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The prevalence, incidence, and predi...

Wu, Zunyou,

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The prevalence, incidence, and predictors of HIV risk-associated drug-using behaviors among adolescent and young adult males in Longchuan County, Yunnan, China /

Record Type:	Electronic resources : Monograph/item
Title/Author:	The prevalence, incidence, and predictors of HIV risk-associated drug-using behaviors among adolescent and young adult males in Longchuan County, Yunnan, China // Zunyou Wu.
Author:	Wu, Zunyou,
Description:	1 electronic resource (197 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 57-08, Section: B.
Contained By:	Dissertations Abstracts International57-08B.
Subject:	Public health. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9608066
ISBN:	9798209036715

The prevalence, incidence, and predictors of HIV risk-associated drug-using behaviors among adolescent and young adult males in Longchuan County, Yunnan, China /
Wu, Zunyou,

The prevalence, incidence, and predictors of HIV risk-associated drug-using behaviors among adolescent and young adult males in Longchuan County, Yunnan, China /Zunyou Wu. - 1 electronic resource (197 pages)

Source: Dissertations Abstracts International, Volume: 57-08, Section: B.

Background. Intravenous drug users (IVDUs) are the major HIV-1 infected group in China. More young males continue to be recruited to drug use. Objectives. To identify the risk factors for drug use, intravenous drug use (IVDU) and sharing paraphernalia, and to assess HIV/AIDS knowledge level. Methods. Cross-sectional and non-concurrent cohort designs were used. Demographic, behavioral, and drug using related information was collected by an interviewer administrated anonymous questionnaire from males aged 18 to 29 years in 82 villages with a high prevalence of heroin users in Longchuan. Drug use, IVDU, and sharing equipment were used as outcome variables. January 1, 1991 to August 1, 1994 was defined as the study period. Univariate and multivariate analytic strategies were used. Results. A total of 1,548 subjects were interviewed. The cumulative incidence were 17.2% (95% C.I.:15.2-19.4) for drug use and 40.0% (95% C.I.:35.2-45.0) for IVDU among drug users. The annual incidence of IVDU increased yearly from 1991 to 1994. Risk factors for drug use included being Jingpo (OR = 1.8, 95% C.I.:1.2-2.5), being divorced/widowed/separated (OR = 8.9, 95% C.I.:1.8-43.3), cigarette smoking (OR = 2.4, 95% C.I.:1.6-3.8), having had pre-/extra-marital sex (OR = 1.5, 95% C.I.:1.1-2.2), having received encouragement by friends/others to try drugs (OR = 8.8, 95% C.I.:6.1-12.9), and having a family member who used drugs in 1991 (OR = 1.5, 95% C.I.:1.0-2.3). More than six years of education was a protective factor for drug use (OR = 0.6, 95% C.I.:0.4-0.98). Risk factors for IVDU included having had pre-/extra-marital sex (OR = 1.5, 95% C.I.:1.01-2.3) and having a family member who used drugs in 1991 (OR = 1.8, 95% C.I.:1.1-2.9). Being buddhist was a protective factor for IVDU (OR = 0.4, 95% C.I.:0.2-0.9). Risk factors for sharing equipment included being Jingpo (OR = 15.8, 95% C.I.:1.9-133.0) and first used drugs with friends/others (OR = 5.8, 95% C.I.:1.1-30.9). Not being a farmer was a protective factor for sharing equipment (OR = 0.3, 95% C.I.:0.1-0.9). The overall knowledge of HIV/AIDS was low. Conclusions. Personal cigarette smoking and pre/extra-marital sexual behaviors, family members' drug using behavior and peers' encouragements strongly influence an individual in taking drugs. Community-based interventions are urgently required. Intervention efforts need to focus on young males before age 15 years and continue intensively through at least age 26 years.

English

ISBN: 9798209036715Subjects--Topical Terms:

534748
Public health.
Subjects--Index Terms:

drug use

The prevalence, incidence, and predictors of HIV risk-associated drug-using behaviors among adolescent and young adult males in Longchuan County, Yunnan, China /
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245 1 0 $a The prevalence, incidence, and predictors of HIV risk-associated drug-using behaviors among adolescent and young adult males in Longchuan County, Yunnan, China / $c Zunyou Wu.
264 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 1995
300 $a 1 electronic resource (197 pages)
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500 $a Source: Dissertations Abstracts International, Volume: 57-08, Section: B.
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500 $a Advisors: Detels, Roger.
502 $b Ph.D. $c University of California, Los Angeles $d 1995.
520 $a Background. Intravenous drug users (IVDUs) are the major HIV-1 infected group in China. More young males continue to be recruited to drug use. Objectives. To identify the risk factors for drug use, intravenous drug use (IVDU) and sharing paraphernalia, and to assess HIV/AIDS knowledge level. Methods. Cross-sectional and non-concurrent cohort designs were used. Demographic, behavioral, and drug using related information was collected by an interviewer administrated anonymous questionnaire from males aged 18 to 29 years in 82 villages with a high prevalence of heroin users in Longchuan. Drug use, IVDU, and sharing equipment were used as outcome variables. January 1, 1991 to August 1, 1994 was defined as the study period. Univariate and multivariate analytic strategies were used. Results. A total of 1,548 subjects were interviewed. The cumulative incidence were 17.2% (95% C.I.:15.2-19.4) for drug use and 40.0% (95% C.I.:35.2-45.0) for IVDU among drug users. The annual incidence of IVDU increased yearly from 1991 to 1994. Risk factors for drug use included being Jingpo (OR = 1.8, 95% C.I.:1.2-2.5), being divorced/widowed/separated (OR = 8.9, 95% C.I.:1.8-43.3), cigarette smoking (OR = 2.4, 95% C.I.:1.6-3.8), having had pre-/extra-marital sex (OR = 1.5, 95% C.I.:1.1-2.2), having received encouragement by friends/others to try drugs (OR = 8.8, 95% C.I.:6.1-12.9), and having a family member who used drugs in 1991 (OR = 1.5, 95% C.I.:1.0-2.3). More than six years of education was a protective factor for drug use (OR = 0.6, 95% C.I.:0.4-0.98). Risk factors for IVDU included having had pre-/extra-marital sex (OR = 1.5, 95% C.I.:1.01-2.3) and having a family member who used drugs in 1991 (OR = 1.8, 95% C.I.:1.1-2.9). Being buddhist was a protective factor for IVDU (OR = 0.4, 95% C.I.:0.2-0.9). Risk factors for sharing equipment included being Jingpo (OR = 15.8, 95% C.I.:1.9-133.0) and first used drugs with friends/others (OR = 5.8, 95% C.I.:1.1-30.9). Not being a farmer was a protective factor for sharing equipment (OR = 0.3, 95% C.I.:0.1-0.9). The overall knowledge of HIV/AIDS was low. Conclusions. Personal cigarette smoking and pre/extra-marital sexual behaviors, family members' drug using behavior and peers' encouragements strongly influence an individual in taking drugs. Community-based interventions are urgently required. Intervention efforts need to focus on young males before age 15 years and continue intensively through at least age 26 years.
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650 4 $a Behaviorial sciences. $3 3422405
650 4 $a Minority & ethnic groups. $3 3422415
650 4 $a Sociology. $3 516174
650 4 $a Ethnic studies. $2 bicssc $3 1556779
653 $a drug use
653 $a immune deficiency
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710 2 $a University of California, Los Angeles. $e degree granting institution. $3 3765958
720 1 $a Detels, Roger $e degree supervisor.
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792 $a 1995
856 4 0 $u https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9608066