Gender and race as correlates of high risk sex behaviors among injection drug users at risk for HIV enrolled in the HPTN 037 study

Hill, Mandy J.; Holt, M; Hanscom, Brett; Wang, Zhe; Cardenas‐Turanzas, Marylou; Latkin, Carl A.

doi:10.1016/j.drugalcdep.2017.11.018

Cited by 11 publications

(7 citation statements)

References 62 publications

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“…Several studies have shown that SDU decreases risk perception [ 3 , 28 ] and has been associated with riskier sexual practices [ 29 , 30 , 31 ]. Among the most common risk practices among sexualized drug users are the reduced use of condoms [ 32 , 33 ], multiple casual sexual partners [ 34 , 35 ], and unconventional sexual practices (i.e., bondage and discipline, dominance and submission, and sadism and masochism (BDSM); fisting, barebacking, or serosorting; [ 36 , 37 ]), which could also facilitate the transmission of HIV [ 38 ].…”

Section: Introductionmentioning

confidence: 99%

Risky Sexual Practices, Sexually Transmitted Infections, Motivations, and Mental Health among Heterosexual Women and Men Who Practice Sexualized Drug Use in Spain

Íncera-Fernández

Román

Gámez-Guadix

2022

IJERPH

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Sexualized drug use (SDU) has been poorly studied among heterosexuals. The purpose of the present study was to analyze the prevalence of and gender differences in types of substances, risky sexual practices, sexually transmitted infections (STIs), motivations, and psychological adjustment among heterosexual women and men who engage in SDU. The study sample consisted of 1181 heterosexuals (795 women) between 18 and 78 years old (mean age = 24.4, SD = 7.4). Approximately 12% of the participants had engaged in SDU. No differences were found in the prevalence of SDU between men and women. Alcohol, cannabis, and 3,4-methylenedioxy-methamphetamine (MDMA) were the substances most frequently used for sexual purposes. Men were significantly more likely to use MDMA, ecstasy, cocaine, and erectile dysfunction (ED) drugs, and they tended to have more sexual partners than women. Likewise, SDU was related to have more sexual partners, penetrative sex without a condom, practice a fetish, be diagnosed with syphilis, chlamydia, and others STIs, and present more depression symptoms (but not with more anxiety). In conclusion, SDU was associated with poorer physical and mental health. It is, therefore, necessary to design programs aimed at reducing the incidence of the consequences of SDU on the physical and mental health of both men and women. Moreover, programs that seek to understand why these individuals engage in SDU should be undertaken.

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Section: Introductionmentioning

confidence: 99%

Risky Sexual Practices, Sexually Transmitted Infections, Motivations, and Mental Health among Heterosexual Women and Men Who Practice Sexualized Drug Use in Spain

Íncera-Fernández

Román

Gámez-Guadix

2022

IJERPH

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“…Moreover, differences in mortality by transmission category may also be modified by sex differences. A study determined that compared with male PWID, female PWID were more likely to have high-risk sex 28 , thereby increasing their risk of mortality from sexually transmitted diseases such as hepatitis. A cohort study conducted in Europe found greater sex differences in all-cause mortality among heterosexual people than among PWID (interaction P = 0.043) 20 .…”

Section: Introductionmentioning

confidence: 99%

Sex stratification of the trends and risk of mortality among individuals living with HIV under different transmission categories

Lee

Lin

et al. 2022

Sci Rep

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We retrospectively examined 33,142 persons living with HIV (PLWH) in Taiwan from a nationwide database to assess sex-stratified trends and risk of all-cause mortality under different transmission categories from 1984 to 2016. Overall, 61.25% were men who have sex with men (MSM), 14.37% were men who have sex with women (MSW), 18.32% were male persons who inject drugs (M-PWID), 3.30% were women who have sex with men (WSM), and 2.74% were female PWID (F-PWID). All-cause mortality (per 100 person-years) among heterosexual people and PWID was higher in men (4.04 and 3.39, respectively) than in women (2.93 and 2.18, respectively). In each sex-stratified transmission category, the all-cause mortality reduced substantially from 1984–1996 to 2012–2016, but evolved distinctly from 2007–2011 to 2012–2016. Since 2007–2011, the decline in all-cause mortality has slowed notably in the groups with sexually transmitted HIV, but has increased in PWID, surpassing even that among groups with sexually transmitted HIV in 2012–2016. PLWH with sexually transmitted HIV had lower risks of all-cause mortality than PWID, regardless of sex. Sex and transmission category did not interact significantly on all-cause mortality. Understanding the reasons for the distinct evolving trends of all-cause mortality in each transmission category serves as a reference for developing strategies to reduce mortality in PLWH in Taiwan further.

