Scheidt D M, Windle M
Research Institute on Addictions, Buffalo, New York, USA.
Health Psychol. 1996 May;15(3):185-92. doi: 10.1037//0278-6133.15.3.185.
Alcoholics in treatment have demonstrated increased rates of HIV risk behavior and infection. This study explored individual and situational variables associated with HIV risk behaviors such as condom nonuse and sex with nonprimary partners reported during structured interviews of 802 male and female alcoholic inpatients. Logistic regression analyses indicated that person variables, sexual history variables, and situation variables were independently associated with sexual risk behavior in the most recent episode. Results of paired t tests revealed that participants who had engaged in sex with both primary and nonprimary partners during the previous 6 months reported significantly more frequent alcohol and condom use in situations involving sex with nonprimary partners. Prevention efforts need to target alcoholic inpatients as a group and, within this group, to focus on both high-risk individuals and high-risk situations.
接受治疗的酗酒者表现出更高的艾滋病毒风险行为发生率和感染率。本研究探讨了与艾滋病毒风险行为相关的个体和情境变量，这些行为包括在对802名男女酗酒住院患者进行的结构化访谈中报告的不使用避孕套以及与非主要伴侣发生性行为。逻辑回归分析表明，个人变量、性史变量和情境变量与最近一次发作中的性风险行为独立相关。配对t检验结果显示，在过去6个月内与主要伴侣和非主要伴侣都发生过性行为的参与者报告称，在与非主要伴侣发生性行为的情况下，饮酒和使用避孕套的频率明显更高。预防工作需要以酗酒住院患者群体为目标，并且在这个群体中，既要关注高危个体，也要关注高危情境。
