Marks G, Cantero P J, Simoni J M
Department of Preventive Medicine, University of Southern California, USA.
AIDS Care. 1998 Jun;10(3):283-95. doi: 10.1080/713612418.
This cross-sectional study of 226 HIV-positive Latino men and women sampled and assessed at an outpatient HIV clinic in Los Angeles examined the associations among acculturation, use of a substance before sex, and unsafe sexual behaviour. As acculturation increased, men and women were increasingly likely to have engaged in unsafe sex in the most recent sexual encounter since testing seropositive. In men, the association was partially mediated by use of a substance (primarily alcohol) in the three hours before the sexual encounter; in women, the association was not mediated by drug use. The findings underscore the need for culturally sensitive, secondary prevention programmes for HIV-positive persons.
这项横断面研究对洛杉矶一家门诊艾滋病毒诊所抽样并评估的226名艾滋病毒呈阳性的拉丁裔男性和女性进行了调查，研究了文化适应、性行为前使用药物与不安全性行为之间的关联。随着文化适应程度的提高，男性和女性在检测出血清呈阳性后的最近一次性交中进行不安全性行为的可能性越来越大。在男性中，这种关联部分是由性交前三小时使用药物（主要是酒精）介导的；在女性中，这种关联不是由药物使用介导的。研究结果强调了为艾滋病毒呈阳性者制定具有文化敏感性的二级预防方案的必要性。
