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 |