Alcohol Use and Sexual Risk Taking Among Hazardously Drinking Drug Injectors Who Attend Needle Exchange

Stein, Michael D.; Anderson, Bradley J.; Charuvastra, Anthony; Friedmann, Peter D.

doi:10.1111/j.1530-0277.2001.tb02151.x

Cited by 44 publications

(31 citation statements)

References 47 publications

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“…These findings suggest that at least some recent club drug users are in need of treatment or counseling for both drug use and other psychosocial problems, which may include sexual or physical abuse, delinquency or criminality, school problems, psychological distress, and family dysfunction (e.g., poor parenting or family substance use) (e.g., Chilcoat and Anthony, 1996;Galaif and Newcomb, 1999;Johnson and Leff, 1999;Martin et al, 1996;Moran et al, 2004). Further, the clustering of drug use and alcohol abuse or dependence is a cause for concern because of its heightened risk for HIV-related risky behaviors and consequences (Baldwin et al, 2000;Rasch et al, 2000;Stein et al, 2000Stein et al, , 2001. Hence, prevention or treatment programs should include risk-reduction interventions to increase club drug users' knowledge of HIV prevention and to reduce unprotected sexual behaviors (Semple et al, 2004;Yen, 2004).…”

Section: Discussionmentioning

confidence: 99%

Concurrent use of methamphetamine, MDMA, LSD, ketamine, GHB, and flunitrazepam among American youths

Schlenger

Galvin

2006

Drug and Alcohol Dependence

143

116

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Background-The magnitude and the characteristics of the use of methamphetamine, MDMA (Ecstasy), LSD (d-lysergic acid diethylamide), ketamine, GHB (gamma-hydroxybutyrate), and flunitrazepam (Rohypnol) were examined in a probability sample of the U.S. civilian population that included multiethnic urban, suburban, and rural youths aged 16 to 23 (N = 19,084).Methods-Data were drawn from the National Survey on Drug Use and Health (NSDUH). Logistic regression analyses were conducted to identify the characteristics associated with the use of each of these drugs and of multiple drugs.Results-Approximately 20% of youths aged 16 to 23 reported having ever used one or more of these drugs. Less than 1% of club drug users used club drugs only, and 82% of them had ever used three or more drug classes. Females were more likely than males to report using multiple club drugs. Recent users of methamphetamine were most likely to be females and adolescents aged 16 or 17. Recent users of MDMA tended to be young adults aged 18 to 21 and residents of metropolitan areas. Most recent users of LSD were adolescents aged 16 to 19 and those in low-income families. Ketamine users were primarily employed youths. Staying in school and getting married were associated with decreased odds of club drug use. Club drug use was highly associated with the presence of criminal behaviors and recent alcohol abuse or dependence.Conclusions-Adolescents are more likely than young adults to use multiple drugs. The clustering of multidrug use and alcohol use disorder is a cause of concern.

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Section: Discussionmentioning

confidence: 99%

Concurrent use of methamphetamine, MDMA, LSD, ketamine, GHB, and flunitrazepam among American youths

Schlenger

Galvin

2006

Drug and Alcohol Dependence

143

116

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Section: Retrospective Reportmentioning

confidence: 99%

“…This reliable method has been used extensively in substance use research 82 and specifically with adolescents for recall of both substance use 83 and sexual behavior. 83,84 The timeline followback calendar uses recall-enhancing techniques to provide a detailed assessment of substance use and coitus at the event level.Because it would have been difficult to recall the specifics of affect on any given day, participants were asked to give a general impression of their affect for each of the 14 days, noting in particular days with the best and the worst affective states. The interview took ϳ30 minutes (more or less, depending on the frequency of substance use and sexual behavior).…”

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confidence: 99%

Affect and Sexual Behavior in Adolescents: A Review of the Literature and Comparison of Momentary Sampling With Diary and Retrospective Self-Report Methods of Measurement

