Schilling R F, el-Bassel N, Gilbert L
Columbia University School of Social Work, New York, New York 10025.
Am J Drug Alcohol Abuse. 1993;19(4):409-22. doi: 10.3109/00952999309001631.
This study identified predictors of reported sexual risk reduction among 109 female injection drug users enrolled in methadone clinics. Univariate analyses were used to examine the individual effects of each variable on the outcome of sexual behavior change over the past 6 months. Multiple logistic regression was then used to identify which of these variables were independently associated with such a change. Women with more than one sexual partner were more likely than women with one or no sexual partner to report changing their sexual behavior. African-American women were less likely than White Anglo or Latina women to report changing their sexual behavior. Women who held stronger beliefs that luck plays the largest role in getting AIDS were less likely to report changing their sexual behavior. Change in sexual behavior was associated with feeling comfortable asking partners to use condoms, higher depression scores, and loss of friends or family to AIDS. The observed relationship between personal susceptibility and depression suggests that risk reduction interventions should also address the depressive symptomatology associated with feelings of vulnerability.
本研究确定了109名在美沙酮诊所登记的女性注射吸毒者中报告的性风险降低的预测因素。采用单因素分析来检验每个变量对过去6个月性行为变化结果的个体影响。然后使用多元逻辑回归来确定这些变量中哪些与这种变化独立相关。有多个性伴侣的女性比有一个或没有性伴侣的女性更有可能报告改变了她们的性行为。非裔美国女性比白人盎格鲁或拉丁裔女性报告改变性行为的可能性更小。那些坚信运气在感染艾滋病中起最大作用的女性报告改变性行为的可能性更小。性行为的改变与向性伴侣要求使用避孕套时感到舒适、更高的抑郁评分以及因艾滋病失去朋友或家人有关。个人易感性与抑郁之间观察到的关系表明，风险降低干预措施也应解决与易受伤害感相关的抑郁症状。
