Title Club drug use and associated high-risk sexual behaviour in six provinces in China
Authors Bao, Yan-Ping
Liu, Zhi-Min
Li, Jian-Hua
Zhang, Rui-Min
Hao, Wei
Zhao, Min
Shi, Jie
McGoogan, Jennifer M.
Lu, Lin
Affiliation Peking Univ, Natl Inst Drug Dependence, Beijing 100191, Peoples R China.
Yunnan Inst Drug Abuse, Kunming, Yunnan, Peoples R China.
Cent S Univ, Xiangya Hosp 2, Mental Hlth Inst, Changsha, Hunan, Peoples R China.
Shanghai Jiao Tong Univ, Sch Med, Shanghai Mental Hlth Ctr, Shanghai 200030, Peoples R China.
Chinese Ctr Dis Control & Prevent, Natl Ctr AIDS STD Control & Prevent, Beijing, Peoples R China.
Peking Univ, Natl Inst Drug Dependence, 38 Xue Yuan Rd, Beijing 100191, Peoples R China.
Keywords China
club drug use
methamphetamine
risk factor
sexual behaviour
unprotected sex
sexually transmitted infections
TRANSMITTED INFECTIONS
METHAMPHETAMINE USERS
HIV-INFECTION
STIMULANT USE
PHNOM-PENH
PREVENTION
TRANSMISSION
ACQUISITION
THAILAND
CAMBODIA
Issue Date 2015
Publisher addiction
Citation ADDICTION.2015,110,11-19.
Abstract AimTo investigate the characteristics of the different club drugs and associated high-risk sexual behaviours in China. DesignMulticentre cross-sectional study. SettingDrug Detoxification and Rehabilitation Centres in six provinces, China. ParticipantsA total of 1434 eligible club drug users were included. MeasurementsParticipants were investigated by trained interviewers using a self-designed structured questionnaire to collect information on club drug use and associated behaviours. FindingsMethamphetamine was the most commonly abused drug in participants (73.92%), who used it in their or their friends' homes by non-injection for the purpose of feeling euphoria. Among participants with sexual behaviours after club drug use, 75.21% reported having engaged in sex with multiple partners after club drug use during the past year and 79.84% had unprotected sex after using club drug during the past year. A two-level logistic model showed that male gender [adjusted odds ratio (AOR)=7.14; 95% confidence interval (CI)=4.17-12.5], unmarried (AOR=1.71, 95% CI=1.04-2.79), long duration of club drug use during their life-time (AOR=1.76, 95% CI=1.28-2.42) and severe acute intoxication after using club drugs during the past year (AOR=2.11, 95% CI=1.07-4.15) were independent risk factors of multiple sex partners during the past year. Another two-level model showed that the club drug users who were female (AOR=1.79, 95% CI=1.03-3.11) and had polydrug use during their lifetime (AOR=1.55, 95% CI=1.01-2.34) had more risk for unprotected sex during the past year than without these characteristics. ConclusionHigh-risk sexual behaviours are common among club drug users in China. The prevention and intervention of club drug use could decrease the risk of sexual behaviours which further prevent HIV transmission and other sexually transmitted infections in China.
URI http://hdl.handle.net/20.500.11897/188673
ISSN 0965-2140
DOI 10.1111/add.12770
Indexed SCI(E)
PubMed
SSCI
Appears in Collections: 医学部待认领

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