Kim M Y, Marmor M, Dubin N, Wolfe H
Department of Environmental Medicine, New York University Medical Center, NY 10010-2598.
AIDS. 1993 Mar;7(3):409-14. doi: 10.1097/00002030-199303000-00016.
To investigate the relationship between heterosexual behaviors associated with HIV infection and ethnicity, sex, and intravenous drug use.
Subjects were recruited from Bellevue Hospital Center, New York City between 1986 and 1989, and interviewed about sexual behaviors and intravenous drug use. Analyses were based on 1561 black, white, or Hispanic individuals who reported having sexual contact with a member of the opposite sex.
Twenty-seven per cent of the study population were black, 43% Hispanic, and 31% white. Blacks were more likely than whites or Hispanics to have initiated sexual intercourse at an early age, and to have had a sexually transmitted disease. Sex with a female drug user was more common among white men, and contact with a prostitute more frequent among Hispanic men. Among the women, Hispanics had fewer sexual risk factors overall than whites or blacks. Use of barrier contraceptives was uniformly low across all ethnic groups. Intravenous drug use was significantly associated with sexual risk-taking. Women were more likely than men to have an intravenous drug-using (IVDU) sexual partner.
The large prevalence of high-risk sexual practices observed in this study emphasizes the continuing need to target AIDS prevention programs at those at highest risk of heterosexually transmitted HIV: racial minorities, IVDU, and their sexual partners.
探讨与艾滋病毒感染相关的异性性行为与种族、性别及静脉吸毒之间的关系。
1986年至1989年期间从纽约市贝尔维尤医院中心招募研究对象，就其性行为和静脉吸毒情况进行访谈。分析基于1561名报告与异性有性接触的黑人、白人或西班牙裔个体。
研究人群中27%为黑人，43%为西班牙裔，31%为白人。黑人比白人和西班牙裔更有可能在早年开始性行为且感染过性传播疾病。与女性吸毒者发生性行为在白人男性中更为常见，与妓女接触在西班牙裔男性中更为频繁。在女性中，西班牙裔总体上比白人和黑人的性风险因素更少。所有种族群体使用屏障避孕法的比例都普遍较低。静脉吸毒与性冒险行为显著相关。女性比男性更有可能有一个静脉吸毒的性伴侣。
本研究中观察到的高风险性行为的高流行率强调了继续将艾滋病预防项目针对那些异性传播艾滋病毒风险最高的人群的必要性：少数种族、静脉吸毒者及其性伴侣。
