Characterizing Problematic Drug Use Among Transgender Women and Cisgender Men During the Emerging HIV Crisis in the Philippines: Implications for Policy Research.
Arjee J Restar, Ma Irene N Quilantang, Anthony Surace, Adedotun Ogunbajo, Randolph Chan, Alexander Adia, Susan Cu-Uvin, Don Operario
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引用次数: 0
Abstract
Drug use and HIV are key issues for public health interventions in the Philippines. We examined associations of problematic drug use among 320 Filipinx transgender women (trans-WSM) and cisgender men who have sex with men (cis-MSM). The prevalence of exhibited problematic drug use in this sample was 29.38%. Greater odds of problematic drug use were observed among Filipinx participants who recently engaged in sex work (adjusted OR [aOR] = 2.79, 95% CI [1.08, 7.18]), reported having HIV positive and unknown status vs. negative status (aOR = 3.61, 95% CI [1.39, 9.39], and aOR = 13.99, 95% CI [2.04, 29.69], respectively), exhibited low HIV knowledge (aOR = 4.15, 95% CI [1.82, 9.44]), and displayed hazardous drinking (aOR = 2.77, 95% CI [1.21, 6.33]). Given its correlates of HIV-related indicators, integration of HIV and harm reduction services as a public health intervention could potentially decrease problematic drug use.
吸毒和艾滋病是菲律宾公共卫生干预的关键问题。我们研究了 320 名菲律宾变性女性(trans-WSM)和男男性行为者(cis-MSM)中问题药物使用的相关性。在这一样本中,表现出问题药物使用的流行率为 29.38%。在最近从事性工作(调整后 OR [aOR] = 2.79,95% CI [1.08,7.18])、报告 HIV 阳性和未知状态与报告 HIV 阴性和未知状态(调整后 OR = 3.79,95% CI [1.08,7.18])的菲律宾裔参与者中,发现问题药物使用的几率更大。aOR = 3.61,95% CI [1.39,9.39] 和 aOR = 13.99,95% CI [2.04,29.69]),HIV 知识水平低(aOR = 4.15,95% CI [1.82,9.44]),以及酗酒(aOR = 2.77,95% CI [1.21,6.33])。考虑到艾滋病相关指标的相关性,将艾滋病防治与减低危害服务相结合作为一项公共卫生干预措施可能会减少问题药物的使用。
期刊介绍:
Presenting state-of-the-art research and information, AIDS Education and Prevention is a vital addition to the library collections of medical schools, hospitals, and other institutions and organizations with HIV/AIDS research programs. The journal integrates public health, psychosocial, sociocultural, and public policy perspectives on issues of key concern nationally and globally.