Robles R R, Cancel L I, Colón H M, Matos T D, Freeman D H, Sahai H
Research Institute, Mental Health and Anti Addiction Services Administration, San Juan, Puerto Rico.
Addiction. 1995 Aug;90(8):1105-11. doi: 10.1046/j.1360-0443.1995.90811059.x.
The relationship between perceived risk of developing AIDS and subsequent behavioral risk status is estimated for 1740 Puerto Rican injection drug users (IDUs). Prospective behavioral effects were examined comparing data collected at two intervals approximately 6 months apart. We estimated the association between perceived risk at baseline and risky behaviors at follow-up with unadjusted odds ratios. We confirmed the results with adjusted odds ratios using logistic regressions which included baseline risk status as well as socio-demographic and health status covariates. The analyses showed that having a high HIV/AIDS risk perception was related to subsequent sharing of needles, injection of drugs in shooting galleries and sharing of cookers. None of the tests between risk perception and sex risk behaviors showed a significance association. Increasing IDUs' perceived vulnerability to HIV/AIDS might not be effective in helping reduce HIV risk behaviors. IDUs perceiving themselves to be at high risk of AIDS might believe there is little they can do to reverse the consequences of risky behavior.
我们对1740名波多黎各注射吸毒者（IDU）的艾滋病发病感知风险与后续行为风险状况之间的关系进行了评估。通过比较相隔约6个月的两个时间段收集的数据，研究了前瞻性行为效应。我们用未调整的比值比估计了基线时的感知风险与随访时的危险行为之间的关联。我们使用逻辑回归，通过调整后的比值比来确认结果，逻辑回归中纳入了基线风险状况以及社会人口统计学和健康状况协变量。分析表明，对艾滋病毒/艾滋病风险的高感知与随后的共用针头、在射击馆注射毒品以及共用炊具有关。风险感知与性风险行为之间的所有测试均未显示出显著关联。提高注射吸毒者对艾滋病毒/艾滋病的感知易感性可能无助于减少艾滋病毒风险行为。认为自己感染艾滋病风险高的注射吸毒者可能认为自己几乎无法改变危险行为带来的后果。
