PDF(Pubmed)
Abstract：
BACKGROUND: Methamphetamine use is a known predictor of riskier sexual behaviors, which can have important public health implications (e.g., HIV-transmission risk). Loneliness also is associated with riskier sexual behaviors, though the relationship between loneliness and beliefs and/or intentions to practice safer sex has not been examined among people dependent on methamphetamine.
METHODS: Individuals who met DSM-IV criteria for lifetime methamphetamine dependence and current (≤ 18-months) methamphetamine abuse or dependence (METH+ n = 56) were compared to those without severity and recency of methamphetamine use (METH- n = 59). These groups did not differ on social network size or proportion of people with HIV (∼58% HIV+). Participants completed the NIH Toolbox Loneliness Scale and the Sexual Risks Scale\'s \"Norms\" and \"Intentions\" subscales.
RESULTS: METH+ individuals were significantly lonelier than METH- controls (t(113) = 2.45, p = .02). Methamphetamine dependence remained significantly associated with greater loneliness, after controlling for HIV status and other relevant covariates (e.g., neurocognitive impairment, history of mood disorder, social network size; F = 3.70, Adjusted R2 = 0.18, p = .0009). Loneliness, above and beyond the aforementioned covariates, was significantly associated with riskier beliefs and intentions to practice safer sex among METH+, but not METH-, individuals (β = 2.92, p = .02).
CONCLUSIONS: Loneliness is prevalent among individuals dependent on methamphetamine, and is uniquely associated with riskier beliefs and intentions regarding practicing safer sex. Findings may aid in identifying individuals at-risk of engaging in riskier sexual behaviors and guide risk prevention strategies.
METHODS: Individuals who met DSM-IV criteria for lifetime methamphetamine dependence and current (≤ 18-months) methamphetamine abuse or dependence (METH+ n = 56) were compared to those without severity and recency of methamphetamine use (METH- n = 59). These groups did not differ on social network size or proportion of people with HIV (∼58% HIV+). Participants completed the NIH Toolbox Loneliness Scale and the Sexual Risks Scale\'s \"Norms\" and \"Intentions\" subscales.
RESULTS: METH+ individuals were significantly lonelier than METH- controls (t(113) = 2.45, p = .02). Methamphetamine dependence remained significantly associated with greater loneliness, after controlling for HIV status and other relevant covariates (e.g., neurocognitive impairment, history of mood disorder, social network size; F = 3.70, Adjusted R2 = 0.18, p = .0009). Loneliness, above and beyond the aforementioned covariates, was significantly associated with riskier beliefs and intentions to practice safer sex among METH+, but not METH-, individuals (β = 2.92, p = .02).
CONCLUSIONS: Loneliness is prevalent among individuals dependent on methamphetamine, and is uniquely associated with riskier beliefs and intentions regarding practicing safer sex. Findings may aid in identifying individuals at-risk of engaging in riskier sexual behaviors and guide risk prevention strategies.
摘要：
背景：使用甲基苯丙胺是已知的危险性行为的预测因子，这可能会对公共卫生产生重要影响(例如，艾滋病毒传播风险)。孤独也与更危险的性行为有关，尽管在依赖甲基苯丙胺的人群中，尚未研究孤独与信仰和/或进行安全性行为的意图之间的关系。
方法：将符合DSM-IV终生甲基苯丙胺依赖和当前（≤18个月）甲基苯丙胺滥用或依赖标准的个体（METHn=56）与没有严重程度和新近使用甲基苯丙胺的个体进行比较（MEH-n=59）。这些群体在社交网络规模或HIV感染者比例上没有差异(~58%HIV+)。参与者完成了NIH工具箱孤独量表和性风险量表的“规范”和“意图”子量表。
结果：METH+个体明显比MES-对照组更孤独（t（113）=2.45，p=0.02）。甲基苯丙胺依赖仍然与更大的孤独感显着相关，在控制艾滋病毒状况和其他相关协变量后(例如，神经认知障碍，心境障碍史,社交网络规模；F=3.70，调整后R2=0.18，p=.0009)。孤独,在上述协变量之上和之外，与METH+中进行安全性行为的风险较高的信念和意图显着相关，但不是什么-，个体（β=2.92，p=0.02）。
结论：孤独感在依赖甲基苯丙胺的个体中普遍存在，并且与进行安全性行为的风险较高的信念和意图有关。研究结果可能有助于识别有从事高风险性行为的个人，并指导风险预防策略。
方法：将符合DSM-IV终生甲基苯丙胺依赖和当前（≤18个月）甲基苯丙胺滥用或依赖标准的个体（METHn=56）与没有严重程度和新近使用甲基苯丙胺的个体进行比较（MEH-n=59）。这些群体在社交网络规模或HIV感染者比例上没有差异(~58%HIV+)。参与者完成了NIH工具箱孤独量表和性风险量表的“规范”和“意图”子量表。
结果：METH+个体明显比MES-对照组更孤独（t（113）=2.45，p=0.02）。甲基苯丙胺依赖仍然与更大的孤独感显着相关，在控制艾滋病毒状况和其他相关协变量后(例如，神经认知障碍，心境障碍史,社交网络规模；F=3.70，调整后R2=0.18，p=.0009)。孤独,在上述协变量之上和之外，与METH+中进行安全性行为的风险较高的信念和意图显着相关，但不是什么-，个体（β=2.92，p=0.02）。
结论：孤独感在依赖甲基苯丙胺的个体中普遍存在，并且与进行安全性行为的风险较高的信念和意图有关。研究结果可能有助于识别有从事高风险性行为的个人，并指导风险预防策略。
