危险饮酒(aOR = 2.77,95%置信区间 [1.21, 6.33])。鉴于其与 HIV 相关指标的相关性,将 HIV 和减少伤害服务整合为公共卫生干预措施,可能会减少药物使用问题。

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