Associations between drug use and sexual risks among heterosexual men in the Philippines

作者：Regan Rotrease^*; Dyer Typhanye Penniman; Gooding Taigy; Morisky Donald E

来源：International Journal of STD & AIDS, 2013, 24(12): 969-976.

DOI：10.1177/0956462413490412

• Male clients of sex workers
• non-injection drugs
• HIV
• AIDS
• STI

The relationship between drug use and sexual risk behaviours among 2272 men in the southern Philippines was assessed. Over 20% of participants used drugs. Logistic regression analyses adjusted for age, marital status, income, occupation and geographic region revealed that compared to non-drug users, men who used drugs had earlier sexual debuts (adjusted odds ratio=1.73; 95% confidence interval=1.38-2.17), were more likely to report two or more recent sexual partners (adjusted odds ratio=2.22; 95% confidence interval=1.59-3.11), and were more likely to report ever having sex with a female sex worker (adjusted odds ratio=2.99; 95% confidence interval=2.25-4.00). Condom use was noted to be low overall among the men in this study; however, the odds of more frequent condom use with a regular partner were greater for men who used drugs compared to non-drug users (adjusted odds ratio=1.60; 95% confidence interval=1.26-2.02). There were no significant differences in condom use during last sex or frequency of condom use with a sex worker. While injection drug use was not common (1%), use of oral or inhaled substances was prevalent, and associated with increased sexual risk for acquisition and transmission of STI/HIV. Efforts to decrease STI/HIV transmission should specifically target non-injection drug use as a risk factor.

• 出版日期2013-12