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“…Additionally, the US is experiencing increases in acute hepatitis C virus (HCV) infections related to injection drug use (Zibbell et al, 2018), indicating that PWID are engaging in injection practices that increase risk for HIV transmission. Importantly, PWID face a dual risk for HIV from injection and sexual behaviors (Hill et al, 2018;Kral et al, 2001;Neaigus et al, 2013;Strathdee & Sherman, 2003), including transactional sex (Astemborski, Vlahov, Warren, Solomon, & Nelson, 1994;Jenness et al, 2011;Rondinelli et al, 2009) and forced sex (Williams, Dangerfield, Kral, Wenger, & Bluthenthal, 2018). This may be why there is a higher prevalence of sexually transmitted infections among PWID compared to the general population (Roth et al, 2016), leading to a growing need to prevent infectious disease spread among PWID.…”

Section: Introductionmentioning

confidence: 99%

HIV Pre-Exposure Prophylaxis Prevention Awareness, Willingness, and Perceived Barriers among People Who Inject Drugs in Los Angeles and San Francisco, CA, 2016–2018

Walters

Kral

Simpson

et al. 2020

Substance Use & Misuse

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Background: Pre-exposure prophylaxis (PrEP) for HIV prevention is indicated for people who inject drugs (PWID), yet most studies exclude PWID. This study examines factors associated with PrEP awareness and willingness, and identifies perceived barriers to PrEP among PWID.Methods: PWID were interviewed in Los Angeles and San Francisco, CA from 2016 to 2018. We analyzed data from self-reported HIV-negative participants who had injected drugs within the past 6 months (n=469). Questions on PrEP included awareness, willingness, barriers, and uptake. Multiple logistic regression models of factors associated with awareness of, and willingness to, take PrEP were developed. Descriptive statistics on perceived PrEP barriers are reported.Results: Among HIV-negative PWID, 40% were aware of PrEP, 59% reported willingness to take PrEP, and 2% were currently taking PrEP. In multivariable analysis, PrEP awareness was associated with study site and sexual minority status, higher educational attainment, and HIV testing in the last 6 months. Willingness to take PrEP was associated with self-reported risk (paying sex partner in the last 6 months, sharing drug paraphernalia, and being injected by another PWID) and perceived HIV risk. The most common perceived barriers to PrEP were copays, concerns about increase in HIV or sexually transmitted risk with PrEP, and concerns about reduction of medication efficacy without daily use. Conclusion:PrEP awareness among PWID remains inadequate. Willingness to take PrEP was moderate and was most desired by PWID who engaged in high-risk behaviors. Interventions to increase PrEP awareness and willingness, and to facilitate PrEP uptake among PWID are needed.

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Gender and race as correlates of high risk sex behaviors among injection drug users at risk for HIV enrolled in the HPTN 037 study

Abstract: Since AA women report high-risk sex behaviors more than other demographic groups, behavioral interventions for HIV risk reduction among PWID may benefit from focusing on sex-risk reduction among AA women.

Cited by 11 publications

References 62 publications

Risky Sexual Practices, Sexually Transmitted Infections, Motivations, and Mental Health among Heterosexual Women and Men Who Practice Sexualized Drug Use in Spain

Risky Sexual Practices, Sexually Transmitted Infections, Motivations, and Mental Health among Heterosexual Women and Men Who Practice Sexualized Drug Use in Spain

Sex stratification of the trends and risk of mortality among individuals living with HIV under different transmission categories

HIV Pre-Exposure Prophylaxis Prevention Awareness, Willingness, and Perceived Barriers among People Who Inject Drugs in Los Angeles and San Francisco, CA, 2016–2018

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