Historique
Périodique
Condom use rates for specific sexual behaviors among opioid abusers entering treatment
(Taux d'utilisation des préservatifs chez les héroïnomanes débutant un traitement)
Auteur(s) :
V. L. KING ;
R. K. BROONER ;
G. E. BIGELOW ;
C. W. SCHMIDT ;
FELCH L.J. ;
GAZAWAY P.M.
Refs biblio. :
28
Domaine :
Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Discipline :
EPI (Epidémiologie / Epidemiology)
Note générale :
Drug and Alcohol Dependence, 1994, 35, 231-238
Résumé :
FRANÇAIS :
L'étude effectuée chez 165 toxicomanes débutant un traitement ambulatoire de substitution par la méthadone, montre qu'en fait, ces patients ont en moyenne un partenaire sexuel. Peu d'entre-eux se prostituent et 15% utilisent des préservatifs, ce qui correspond à la moyenne de la population générale. Toutefois les toxicomanes intraveineux demeurent un groupe à risque, auprès duquel l'information concernant la prévention du sida doit accompagner les mesures de soins.
ENGLISH :
A structured interview was used to determine the details of high risk sexual behaviors, including number of sexual partners, frequency of condom use, and involvement in commercial sexual activity in 165 opioid abusers entering out-patient methadone substitution therapy. The median number of sexual partners in the sample was one, and 95% were sexually active in the past year. Most patients (84%) denied any commercial sexual activity and reported rates of monogamy and sexual abstinence (81%), and rates of condom use (15%), that were comparable with reports from general populations surveys. However, intravenous drug abusers (IVSAs) remain at higher risk for exposure to HIV-1 because they are likelier to have sexual contact with other IVDAs and former IVDAs. Continuing efforts are needed to improve the safe sex practices of IVDAs, but it may be a significant challenge to reduce their high risk sexual behavior considerably below that of the general population. (Extract from author's abstract)
L'étude effectuée chez 165 toxicomanes débutant un traitement ambulatoire de substitution par la méthadone, montre qu'en fait, ces patients ont en moyenne un partenaire sexuel. Peu d'entre-eux se prostituent et 15% utilisent des préservatifs, ce qui correspond à la moyenne de la population générale. Toutefois les toxicomanes intraveineux demeurent un groupe à risque, auprès duquel l'information concernant la prévention du sida doit accompagner les mesures de soins.
ENGLISH :
A structured interview was used to determine the details of high risk sexual behaviors, including number of sexual partners, frequency of condom use, and involvement in commercial sexual activity in 165 opioid abusers entering out-patient methadone substitution therapy. The median number of sexual partners in the sample was one, and 95% were sexually active in the past year. Most patients (84%) denied any commercial sexual activity and reported rates of monogamy and sexual abstinence (81%), and rates of condom use (15%), that were comparable with reports from general populations surveys. However, intravenous drug abusers (IVSAs) remain at higher risk for exposure to HIV-1 because they are likelier to have sexual contact with other IVDAs and former IVDAs. Continuing efforts are needed to improve the safe sex practices of IVDAs, but it may be a significant challenge to reduce their high risk sexual behavior considerably below that of the general population. (Extract from author's abstract)
Affiliation :
Behav. Biol. Res. Ctr, 5510 Nathan Shock Drive, Baltimore MD 21224
Etats-Unis. United States.
Etats-Unis. United States.
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