Gender-Specific Situational Correlates of Syringe Sharing During a Single Injection Episode

Salway, Travis; Bruneau, Julie; Daniel, Mark

doi:10.1007/s10461-009-9530-5

Cited by 4 publications

(3 citation statements)

References 33 publications

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“…Furthermore, the association between sexual partnership and injection risk behavior was significantly more positive for female injectors as compared to males. This concurs with findings from several studies indicating that sexual partners were at increased likelihood for engaging in injection risk behavior for both male and female injectors (Bailey et al, 2007; Hottes, Bruneau, & Daniel, 2011). Furthermore, this may suggest that the resource imbalances or gender norms may enhance the potential risk of sexual partnerships for female injectors.…”

Section: Discussionsupporting

confidence: 92%

The micro-social risk environment for injection drug use: An event specific analysis of dyadic, situational, and network predictors of injection risk behavior

Janulis

2016

International Journal of Drug Policy

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Background This study explores the risk environment for drug use by examining injection risk behavior during specific injection episodes. By leveraging multiple observations of injection episodes of participants, the study attempts to move beyond global assessment of environmental variables to simultaneously model within (i.e., event level) as well as between (i.e., individual level) predictors of injection risk. Furthermore, gender is also explored as a potential moderator of the relationship between the association of specific partner characteristics (e.g., having an injection partner who is also a sexual partner) and injection risk behavior. Methods Data is used from the Sexual Acquisition of Transmission of HIV Cooperative Agreement Study (SATHCAP). Multilevel structural equation modeling is utilized to predict within and between variations in underlying injection risk behavior as measured using four indicators of injection risk. Results Results indicated that a number of partner level characteristics (i.e., being emotionally close with the partner, sexual partnership, being a first time partner) and one social situational (i.e., the number of non-injectors present at the injection episode) characteristic predicted event level injection risk behavior. However, the impact of partner characteristics also appears to be moderated by gender of the participants. More specifically, sharing a sexual partnership with an injection partner was more strongly associated with injection risk among females as compared to males and females indicated higher levels of risk when injecting with other females while the partner’s gender showed no significant association with risk for male injectors. Conclusion These results suggest that people who inject drug do report varying levels of risk during different injection episodes and this variation can be explained by partner and situational characteristics. Improved understanding of the social processes surrounding injection episodes is required to further refine harm reduction approaches.

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Section: Discussionsupporting

confidence: 92%

The micro-social risk environment for injection drug use: An event specific analysis of dyadic, situational, and network predictors of injection risk behavior

Janulis

2016

International Journal of Drug Policy

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“…These associations with both injection and sexual risk factors are consistent with past research among PWID (Arasteh & Des Jarlais, 2009; Le Marchand et al, 2013; Matos et al, 2004), and studies that separately analyzed injection (Hottes, Bruneau, & Daniel, 2011; Stein et al, 2000; Stein, Charuvastra, Maksad, & Anderson, 2002; Wang et al, 2014) and sexual risk (Michael D Stein et al, 2002). These results also support polysubstance use research among PWID, such that co-use of alcohol and other injection drugs predict increased risk of injection and sexual behavior, compared to primary use of one substance (Harrell et al, 2012; Keen et al, 2014).…”

Section: Discussionsupporting

confidence: 88%

“…Prior research suggests that alcohol use has a stronger effect on sexual risk behaviors for females compared to males in substance abuse treatment (Brooks et al, 2010). This association, however, does not appear to operate for injection risk behaviors (Hottes et al, 2011). More research is needed to elucidate possible gender differences in alcohol use and risky injection and sexual behavior.…”

Section: Discussionmentioning

confidence: 92%

Association between alcohol consumption and injection and sexual risk behaviors among people who inject drugs in rural Puerto Rico

Welch-Lazoritz

Hautala

Habecker

et al. 2017

Journal of Substance Abuse Treatment

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Although alcohol use has been associated with risky behavior generally, the relationship between alcohol use and multiple types of risk behaviors that could lead to the acquisition and transmission of HIV and hepatitis C (HCV) among people who inject drugs (PWID) has not been fully examined. The current study seeks to contribute to the understanding of how alcohol use is related to both injection risk and sexual risk, among a non-treatment, cross-sectional sample of mostly male PWID in rural Puerto Rico (n = 315). “At-risk” alcohol use was defined as consuming ≥14 drinks per week for males and ≥7 drinks per week for females. Binge drinking frequency was defined as consuming ≥5 drinks on one occasion for males and ≥4 drinks on a single occasion for females. Multivariate regression models were used to examine the association between the alcohol use variables and injection and sexual risk outcomes, adjusting for demographic characteristics. Overall, 14% (n = 45) of the participants in this sample were considered at-risk drinkers (44% low risk drinkers and 42% alcohol abstainers), and participants reported binge drinking, on average, at least once per month. At-risk drinking, compared to low risk or no drinking, increased both injection and sexual risk behaviors. Frequency of past year binge drinking was also associated with both injection and sexual risk behaviors. Interventions aimed at reducing HIV and HCV transmission among injection drug users non-PWID networks should both target individuals who drink alcohol frequently and in high volumes, and include strategies for reducing risky behaviors while heavy drinking is occurring.

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Gender, sexual orientation identity, and initiation of amphetamine injecting among people who inject drugs: Examination of an expanding drug era in Montreal, Canada, 2011–19

Høj,

Minoyan,

Zang

et al. 2023

Drug and Alcohol Dependence

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Gender-Specific Situational Correlates of Syringe Sharing During a Single Injection Episode

Cited by 4 publications

References 33 publications

The micro-social risk environment for injection drug use: An event specific analysis of dyadic, situational, and network predictors of injection risk behavior

The micro-social risk environment for injection drug use: An event specific analysis of dyadic, situational, and network predictors of injection risk behavior

Association between alcohol consumption and injection and sexual risk behaviors among people who inject drugs in rural Puerto Rico

Gender, sexual orientation identity, and initiation of amphetamine injecting among people who inject drugs: Examination of an expanding drug era in Montreal, Canada, 2011–19

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