Ongoing high-risk sexual behaviors in relation recreational drug use in sexual encounters. Analysis of 5 years of data from the Toronto Sexual Contact Study.
Identifieur interne : 003539 ( PubMed/Curation ); précédent : 003538; suivant : 003540Ongoing high-risk sexual behaviors in relation recreational drug use in sexual encounters. Analysis of 5 years of data from the Toronto Sexual Contact Study.
Auteurs : L M Calzavara [Canada] ; R A Coates ; J M Raboud ; V T Farewell ; S E Read ; F A Shephered ; M M Fanning ; D. MacfaddenSource :
- Annals of epidemiology [ 1047-2797 ] ; 1993.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- prevention & control : Acquired Immunodeficiency Syndrome.
- transmission : Acquired Immunodeficiency Syndrome.
- Adult, Alcohol Drinking, Bisexuality, Cohort Studies, Homosexuality, Humans, Male, Risk Factors, Substance-Related Disorders.
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 reactional drugs with sexual activity.
DOI: 10.1016/1047-2797(93)90030-8
PubMed: 8275200
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Analysis of 5 years of data from the Toronto Sexual Contact Study.</title><author><name sortKey="Calzavara, L M" sort="Calzavara, L M" uniqKey="Calzavara L" first="L M" last="Calzavara">L M Calzavara</name><affiliation wicri:level="1"><nlm:affiliation>Department of Preventive Medicine and Biostatistics, Faculty of Medicine, University of Toronto, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Preventive Medicine and Biostatistics, Faculty of Medicine, University of Toronto</wicri:regionArea></affiliation></author><author><name sortKey="Coates, R A" sort="Coates, R A" uniqKey="Coates R" first="R A" last="Coates">R A Coates</name></author><author><name sortKey="Raboud, J M" sort="Raboud, J M" uniqKey="Raboud J" first="J M" last="Raboud">J M Raboud</name></author><author><name sortKey="Farewell, V T" sort="Farewell, V T" uniqKey="Farewell V" first="V T" last="Farewell">V T Farewell</name></author><author><name sortKey="Read, S E" sort="Read, S E" uniqKey="Read S" first="S E" last="Read">S E Read</name></author><author><name sortKey="Shephered, F A" sort="Shephered, F A" uniqKey="Shephered F" first="F A" last="Shephered">F A Shephered</name></author><author><name sortKey="Fanning, M M" sort="Fanning, M M" uniqKey="Fanning M" first="M M" last="Fanning">M M Fanning</name></author><author><name sortKey="Macfadden, D" sort="Macfadden, D" uniqKey="Macfadden D" first="D" last="Macfadden">D. 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Analysis of 5 years of data from the Toronto Sexual Contact Study.</title><author><name sortKey="Calzavara, L M" sort="Calzavara, L M" uniqKey="Calzavara L" first="L M" last="Calzavara">L M Calzavara</name><affiliation wicri:level="1"><nlm:affiliation>Department of Preventive Medicine and Biostatistics, Faculty of Medicine, University of Toronto, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Preventive Medicine and Biostatistics, Faculty of Medicine, University of Toronto</wicri:regionArea></affiliation></author><author><name sortKey="Coates, R A" sort="Coates, R A" uniqKey="Coates R" first="R A" last="Coates">R A Coates</name></author><author><name sortKey="Raboud, J M" sort="Raboud, J M" uniqKey="Raboud J" first="J M" last="Raboud">J M Raboud</name></author><author><name sortKey="Farewell, V T" sort="Farewell, V T" uniqKey="Farewell V" first="V T" last="Farewell">V T Farewell</name></author><author><name sortKey="Read, S E" sort="Read, S E" uniqKey="Read S" first="S E" last="Read">S E Read</name></author><author><name sortKey="Shephered, F A" sort="Shephered, F A" uniqKey="Shephered F" first="F A" last="Shephered">F A Shephered</name></author><author><name sortKey="Fanning, M M" sort="Fanning, M M" uniqKey="Fanning M" first="M M" last="Fanning">M M Fanning</name></author><author><name sortKey="Macfadden, D" sort="Macfadden, D" uniqKey="Macfadden D" first="D" last="Macfadden">D. Macfadden</name></author></analytic><series><title level="j">Annals of epidemiology</title><idno type="ISSN">1047-2797</idno><imprint><date when="1993" type="published">1993</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acquired Immunodeficiency Syndrome (prevention & control)</term><term>Acquired Immunodeficiency Syndrome (transmission)</term><term>Adult</term><term>Alcohol Drinking</term><term>Bisexuality</term><term>Cohort Studies</term><term>Homosexuality</term><term>Humans</term><term>Male</term><term>Risk Factors</term><term>Substance-Related Disorders</term></keywords><keywords scheme="KwdFr" 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="MESH" xml:lang="en"><term>Adult</term><term>Alcohol Drinking</term><term>Bisexuality</term><term>Cohort Studies</term><term>Homosexuality</term><term>Humans</term><term>Male</term><term>Risk Factors</term><term>Substance-Related Disorders</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></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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 reactional drugs with sexual activity.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">8275200</PMID><DateCompleted><Year>1994</Year><Month>02</Month><Day>10</Day></DateCompleted><DateRevised><Year>2019</Year><Month>10</Month><Day>23</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1047-2797</ISSN><JournalIssue CitedMedium="Print"><Volume>3</Volume><Issue>3</Issue><PubDate><Year>1993</Year><Month>May</Month></PubDate></JournalIssue><Title>Annals of epidemiology</Title><ISOAbbreviation>Ann Epidemiol</ISOAbbreviation></Journal><ArticleTitle>Ongoing high-risk sexual behaviors in relation recreational drug use in sexual encounters. Analysis of 5 years of data from the Toronto Sexual Contact Study.</ArticleTitle><Pagination><MedlinePgn>272-80</MedlinePgn></Pagination><Abstract><AbstractText>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. 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