RACIAL ETHNIC-DIFFERENCES IN HIV-1 SEROPREVALENCE AND RISKY BEHAVIORS AMONG INTRAVENOUS-DRUG-USERS IN A MULTISITE STUDY

被引:56
作者
KOBLIN, BA
MCCUSKER, J
LEWIS, BF
SULLIVAN, JL
机构
[1] UNIV MASSACHUSETTS,SCH PUBL HLTH,406 ARNOLD HOUSE,AMHERST,MA 01003
[2] SPECTRUM HOUSE INC,WESTBOROUGH,MA
[3] UNIV MASSACHUSETTS,MED CTR,DEPT PEDIAT,AMHERST,MA 01003
关键词
Acquired immunodeficiency syndrome; Ethnology; HIV; Sex behavior; Substance abuse;
D O I
10.1093/oxfordjournals.aje.a115726
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Differences in human immunodeficiency virus type 1 (HIV-1) seroprevalence and patterns of drug-use and sexual behaviors were examined among Hispanic, black, and white intravenous drug users recruited at multiple sites in Worcester, Massachusetts. A total of 1,092 (786 males, 306 females) intravenous drug users were interviewed, and HIV-1 antibody test results were available for 874 (80.0%). After adjustment for demographic differences, black males were significantly less likely to report risky drug-use behaviors (ever sharing needles and recently visiting shooting galleries) compared with white males. In contrast, Hispanic males were significantly more likely to report recent risky drug-use behaviors (sharing needles in New York City, daily needle-sharing, and visiting shooting galleries). Both groups were less likely to report risky sexual behaviors compared with whites. The odds ratios for HIV-1 seropositivity remained significantly greater than 1 for Hispanics compared with whites (odds ratio=4.5) and maintained marginal significance for blacks compared with whites (odds ratio=2.1) when adjusted for risky behaviors and demographic variables. The different patterns of drug-use and sexual behaviors by race/ethnicity indicate the need for interventions targeted to specific populations. © 1990 by The Johns Hopkins University School of Hygiene and Public Health.
引用
收藏
页码:837 / 846
页数:10
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