Ongoing high-risk sexual behaviors in relation to recreational drug use in sexual encounters Analysis of 5 years of data from the Toronto sexual contact study
Identifieur interne : 000079 ( Istex/Corpus ); précédent : 000078; suivant : 000080Ongoing high-risk sexual behaviors in relation to recreational drug use in sexual encounters Analysis of 5 years of data from the Toronto sexual contact study
Auteurs : Liviana M. Calzavara ; Randall A. Coates ; Janet M. Raboud ; Vernon T. Farewell ; Stanley E. Read ; Frances A. Shepherd ; Mary M. Fanning ; Douglas MacfaddenSource :
- Annals of Epidemiology [ 1047-2797 ] ; 1993.
English descriptors
- Teeft :
- Anal, Anal insertive, Ational drug, Calzavara, Celibate visits, Coates, Cocaine, Cohort, Cohort members, Condom, Confidence interval, Contact study, Current study, High risk, Higher risk, Homosexual, Independent variables, International conference, Main analysis, Male homosexuals, Odds ratio, Odds ratios, Ongoing, Ontario ministry, Other studies, Popper, Potential risks, Preventive medicine, Primary case patient, Prospective study, Public health, Receptive, Receptive fellatio, Recreational, Recreational drug, Recreational drugs, Risk categories, Risk factors, Risk level, Risk levels, Risk score, Sars, Seroconversion, Seroconversion rates, Sexual activities, Sexual activity, Sexual behavior, Sexual behaviors, Sexual encounter, Sexual encounters, Sexual histories, Sexual partners, Sexual relationships, Significant decline, Strong association, Study design, York city.
Abstract
Abstract: The current study investigated the association between the use of recreational drugs at the time of sexual activity and high-risk sexual behavior in a Toronto cohort of 249 homosexual and bisexual men over a 5-year period commencing in 1984 to 1985 and concluding in 1989 to 1990. The main analysis was based on a total of 2536 visits. Univariate and multivariate Liang-Zeger regression models were used to relate the log of the sexual activity score (SARS) to the independent variables over the 20 follow-up visits while controlling for intercorrelations between variables from the same respondent. We found that there was a significant decline, over time, in the sexual activities that pose a higher risk of infection with human immunodeficiency virus. Recreational drugs still appear to be playing an important role in the continuation of higher-risk sexual activities. The use of poppers in conjunction with sex is a strong predictor of high-risk activity, as is use of alcohol and marijuana in conjunction with sex. Also, simultaneously strongly associated with higher-risk score is the Centers for Disease Control classification II. More emphasis needs to be placed on educating the population about the potential risks of combining recreational drugs with sexual activity. Ann Epidemiol 1993;3:272–280.
Url:
DOI: 10.1016/1047-2797(93)90030-8
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ISTEX:622A761E9BF88938778013185629DA5490E9AC45Le document en format XML
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Calzavara</name><affiliation><mods:affiliation>From the Department of Preventive Medicine and Biostatistics Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</mods:affiliation></affiliation></author><author><name sortKey="Coates, Randall A" sort="Coates, Randall A" uniqKey="Coates R" first="Randall A." last="Coates">Randall A. Coates</name><affiliation><mods:affiliation>From the Department of Preventive Medicine and Biostatistics Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</mods:affiliation></affiliation></author><author><name sortKey="Raboud, Janet M" sort="Raboud, Janet M" uniqKey="Raboud J" first="Janet M." last="Raboud">Janet M. Raboud</name><affiliation><mods:affiliation>From the Department of Preventive Medicine and Biostatistics Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</mods:affiliation></affiliation></author><author><name sortKey="Farewell, Vernon T" sort="Farewell, Vernon T" uniqKey="Farewell V" first="Vernon T." last="Farewell">Vernon T. Farewell</name><affiliation><mods:affiliation>From the Department of Preventive Medicine and Biostatistics Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</mods:affiliation></affiliation></author><author><name sortKey="Read, Stanley E" sort="Read, Stanley E" uniqKey="Read S" first="Stanley E." last="Read">Stanley E. Read</name><affiliation><mods:affiliation>Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</mods:affiliation></affiliation></author><author><name sortKey="Shepherd, Frances A" sort="Shepherd, Frances A" uniqKey="Shepherd F" first="Frances A." last="Shepherd">Frances A. Shepherd</name><affiliation><mods:affiliation>Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</mods:affiliation></affiliation></author><author><name sortKey="Fanning, Mary M" sort="Fanning, Mary M" uniqKey="Fanning M" first="Mary M." last="Fanning">Mary M. Fanning</name><affiliation><mods:affiliation>Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</mods:affiliation></affiliation></author><author><name sortKey="Macfadden, Douglas" sort="Macfadden, Douglas" uniqKey="Macfadden D" first="Douglas" last="Macfadden">Douglas