Gollub E L, Rey D, Obadia Y, Moatti J P
Philadelphia Department of Public Health, Pennsylvania, USA.
Sex Transm Dis. 1998 Oct;25(9):483-8. doi: 10.1097/00007435-199810000-00008.
Risk-taking behaviors differ among women and men injection drug users (IDU).
To specify the nature of sexual and drug risk-taking among women IDU and ex-IDU and how it relates to partner characteristics.
A cross-sectional analysis of 324 HIV+ subjects enrolled into a prospective cohort study in Marseille, France.
Women, as compared with men, were considerably more likely to report nonuse of condoms with a main partner (31% versus 12%). They were more likely to shoot with a partner at last injection (39% versus 12%), but far less likely to sterilize used needles (4% versus 16%). Two thirds of both men and women reported consistent condom use with a seronegative partner, but only 47% of men and 23% of women reported the same with a seropositive partner. Among the women only, needle and syringe sharing was associated with consistent use of a condom.
Women reported behaviors which protect their partners from STD infection more frequently than behaviors which protect themselves. Greater attention must be paid to sexual risk-taking among HIV+ women.
男女注射吸毒者的冒险行为存在差异。
明确女性注射吸毒者及既往注射吸毒者的性与毒品冒险行为的本质，以及这些行为与性伴侣特征的关系。
对法国马赛一项前瞻性队列研究中纳入的324名HIV阳性受试者进行横断面分析。
与男性相比，女性更有可能报告在与主要性伴侣发生性行为时不使用避孕套（31%对12%）。她们在最后一次注射时更有可能与伴侣共用注射器（39%对12%），但对用过的针头进行消毒的可能性要小得多（4%对16%）。三分之二的男性和女性报告与血清学阴性伴侣始终使用避孕套，但只有47%的男性和23%的女性报告与血清学阳性伴侣始终使用避孕套。仅在女性中，共用针头和注射器与始终使用避孕套有关。
女性报告的保护伴侣免受性传播疾病感染的行为比保护自己的行为更频繁。必须更加关注HIV阳性女性的性冒险行为。
