title: Pain and Risk Behaviors Among HIV-Infected Persons in St. Petersburg, Russia.
abstract: We analyzed baseline data from an observational cohort of HIV-infected ART-naïve patients in St. Petersburg, Russia to explore whether pain was associated with HIV risk behaviors. The primary outcomes were (1) unprotected vaginal or anal sex in the past 90 days and (2) sharing of needles or equipment in the past month. Secondary outcomes included: use of alcohol prior to sex, current injection drug use, number of unprotected sex and sharing episodes, and days injected in the past month. The main independent variable was any past week pain. Multivariable regression models were fit for outcomes. After adjustment, the association with unprotected sex was of borderline significance (AOR = 2.06; 95 % CI 0.98-4.36, p = 0.058); there was no significant association between any past week pain and sharing of needles/equipment (AOR = 1.52; 95 % CI 0.65-3.59, p = 0.33). Participants with pain had higher odds of reporting alcohol use prior to sex (AOR = 2.42; 95 % CI 1.10-5.28, p = 0.03).
authors: Section of General Internal Medicine, Department of Medicine, University of Washington School of Medicine and Harborview Hospital, 325 9th Ave, Box 359780, Seattle, WA, 98104, USA. tsuij@uw.edu.
authors: Judith I
authors: JI
authors: Tsui
authors: Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA.
authors: Debbie M
authors: DM
authors: Cheng
authors: Data Coordinating Center, Boston University School of Public Health, Boston, MA, USA.
authors: Sharon M
authors: SM
authors: Coleman
authors: Laboratory of Clinical Pharmacology of Addictions, First Pavlov State Medical University, St. Petersburg, Russia.
authors: Elena
authors: E
authors: Blokhina
authors: Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston, MA, USA.
authors: Natalia
authors: N
authors: Gnatienko
authors: National Institute on Alcohol Abuse and Alcoholism, Bethesda, MD, USA.
authors: Kendall
authors: K
authors: Bryant
authors: Laboratory of Clinical Pharmacology of Addictions, First Pavlov State Medical University, St. Petersburg, Russia.|Department of Addictions, Bekhterev Research Psychoneurological Institute, St. Petersburg, Russia.
authors: Evgeny
authors: E
authors: Krupitsky
authors: Laboratory of Clinical Pharmacology of Addictions, First Pavlov State Medical University, St. Petersburg, Russia.
authors: Edwin
authors: E
authors: Zvartau
authors: Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine/Boston Medical Center, Boston, MA, USA.|Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA.
authors: Jeffrey H
authors: JH
authors: Samet
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology; D015331:Cohort Studies; D005260:Female; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain; D012309:Risk-Taking; D012426:Russia / Q000453:epidemiology; D012725:Sexual Behavior; D015819:Substance Abuse, Intravenous / Q000150:complications; D047568:Unsafe Sex
keywords: HIV; Pain; Risk behaviors