Drug users' sexual relationships and the social organisation of risk: The sexual relationship as a site of risk management

Rhodes, Tim; Quirk, Alan

doi:10.1016/s0277-9536(97)00156-1

Cited by 127 publications

(128 citation statements)

References 24 publications

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“…For example, crack cocaine has been associated with trading sex for drugs (Edlin et al, 1994;Marx et al, 1991), and among MSM, nitrites (Ostrow et al, 1990;Ostrow et al, 1993) and methamphetamine (Colfax et al, 2004;Mansergh et al, 2006) may serve as triggers for risky sex. Heroin may reduce sexual interest and ability, while methamphetamine and cocaine are associated with increased sex drive (Zule and Desmond, 1999;Rhodes and Quirk, 1998). Differences in pharmacological effects, situations of use, and reasons for use may lead to different relationships between these drugs and risky sexual activity.…”

Section: Discussionmentioning

confidence: 99%

Alcohol, drugs, and condom use among drug offenders: An event-based analysis

Leigh

Ames

Stacy

2008

Drug and Alcohol Dependence

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Background-Studies of the association between substance use and condom use in specific sexual encounters often do not separate the effects of alcohol and different types of drugs. Because the pharmacological effects and social settings of various substances differ, their effects on unprotected intercourse may vary as well.Goal-This study examined the relationship between alcohol and drug use and the use of condoms in sexual encounters with casual partners in a high-risk population of drug offenders Design-Participants in court-ordered drug diversion programs (n=536; 26% female) completed a questionnaire in which they reported on the circumstances of their most recent sexual encounter with a casual partner.Results-In multivariate logistic models, alcohol use in conjunction with sex was not related to decreased condom use in either men or women. Amphetamines (smoked or injected) were associated with decreased condom use, while cocaine, marijuana, and orally-administered amphetamines were not significantly associated with condom use.Conclusions-In this high-risk sample, links between substance use and unprotected sex differ with type of drug used.

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Section: Discussionmentioning

confidence: 99%

Alcohol, drugs, and condom use among drug offenders: An event-based analysis

Leigh

Ames

Stacy

2008

Drug and Alcohol Dependence

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“…Fortunately, despite having a multiplicity of motivations and symbolic meanings imbedded in social contexts, needle sharing behaviors have been amenable to behavior change (Des Jarlais et al, 1994b suggesting the potential for behavior change regarding drug smoking behaviors such as`doing a shotgun'. However, as with the direct sharing of syringes, the sharing of ®lters and spoons, and indirect syringe sharing through front and backloading practices (Jose et al, 1993;Hunter et al, 1995), it may be necessary to develop interventions which take into account the social contexts and social etiquette' related to these behaviors in order to e ect long term behavior change and risk reduction (Hunter et al, 1995;Grund et al, 1996;Rhodes and Quirk, 1998).…”

Section: Discussionmentioning

confidence: 99%

“…Less attention has been devoted to characterizing the practices of inhalation drug use which might confer the risk of infection. Ethnographic and qualitative research has also contributed to the understanding of risk as a socially situated construct and to how speci®c social relationships in¯uence risk behaviors (Sibthorpe, 1992;Neaigus et al, 1994;Rhodes et al, 1996;Grund et al, 1996;Rhodes and Quirk, 1998).…”

Section: Social Science and Medicine 48 (1999) 1441±1448mentioning

confidence: 99%

Doing a shotgun: a drug use practice and its relationship to sexual behaviors and infection risk

Perlman

Henman

Kochems

et al. 1999

Social Science & Medicine

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There has been a rise in the frequency with which inhalational routes such as smoking are used for illicit drug use. A growing population of new inhalational drug users augments the pool of individuals at risk for transition to injection drug use. Further, illicit drug smoking has been implicated in the transmission of a variety of pathogens by the respiratory route, and crack smoking has been associated with an increased risk of HIV infection, particularly through the exchange of high-risk sex for drugs. Shotguns are an illicit drug smoking practice in which smoked drugs are exhaled or blown by one user into the mouth of another user. We conducted a series of ethnographic observations to attempt to characterize more fully the practice of shotgunning, the range of associated behaviors, and the settings and contexts in which this practice occurs. Shotguns may be seen as a form of drug use which has close ties to sexual behaviors, and which has both pragmatic and interpersonal motivations, combining in a single phenomenon the potential direct and indirect risk of disease transmission by sexual, blood borne and respiratory routes. These data support the need to develop and evaluate comprehensive risk reduction interventions, which take into consideration the relationships between interpersonal and sexual behaviors and speci®c forms of drug use. #

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“…HIV prevention researchers have asserted that comprehensive examinations of risk behavior must evaluate the social dimensions of behavior in addition to individual-level factors (Latkin & Knowlton, 2000;Rhodes & Quirk, 1998). Such a perspective emphasizes that risk behaviors are impacted by social context, influences and norms and often occur in dyads or groups.…”

Section: Introductionmentioning

confidence: 99%