Macfadden</name><affiliation><mods:affiliation>Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Annals of Epidemiology</title><title level="j" type="abbrev">AEP</title><idno type="ISSN">1047-2797</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1993">1993</date><biblScope unit="volume">3</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="272">272</biblScope><biblScope unit="page" to="280">280</biblScope></imprint><idno type="ISSN">1047-2797</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1047-2797</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Anal</term><term>Anal insertive</term><term>Ational drug</term><term>Calzavara</term><term>Celibate visits</term><term>Coates</term><term>Cocaine</term><term>Cohort</term><term>Cohort members</term><term>Condom</term><term>Confidence interval</term><term>Contact study</term><term>Current study</term><term>High risk</term><term>Higher risk</term><term>Homosexual</term><term>Independent variables</term><term>International conference</term><term>Main analysis</term><term>Male homosexuals</term><term>Odds ratio</term><term>Odds ratios</term><term>Ongoing</term><term>Ontario ministry</term><term>Other studies</term><term>Popper</term><term>Potential risks</term><term>Preventive medicine</term><term>Primary case patient</term><term>Prospective study</term><term>Public health</term><term>Receptive</term><term>Receptive fellatio</term><term>Recreational</term><term>Recreational drug</term><term>Recreational drugs</term><term>Risk categories</term><term>Risk factors</term><term>Risk level</term><term>Risk levels</term><term>Risk score</term><term>Sars</term><term>Seroconversion</term><term>Seroconversion rates</term><term>Sexual activities</term><term>Sexual activity</term><term>Sexual behavior</term><term>Sexual behaviors</term><term>Sexual encounter</term><term>Sexual encounters</term><term>Sexual histories</term><term>Sexual partners</term><term>Sexual relationships</term><term>Significant decline</term><term>Strong association</term><term>Study design</term><term>York city</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: The current study investigated the association between the use of recreational drugs at the time of sexual activity and high-risk sexual behavior in a Toronto cohort of 249 homosexual and bisexual men over a 5-year period commencing in 1984 to 1985 and concluding in 1989 to 1990. 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Calzavara PhD</name><affiliations><json:string>From the Department of Preventive Medicine and Biostatistics Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</json:string></affiliations></json:item><json:item><name>Randall A. Coates MD, MHSc</name><affiliations><json:string>From the Department of Preventive Medicine and Biostatistics Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</json:string></affiliations></json:item><json:item><name>Janet M. Raboud PhD</name><affiliations><json:string>From the Department of Preventive Medicine and Biostatistics Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</json:string></affiliations></json:item><json:item><name>Vernon T. Farewell PhD</name><affiliations><json:string>From the Department of Preventive Medicine and Biostatistics Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</json:string></affiliations></json:item><json:item><name>Stanley E. Read MD, PhD</name><affiliations><json:string>Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</json:string></affiliations></json:item><json:item><name>Frances A. Shepherd MD</name><affiliations><json:string>Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</json:string></affiliations></json:item><json:item><name>Mary M. Fanning MD, PhD</name><affiliations><json:string>Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</json:string></affiliations></json:item><json:item><name>Douglas MacFadden MD, PhD</name><affiliations><json:string>Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Sexual behavior</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>drug use</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>alcohol</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>homosexual/bisexual</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>HIV infection</value></json:item></subject><arkIstex>ark:/67375/6H6-C8N3P20P-R</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>Full-length article</json:string></originalGenre><abstract>Abstract: The current study investigated the association between the use of recreational drugs at the time of sexual activity and high-risk sexual behavior in a Toronto cohort of 249 homosexual and bisexual men over a 5-year period commencing in 1984 to 1985 and concluding in 1989 to 1990. The main analysis was based on a total of 2536 visits. Univariate and multivariate Liang-Zeger regression models were used to relate the log of the sexual activity score (SARS) to the independent variables over the 20 follow-up visits while controlling for intercorrelations between variables from the same respondent. We found that there was a significant decline, over time, in the sexual activities that pose a higher risk of infection with human immunodeficiency virus. Recreational drugs still appear to be playing an important role in the continuation of higher-risk sexual activities. The use of poppers in conjunction with sex is a strong predictor of high-risk activity, as is use of alcohol and marijuana in conjunction with sex. Also, simultaneously strongly associated with higher-risk score is the Centers for Disease Control classification II. More emphasis needs to be placed on educating the population about the potential risks of combining recreational drugs with sexual activity. 