Chemsex and Beyond: A Study of Factors Associated with Substance Use Among Men Who Have Sex with Men and Transgender Women in Southern Vietnam to Develop Informed HIV and STI Prevention and Intervention Programs

IF 1.9 Q3 PSYCHIATRY

Indian Journal of Psychological Medicine Pub Date : 2024-08-01 DOI:10.1177/02537176241258715

Vu Thi Tuong Vi, Vo Van Tam, Le Huynh Thi Cam Hong, Nguyen Viet Ngoc, Nguyen Thi Ngoc Diep, Nguyen Nhu Trang, Kevin P. Mulvey, Do Van Dung, Yatan Pal Singh Balhara

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引用次数: 0

Abstract

Background:Amphetamine-type stimulant (ATS) use is a major public health concern among men who have sex with men (MSM) and transgender women (TGW) in communities worldwide and in Vietnam.Methods:A cross-sectional study was conducted on 1000 adult MSM and TGW from 9 community-based organizations in southern Vietnam from March to August 2019. Data on demographics, sexual behaviors, STIs, HIV infection, and substance use were collected with a self-administered questionnaire including the ASSIST tool. Blood and urine samples were collected for HIV and ATS testing.Results:The prevalence of lifetime ATS use in the previous three months was 50.5% and 49.4%, respectively. Multivariable analyses showed that ATS use was significantly associated with sex with a transactional partner (aOR [29] = 3.06, 95% CI = 2.13–4.39) who engaged in sex and got paid for it (aOR = 2.78, 95% CI = 1.64–4.73), and purchasing sex (aOR = 2.34, 95% CI = 1.06–5.16). The role in sex with a partner with significant association was ‘insertive and receptive equally vs. insertive only’ (aOR = 1.78, 95% CI = 1.14–2.76).Conclusion:ATS use is associated with many sexual behaviors that could be associated with an increased risk of HIV transmission among MSM and TGW populations.

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化学性行为及其他：研究越南南部男男性行为者和变性妇女使用药物的相关因素，以制定知情的 HIV 和 STI 预防和干预计划

背景：安非他明类兴奋剂（ATS）的使用是全球和越南社区中男男性行为者（MSM）和变性女性（TGW）的一个主要公共卫生问题。方法：2019 年 3 月至 8 月，对越南南部 9 个社区组织的 1000 名成年 MSM 和 TGW 进行了横断面研究。通过自填式问卷（包括 ASSIST 工具）收集了有关人口统计学、性行为、性传播感染、HIV 感染和药物使用的数据。结果：前三个月终生使用苯丙胺类兴奋剂的比例分别为 50.5%和 49.4%。多变量分析表明，使用苯丙胺类兴奋剂与与交易性伴侣发生性行为（aOR [29] = 3.06，95% CI = 2.13-4.39）、从事性行为并获得报酬（aOR = 2.78，95% CI = 1.64-4.73）和购买性行为（aOR = 2.34，95% CI = 1.06-5.16）显著相关。结论：安非他明类兴奋剂的使用与许多性行为有关，而这些性行为可能与 MSM 和 TGW 群体中 HIV 传播风险的增加有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Journal of Psychological Medicine PSYCHOLOGY-

CiteScore

4.80

自引率

7.10%

发文量

116

审稿时长

12 weeks

期刊介绍： The Indian Journal of Psychological Medicine (ISSN 0253-7176) was started in 1978 as the official publication of the Indian Psychiatric Society South Zonal Branch. The journal allows free access (Open Access) and is published Bimonthly. The Journal includes but is not limited to review articles, original research, opinions, and letters. The Editor and publisher accept no legal responsibility for any opinions, omissions or errors by the authors, nor do they approve of any product advertised within the journal.