2005

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ABSTRACT. Objective. Assessment of mental health is important in understanding sexual risk behavior in adolescents, yet few studies have examined how affect is directly related to sexual behavior. Momentary sampling (MS) methods permit real-time assessment of affect in relation to specific events and embed the collected data in the context of the respondent's moment-to-moment life. The objectives of this study were to review the literature on affect and sexual behavior and to compare the feasibility and acceptability of MS with diaries and retrospective self-report as a means of collecting temporally relevant data on affect and sexual behavior in adolescents.Methods. Sexually active, nondepressed adolescent outpatients who were aged 15 to 18 years were randomly assigned to a schedule of the 3 methods of data collection for 2 weeks each. All participants completed a retrospective self-report by interview at the end of each 2-week period. In the diary arm, participants completed twicedaily paper-and-pencil diary cards, which were returned by mail. In the MS arm, participants used 2-way pagers to respond to several random pages per day. Primary outcomes included rates of completion (diaries vs MS reports) and the participants' tolerance of and preferences for the methods. A secondary outcome was the agreement in means for positive and negative affect and in report of days on which substance use and sexual activity occurred. Associations of affect with contextual factors and with sexual activity were also explored in the MS arm.Results. Ten youths completed 30 of 30 retrospective self-reports (100%, 3 per participant, by design), 254 of 280 diaries (91%; mean: 25.4 per participant), and 442 of 600 MS reports (74%; mean: 44.2 per participant). Most participants preferred the MS method to the diaries or retrospective self-report. Affect scores and reports of sexual activity and substance use were correlated among the methods. Measured with MS, affect was found to differ by location, companionship, and thoughts when paged; notably, positive affect was highest when participants reported thoughts about sex. There was no difference in affect before versus after coitus. Conclusions.The results of this study suggest that MS in adolescents is feasible and preferred and provides contextual, temporally relevant, event-level data on affect and sexual activity that are not readily measured with traditional methods. Future research using MS methods will be important in increasing our understanding of the link between affect and sexual behavior and inform the development of improved risk reduction interventions for adolescents. P reventive interventions for sexually active youths have had only modest success in reducing their high risk for HIV/sexually transmitted infection (STI) and unintended pregnancy, [1][2][3] suggesting that new approaches to sexual risk reduction must be considered. Interventions that target specific groups of at-risk youths may be particularly promising. Although affect, depression, and other measures of m...

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“…The HIV + IDUs are more likely to disclose their HIV serostatus to primary partners than to other partners (9). Numerous studies have found that condom use is more likely with IDUs' nonsteady partners than with primary or steady partners (1,5,6,(8)(9)(10)(11)(12)(13). Additional sexual risk behaviors practiced by IDUs involve exchanging sex for drugs or money, engaging in sexual intercourse with other IDUs, and using alcohol and/or drugs prior to or during sex (8,(11)(12)(13)(14)(15)(16).…”

Section: Introductionmentioning

confidence: 99%

Intravenous Drug Users' HIV‐Risk Behaviors with Primary/Other Partners

Rosengard

Anderson

Stein

2004

The American Journal of Drug and Alcohol Abuse

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The objective of this study was to determine how injection drug users' (IDUs) HIV-risk behavior differs with primary and other sex partners. Interviews were conducted with injection drug users from a needle exchange program (n = 243). Those with one sexual partner were more likely to report never using condoms with primary partners than were those with more than one partner (74% vs. 54%, p < 0.001). Those with more than one partner differed, between primary and other sexual partners, in their disclosure of HIV and IDU status, condom use, and drug use in combination with sex. Primary sexual partners of IDUs are placed at risk from IDUs' risk behavior with other sexual partners. Those planning HIV-risk reduction interventions for IDUs should consider risk behavior with primary partners separately from behavior with other partners. Evaluation of intervention effects should use partner-specific assessments of risk behavior.

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Alcohol Use and Sexual Risk Taking Among Hazardously Drinking Drug Injectors Who Attend Needle Exchange

Abstract: Alcohol use is associated with sex risk-taking behavior among injection drug users. A substantial majority of participants reported using alcohol before or during sexual relations, which temporally links alcohol use with human immunodeficiency virus injection risk.

Cited by 44 publications

References 47 publications

Concurrent use of methamphetamine, MDMA, LSD, ketamine, GHB, and flunitrazepam among American youths

Concurrent use of methamphetamine, MDMA, LSD, ketamine, GHB, and flunitrazepam among American youths

Affect and Sexual Behavior in Adolescents: A Review of the Literature and Comparison of Momentary Sampling With Diary and Retrospective Self-Report Methods of Measurement

Intravenous Drug Users' HIV‐Risk Behaviors with Primary/Other Partners

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