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Calzavara, PhD, Department of Preventive Medicine and Biostatistics, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada M5S 1A8.</note><affiliation>Address reprint requests to: Liviana M. Calzavara, PhD, Department of Preventive Medicine and Biostatistics, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada M5S 1A8.</affiliation><affiliation>From the Department of Preventive Medicine and Biostatistics Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Randall A.</forename><surname>Coates</surname></persName><roleName type="degree">MD, MHSc</roleName><affiliation>From the Department of Preventive Medicine and Biostatistics Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</affiliation></author><author xml:id="author-0002"><persName><forename type="first">Janet M.</forename><surname>Raboud</surname></persName><roleName type="degree">PhD</roleName><affiliation>From the Department of Preventive Medicine and Biostatistics Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</affiliation></author><author xml:id="author-0003"><persName><forename type="first">Vernon T.</forename><surname>Farewell</surname></persName><roleName type="degree">PhD</roleName><affiliation>From the Department of Preventive Medicine and Biostatistics Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</affiliation></author><author xml:id="author-0004"><persName><forename type="first">Stanley E.</forename><surname>Read</surname></persName><roleName type="degree">MD, PhD</roleName><affiliation>Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</affiliation></author><author xml:id="author-0005"><persName><forename type="first">Frances A.</forename><surname>Shepherd</surname></persName><roleName type="degree">MD</roleName><affiliation>Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</affiliation></author><author xml:id="author-0006"><persName><forename type="first">Mary M.</forename><surname>Fanning</surname></persName><roleName type="degree">MD, PhD</roleName><affiliation>Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</affiliation></author><author xml:id="author-0007"><persName><forename type="first">Douglas</forename><surname>MacFadden</surname></persName><roleName type="degree">MD, PhD</roleName><affiliation>Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</affiliation></author><idno type="istex">622A761E9BF88938778013185629DA5490E9AC45</idno><idno type="ark">ark:/67375/6H6-C8N3P20P-R</idno><idno type="DOI">10.1016/1047-2797(93)90030-8</idno><idno type="PII">1047-2797(93)90030-8</idno></analytic><monogr><title level="j">Annals of Epidemiology</title><title level="j" type="abbrev">AEP</title><idno type="pISSN">1047-2797</idno><idno type="PII">S1047-2797(00)X0080-4</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1993"></date><biblScope unit="volume">3</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="272">272</biblScope><biblScope unit="page" to="280">280</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1993</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Abstract: The current study investigated the association between the use of recreational drugs at the time of sexual activity and high-risk sexual behavior in a Toronto cohort of 249 homosexual and bisexual men over a 5-year period commencing in 1984 to 1985 and concluding in 1989 to 1990. The main analysis was based on a total of 2536 visits. Univariate and multivariate Liang-Zeger regression models were used to relate the log of the sexual activity score (SARS) to the independent variables over the 20 follow-up visits while controlling for intercorrelations between variables from the same respondent. We found that there was a significant decline, over time, in the sexual activities that pose a higher risk of infection with human immunodeficiency virus. Recreational drugs still appear to be playing an important role in the continuation of higher-risk sexual activities. The use of poppers in conjunction with sex is a strong predictor of high-risk activity, as is use of alcohol and marijuana in conjunction with sex. Also, simultaneously strongly associated with higher-risk score is the Centers for Disease Control classification II. More emphasis needs to be placed on educating the population about the potential risks of combining recreational drugs with sexual activity. Ann Epidemiol 1993;3:272–280.