@Article{信息:doi 10.2196 / / jmir.6.4。e41，作者=“Hirshfield, Sabina和Remien, Robert H和Walavalkar, Imelda和Chiasson, Mary Ann”，标题=“水晶甲基苯丙胺使用预测在线招募的男性性行为中的性病感染事件:一项嵌套病例对照研究”，期刊=“J Med Internet Res”，年=“2004”，月=“11”，日=“29”，卷=“6”，数=“4”，页=“e41”，关键词=“Internet;性传播疾病;甲基苯丙胺;背景:在男男性行为者(MSM)中，自1999年以来新诊断的人类免疫缺陷病毒(HIV)感染人数增加了约60%。可能导致这种死灰复燃的因素包括广泛报道的艾滋病毒阳性和艾滋病毒阴性男男性行为者中细菌性传播疾病(性病)的增加，以及不安全的性行为。目的:本研究旨在进一步了解男男性接触者中与性病事件相关的危险行为。方法:采用巢式病例对照研究，收集2001年6个月期间MSM人群网络调查数据(N=2643)。使用卡方和逻辑回归方法来估计获得性病事件与没有性病的可能性。结果:85%的受访者是白人，46%的受访者年龄在30岁以下，80%的受访者在网上遇到性伴侣;7{\%}艾滋病毒阳性。 Men with an incident STD were more likely than men without an STD to report drug use (crystal methamphetamine odds ratio 3.8; 95{\%} confidence interval 2.1-6.7; cocaine OR 2.3; 95{\%} CI 1.2-4.2; ecstasy OR 2.2; 95{\%} CI 1.3-3.8; Viagra OR 2.1; 95{\%} CI 1.2-3.7), alcohol before or during sex (OR 1.9; 95{\%} CI 1.2-2.9), and high-risk sexual behavior (unprotected anal intercourse OR 5.0; 95{\%} CI 2.8-8.9; multiple sex partners OR 5.9; 95{\%} CI 2.5-13.8). In the multivariate analysis, significant independent predictors associated with an incident STD were crystal methamphetamine use (adjusted OR 2.0; 95{\%} CI 1.1-3.8), unprotected anal intercourse (adjusted OR 3.4; 95{\%} CI 1.9-6.3), and 6 or more sex partners during the study period (adjusted OR 3.3; 95{\%} CI 1.4-7.8). Conclusion: Identifying and treating MSM who have STDs, or who are at increased risk for acquiring STDs, is crucial in preventing the further spread of disease. In addition, there is a need to integrate HIV/STD and substance use prevention and education into Web-based and community-based venues. ", issn="1438-8871", doi="10.2196/jmir.6.4.e41", url="//www.mybigtv.com/2004/4/e41/", url="https://doi.org/10.2196/jmir.6.4.e41", url="http://www.ncbi.nlm.nih.gov/pubmed/15631965" }