PDF(Pubmed)
Abstract：
Nitrite inhalants (poppers) are associated with HIV transmission and commonly used among young men who have sex with men (YMSM), a group at increased risk for HIV. Significant research gaps exist in understanding the context in which YMSM use poppers. Qualitative interviews were conducted with 15 YMSM (22-31 years) with HIV to better understand the context in which poppers are used and their impacts on HIV care outcomes, such as care retention and antiretroviral adherence. The Social Ecological Model was applied to understand intrapersonal, interpersonal, community, and system level influences on popper use. Factors influencing popper use included: ubiquity of popper use in sexual settings, introduction to poppers by casual sexual partners, patient-HIV provider communication surrounding poppers, neighborhood, substance use and HIV care systems, and the legal status of poppers. Implications for clinical care, public health, policy, and future research are discussed.
摘要：
亚硝酸盐吸入剂（爆裂剂）与艾滋病毒传播有关，在男男性行为青年（YMSM）中普遍使用，一个感染艾滋病毒风险增加的群体。在理解YMSM使用Poppers的背景方面存在重大研究空白。对15名YMSM（22-31岁）艾滋病毒患者进行了定性访谈，以更好地了解使用罂粟的背景及其对艾滋病毒护理结果的影响，如护理保留和抗逆转录病毒依从性。社会生态模型被用来理解内部人，人际关系,社区,以及系统级别对popper使用的影响。影响波普尔使用的因素包括：在性环境中普遍使用波普尔，由随意的性伴侣介绍给波普尔，病人和艾滋病毒提供者围绕波普尔的沟通，邻居,药物使用和艾滋病毒护理系统，以及Poppers的法律地位.对临床护理的影响，公共卫生,政策,并对未来的研究进行了讨论。