</p></abstract><textClass><keywords scheme="keyword"><list><head>Keywords</head><item><term>Sexual behavior</term></item><item><term>drug use</term></item><item><term>alcohol</term></item><item><term>homosexual/bisexual</term></item><item><term>HIV infection</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1992-08-31">Modified</change><change when="1993">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/6H6-C8N3P20P-R/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier, elements deleted: tail"><istex:xmlDeclaration>version="1.0" encoding="utf-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 4.5.2//EN//XML" URI="art452.dtd" name="istex:docType"></istex:docType><istex:document><converted-article version="4.5.2" docsubtype="fla"><item-info><jid>AEP</jid><aid>93900308</aid><ce:pii>1047-2797(93)90030-8</ce:pii><ce:doi>10.1016/1047-2797(93)90030-8</ce:doi><ce:copyright type="unknown" year="1993"></ce:copyright></item-info><head><ce:dochead><ce:textfn>Original report</ce:textfn></ce:dochead><ce:title>Ongoing high-risk sexual behaviors in relation to recreational drug use in sexual encounters Analysis of 5 years of data from the Toronto sexual contact study</ce:title><ce:author-group><ce:author><ce:given-name>Liviana M.</ce:given-name><ce:surname>Calzavara</ce:surname><ce:degrees>PhD</ce:degrees><ce:cross-ref refid="COR1"><ce:sup>∗</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Randall A.</ce:given-name><ce:surname>Coates</ce:surname><ce:degrees>MD, MHSc</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF2"><ce:sup>b</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Janet M.</ce:given-name><ce:surname>Raboud</ce:surname><ce:degrees>PhD</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Vernon T.</ce:given-name><ce:surname>Farewell</ce:surname><ce:degrees>PhD</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF4"><ce:sup>d</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Stanley E.</ce:given-name><ce:surname>Read</ce:surname><ce:degrees>MD, PhD</ce:degrees><ce:cross-ref refid="AFF2"><ce:sup>b</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF3"><ce:sup>c</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Frances A.</ce:given-name><ce:surname>Shepherd</ce:surname><ce:degrees>MD</ce:degrees><ce:cross-ref refid="AFF2"><ce:sup>b</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Mary M.</ce:given-name><ce:surname>Fanning</ce:surname><ce:degrees>MD, PhD</ce:degrees><ce:cross-ref refid="AFF2"><ce:sup>b</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Douglas</ce:given-name><ce:surname>MacFadden</ce:surname><ce:degrees>MD, PhD</ce:degrees><ce:cross-ref refid="AFF2"><ce:sup>b</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="AFF1"><ce:label>a</ce:label><ce:textfn>From the Department of Preventive Medicine and Biostatistics Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</ce:textfn></ce:affiliation><ce:affiliation id="AFF2"><ce:label>b</ce:label><ce:textfn>Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</ce:textfn></ce:affiliation><ce:affiliation id="AFF3"><ce:label>c</ce:label><ce:textfn>Department of Pediatrics, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</ce:textfn></ce:affiliation><ce:affiliation id="AFF4"><ce:label>d</ce:label><ce:textfn>Departments of Statistics and Actuarial Sciences and Health Studies, University of Waterloo, Waterloo, Ontario, Canada</ce:textfn></ce:affiliation><ce:correspondence id="COR1"><ce:label>∗</ce:label><ce:text>Address reprint requests to: Liviana M. Calzavara, PhD, Department of Preventive Medicine and Biostatistics, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada M5S 1A8.</ce:text></ce:correspondence></ce:author-group><ce:date-received day="30" month="10" year="1991"></ce:date-received><ce:date-revised day="31" month="8" year="1992"></ce:date-revised><ce:abstract><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:simple-para>The current study investigated the association between the use of recreational drugs at the time of sexual activity and high-risk sexual behavior in a Toronto cohort of 249 homosexual and bisexual men over a 5-year period commencing in 1984 to 1985 and concluding in 1989 to 1990. The main analysis was based on a total of 2536 visits. Univariate and multivariate Liang-Zeger regression models were used to relate the log of the sexual activity score (SARS) to the independent variables over the 20 follow-up visits while controlling for intercorrelations between variables from the same respondent. We found that there was a significant decline, over time, in the sexual activities that pose a higher risk of infection with human immunodeficiency virus. Recreational drugs still appear to be playing an important role in the continuation of higher-risk sexual activities. The use of poppers in conjunction with sex is a strong predictor of high-risk activity, as is use of alcohol and marijuana in conjunction with sex. Also, simultaneously strongly associated with higher-risk score is the Centers for Disease Control classification II. More emphasis needs to be placed on educating the population about the potential risks of combining recreational drugs with sexual activity. Ann Epidemiol 1993;3:272–280.