Ostrow D G
Community Health Behavior Program, Medical College of Wisconsin, Milwaukee.
Psychiatr Clin North Am. 1994 Mar;17(1):69-89.
This article reviews what is known about the relationships between recreational psychoactive substance use and HIV infection and sexual behaviors that can transmit HIV. The focus of this article is on nonparenterally used recreational substances and their relationship to HIV transmission behaviors, specifically high-risk sexual behaviors of one of the largest groups of persons at risk for infection--self-identified gay and bisexual men. Published and unpublished studies in this area are reviewed in terms of a hierarchy of epidemiologic evidence that ranges from global associations between substance use and high-risk sexual behaviors to prospective studies of substance use in the context of sexual encounters and incident rates of HIV infection. This article also discusses the secondary community impact of these associations and their intervention implications.
本文综述了关于使用消遣性精神活性物质与感染艾滋病毒以及可能传播艾滋病毒的性行为之间关系的已知情况。本文重点关注非注射使用的消遣性物质及其与艾滋病毒传播行为的关系，特别是最大的感染风险人群之一——自我认定的男同性恋者和双性恋者的高危性行为。根据流行病学证据的层次结构，对该领域已发表和未发表的研究进行了综述，这些证据从物质使用与高危性行为之间的总体关联到在性接触背景下对物质使用的前瞻性研究以及艾滋病毒感染的发病率。本文还讨论了这些关联对社区的间接影响及其干预意义。
