This cross-sectional study of 226 HIV-positive Latino men and women sampled and assessed at an outpatient HIV clinic in Los Angeles examined the associations among acculturation, use of a substance before sex, and unsafe sexual behaviour.
As acculturation increased, men and women were increasingly likely to have engaged in unsafe sex in the most recent sexual encounter since testing seropositive.
In men, the association was partially mediated by use of a substance (primarily alcohol) in the three hours before the sexual encounter ; in women, the association was not mediated by drug use.
The findings underscore the need for culturally sensitive, secondary prevention programmes for HIV-positive persons.
Mots-clés Pascal : SIDA, Virose, Infection, Facteur risque, Acculturation, Comportement sexuel, Ethnie, Latinoaméricain, Etats Unis, Amérique du Nord, Amérique, Milieu culturel, Environnement social, Homme, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Risk factor, Acculturation, Sexual behavior, Ethnic group, Latinamerican, United States, North America, America, Cultural environment, Social environment, Human, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0320488
Code Inist : 002B05C02D. Création : 27/11/1998.