</ce:simple-para></ce:abstract-sec></ce:abstract><ce:keywords><ce:section-title>Keywords</ce:section-title><ce:keyword><ce:text>Sexual behavior</ce:text></ce:keyword><ce:keyword><ce:text>drug use</ce:text></ce:keyword><ce:keyword><ce:text>alcohol</ce:text></ce:keyword><ce:keyword><ce:text>homosexual/bisexual</ce:text></ce:keyword><ce:keyword><ce:text>HIV infection</ce:text></ce:keyword></ce:keywords></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>Ongoing high-risk sexual behaviors in relation to recreational drug use in sexual encounters Analysis of 5 years of data from the Toronto sexual contact study</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Ongoing high-risk sexual behaviors in relation to recreational drug use in sexual encounters Analysis of 5 years of data from the Toronto sexual contact study</title></titleInfo><name type="personal"><namePart type="given">Liviana M.</namePart><namePart type="family">Calzavara</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>From the Department of Preventive Medicine and Biostatistics Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</affiliation><description>Address reprint requests to: Liviana M. Calzavara, PhD, Department of Preventive Medicine and Biostatistics, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada M5S 1A8.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Randall A.</namePart><namePart type="family">Coates</namePart><namePart type="termsOfAddress">MD, MHSc</namePart><affiliation>From the Department of Preventive Medicine and Biostatistics Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Janet M.</namePart><namePart type="family">Raboud</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>From the Department of Preventive Medicine and Biostatistics Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Vernon T.</namePart><namePart type="family">Farewell</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>From the Department of Preventive Medicine and Biostatistics Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Stanley E.</namePart><namePart type="family">Read</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Frances A.</namePart><namePart type="family">Shepherd</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Mary M.</namePart><namePart type="family">Fanning</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Douglas</namePart><namePart type="family">MacFadden</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1993</dateIssued><dateModified encoding="w3cdtf">1992-08-31</dateModified><copyrightDate encoding="w3cdtf">1993</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><abstract lang="en">Abstract: The current study investigated the association between the use of recreational drugs at the time of sexual activity and high-risk sexual behavior in a Toronto cohort of 249 homosexual and bisexual men over a 5-year period commencing in 1984 to 1985 and concluding in 1989 to 1990. The main analysis was based on a total of 2536 visits. Univariate and multivariate Liang-Zeger regression models were used to relate the log of the sexual activity score (SARS) to the independent variables over the 20 follow-up visits while controlling for intercorrelations between variables from the same respondent. We found that there was a significant decline, over time, in the sexual activities that pose a higher risk of infection with human immunodeficiency virus. Recreational drugs still appear to be playing an important role in the continuation of higher-risk sexual activities. The use of poppers in conjunction with sex is a strong predictor of high-risk activity, as is use of alcohol and marijuana in conjunction with sex. Also, simultaneously strongly associated with higher-risk score is the Centers for Disease Control classification II. More emphasis needs to be placed on educating the population about the potential risks of combining recreational drugs with sexual activity. Ann Epidemiol 1993;3:272–280.</abstract><note type="content">Section title: Original report</note><subject><genre>Keywords</genre><topic>Sexual behavior</topic><topic>drug use</topic><topic>alcohol</topic><topic>homosexual/bisexual</topic><topic>HIV infection</topic></subject><relatedItem type="host"><titleInfo><title>Annals of Epidemiology</title></titleInfo><titleInfo type="abbreviated"><title>AEP</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1993</dateIssued></originInfo><identifier type="ISSN">1047-2797</identifier><identifier type="PII">S1047-2797(00)X0080-4</identifier><part><date>1993</date><detail type="volume"><number>3</number><caption>vol.</caption></detail><detail type="issue"><number>3</number><caption>no.</caption></detail><extent unit="issue-pages"><start>211</start><end>323</end></extent><extent unit="pages"><start>272</start><end>280</end></extent></part></relatedItem><identifier type="istex">622A761E9BF88938778013185629DA5490E9AC45</identifier><identifier type="ark">ark:/67375/6H6-C8N3P20P-R</identifier><identifier type="DOI">10.1016/1047-2797(93)90030-8</identifier><identifier type="PII">1047-2797(93)90030-8</identifier><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-HKKZVM7B-M">elsevier</recordContentSource></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/ark:/67375/6H6-C8N3P20P-R/record.json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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