Longitudinal Determinants of Consistent Condom Use by Partner Type Among Young Injection Drug Users: The Role of Personal and Partner Characteristics

Kapadia, Farzana; Latka, Mary H.; Wu, Yingfeng; Strathdee, Steffanie A.; Mackesy‐Amiti, Mary Ellen; Hudson, Sharon; Thiede, Hanne; Garfein, Richard S.

doi:10.1007/s10461-009-9569-3

Cited by 19 publications

(22 citation statements)

References 35 publications

(46 reference statements)

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“…Self-efficacy was a strong predictor for condom use. We may assume that it is temporally primary to the target behavior, a finding, which is confirmed by the existing literature on self-efficacy (Bandura, 1997) using longitudinal study designs in various populations (Grossman et al, 2008;Kapadia et al, 2009;Zimmerman et al, 2007). A further limitation of this study was the convenience sampling.…”

Section: Discussionsupporting

confidence: 61%

Sexual Protection Behavior in HIV-Positive Gay Men: Testing a Modified Information-Motivation-Behavioral Skills Model

et al. 2010

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This study on determinants of sexual protection behavior among HIV-positive gay men used the empirically tested information-motivation-behavioral skills (IMB) model. HIV-specific variables were added to the model to determine factors decisive for condom use with steady and casual partners. Data were collected using an anonymous, standardized self-administered questionnaire. Study participants were recruited at HIV outpatient clinics associated with the Eurosupport Study Group and the Swiss HIV Cohort Study. To identify factors associated with condom use, backward elimination regression analyses were performed. Overall, 838 HIV-infected gay men from 14 European countries were included in this analysis. About 53% of them reported at least one sexual contact with a steady partner; 62.5% had sex with a casual partner during the last 6 months. Forty-three percent always used condoms with steady partners and 44% with casual partners. High self-efficacy and subjective norms in favor of condom-use were associated with increased condom use with casual and steady partners, whereas feeling depressed was associated with decreased condom use with casual partners. Condoms were used less often with HIV-positive partners. Self-efficacy as an important behavioral skill to perform protection behavior was influenced by lower perceived vulnerability, higher subjective norms, and more positive safer sex attitudes. The IMB-model constructs appeared to be valid; however, not all the model predictors could be determined as hypothesized. Besides the original IMB constructs, HIV-specific variables, including sexual partners' serostatus and mental health, explained condom use. Such factors should be considered in clinical interventions to promote "positive prevention."

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Section: Discussionsupporting

confidence: 61%

Sexual Protection Behavior in HIV-Positive Gay Men: Testing a Modified Information-Motivation-Behavioral Skills Model

et al. 2010

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“…However, some qualitative data indicated that this relationship may be a consequence of a high prevalence of unsafe sexual behaviors among IDUs rather than factors specific to prescription drug misuse. Quantitative research of young IDUs who primarily inject heroin and/or cocaine indicates that infrequent condom use is typical (Kapadia et al 2011). Hence, it is unknown whether the effects of prescription drug misuse influenced decisions about condom use during sex or whether risky sexual behaviors were simply common among IDUs irrespective of drug use.…”

Section: Discussionmentioning

confidence: 99%

Prescription Drug Misuse and Risk Behaviors Among Young Injection Drug Users

Johnson

Fibbi

Langer

et al. 2013

Journal of Psychoactive Drugs

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Prescription drug misuse among young adults, especially opioids, is a substantial public health problem in the United States. Although risks associated with injection of illicit drugs are well established, injection and sexual risks associated with misuse of prescription drugs are under-studied. Forty young injection drug users aged 16 to 25 who reported injection of a prescription drug were recruited in 2008–09 in Los Angeles and New York City. Descriptive quantitative and qualitative data were analyzed to illustrate risky injection and sexual behaviors reported in this sample. Over half of participants engaged in risky injection behavior, three-quarters engaged in risky sexual behavior, nearly half reported both risky behaviors, and five did not report either risk behavior while misusing a prescription drug. Prescription opioids, tranquilizers, and stimulants were misused in the context of risky sexual behaviors while only opioids were misused in the context of injection risk behaviors. Access to clean syringes, attitudes and beliefs regarding hepatitis C, and risk reduction through partner selection were identified as key themes that contextualized risk behaviors. Although these findings help identify areas to target educational campaigns, such as prevention of sexually transmitted infections, risk behaviors specifically associated with prescription drug misuse warrant further study.

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“…These findings may reflect factors contributing to differences by gender, such as the role of intimate partner violence, sexual risk reduction self-efficacy and partner-level factors (Somlai et al, 2003; Kapadia et al, 2007; Engstrom et al, 2011; Kapadia et al, 2011). Recent heroin and alcohol use were also associated with non-condom use in our study, which is consistent with existing literature (Metzger et al, 1993; Kalichman et al, 2002; Des Jarlais et al, 2007; Theall et al, 2007).…”

Section: Discussionmentioning

confidence: 94%

The impact of buprenorphine/naloxone treatment on HIV risk behaviors among HIV-infected, opioid-dependent patients

Edelman

Chantarat

Caffrey

et al. 2014

Drug and Alcohol Dependence

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Background Opioid dependence is a major risk factor for HIV infection, however, the impact of buprenorphine/naloxone treatment on HIV risk behaviors among HIV-infected opioid-dependent patients is unknown. Methods We conducted a longitudinal analysis of 303 HIV-infected opioid-dependent patients initiating buprenorphine/naloxone treatment. Outcomes included self-reported past 90-day needle-sharing and non-condom use. We assessed trends over the 12 months using the Cochran-Armitage trend test. Using Generalized Estimating Equations, after multiple imputation, we determined factors independently associated with needle-sharing and non-condom use, including time-updated variables. We then conducted a mediation analysis to determine whether substance use explained the relationship between time since treatment initiation and needle-sharing. Results Needle-sharing decreased from baseline to the fourth quarter following initiation of buprenorphine/naloxone (9% vs. 3%, p<0.001), while non-condom use did not (23% vs. 21%, p=0.10). HIV risk behaviors did not vary based on the presence of a detectable HIV-1 RNA viral load. Patients who were homeless and used heroin, cocaine/amphetamines or marijuana were more likely to report needle-sharing. Heroin use fully mediated the relationship between time since treatment initiation and needle-sharing. Women, patients who identified as being gay/lesbian/bisexual, those married or living with a partner and who reported heroin or alcohol use were more likely to report non-condom use. Older patients were less likely to report non-condom use. Conclusions While buprenorphine/naloxone is associated with decreased needle-sharing among HIV-infected opioid-dependent patients, sexual risk behaviors persist regardless of viral load. Targeted interventions to address HIV risk behaviors among HIV-infected opioid-dependent populations receiving buprenorphine/naloxone are needed.

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Longitudinal Determinants of Consistent Condom Use by Partner Type Among Young Injection Drug Users: The Role of Personal and Partner Characteristics

Cited by 19 publications

References 35 publications

Sexual Protection Behavior in HIV-Positive Gay Men: Testing a Modified Information-Motivation-Behavioral Skills Model

Sexual Protection Behavior in HIV-Positive Gay Men: Testing a Modified Information-Motivation-Behavioral Skills Model

Prescription Drug Misuse and Risk Behaviors Among Young Injection Drug Users

The impact of buprenorphine/naloxone treatment on HIV risk behaviors among HIV-infected, opioid-dependent patients

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