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 : 006597 ( Main/Exploration ); précédent : 006596; suivant : 006598Ongoing 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 [Canada] ; Randall A. Coates [Canada] ; Janet M. Raboud [Canada] ; Vernon T. Farewell [Canada] ; Stanley E. Read [Canada] ; Frances A. Shepherd [Canada] ; Mary M. Fanning [Canada] ; Douglas Macfadden [Canada]Source :
- Annals of Epidemiology [ 1047-2797 ] ; 1993.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- prevention & control : Acquired Immunodeficiency Syndrome.
- transmission : Acquired Immunodeficiency Syndrome.
- Teeft :
- Adult, Alcohol Drinking, Anal, Anal insertive, Ational drug, Bisexuality, Calzavara, Celibate visits, Coates, Cocaine, Cohort, Cohort Studies, Cohort members, Condom, Confidence interval, Contact study, Current study, High risk, Higher risk, Homosexual, Homosexuality, Humans, Independent variables, International conference, Main analysis, Male, 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 Factors, 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, Substance-Related Disorders, 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
Affiliations:
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xml:lang="fr"><term>Adulte</term><term>Bisexualité</term><term>Consommation d'alcool</term><term>Facteurs de risque</term><term>Homosexualité</term><term>Humains</term><term>Mâle</term><term>Syndrome d'immunodéficience acquise ()</term><term>Syndrome d'immunodéficience acquise (transmission)</term><term>Troubles liés à une substance</term><term>Études de cohortes</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Acquired Immunodeficiency Syndrome</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Acquired Immunodeficiency Syndrome</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Adult</term><term>Alcohol Drinking</term><term>Anal</term><term>Anal insertive</term><term>Ational drug</term><term>Bisexuality</term><term>Calzavara</term><term>Celibate visits</term><term>Coates</term><term>Cocaine</term><term>Cohort</term><term>Cohort Studies</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>Homosexuality</term><term>Humans</term><term>Independent variables</term><term>International conference</term><term>Main analysis</term><term>Male</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 Factors</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>Substance-Related Disorders</term><term>York city</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Bisexualité</term><term>Consommation d'alcool</term><term>Facteurs de risque</term><term>Homosexualité</term><term>Humains</term><term>Mâle</term><term>Syndrome d'immunodéficience acquise</term><term>Troubles liés à une substance</term><term>Études de cohortes</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. 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.</div></front></TEI><affiliations><list><country><li>Canada</li></country><region><li>Ontario</li></region><settlement><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><country name="Canada"><region name="Ontario"><name sortKey="Calzavara, Liviana M" sort="Calzavara, Liviana M" uniqKey="Calzavara L" first="Liviana M." last="Calzavara">Liviana M. Calzavara</name></region><name sortKey="Coates, Randall A" sort="Coates, Randall A" uniqKey="Coates R" first="Randall A." last="Coates">Randall A. Coates</name><name sortKey="Fanning, Mary M" sort="Fanning, Mary M" uniqKey="Fanning M" first="Mary M." last="Fanning">Mary M. Fanning</name><name sortKey="Farewell, Vernon T" sort="Farewell, Vernon T" uniqKey="Farewell V" first="Vernon T." last="Farewell">Vernon T. Farewell</name><name sortKey="Macfadden, Douglas" sort="Macfadden, Douglas" uniqKey="Macfadden D" first="Douglas" last="Macfadden">Douglas Macfadden</name><name sortKey="Raboud, Janet M" sort="Raboud, Janet M" uniqKey="Raboud J" first="Janet M." last="Raboud">Janet M. Raboud</name><name sortKey="Read, Stanley E" sort="Read, Stanley E" uniqKey="Read S" first="Stanley E." last="Read">Stanley E. Read</name><name sortKey="Shepherd, Frances A" sort="Shepherd, Frances A" uniqKey="Shepherd F" first="Frances A." last="Shepherd">Frances A. Shepherd</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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