Methamphetamine Use Among Women Attending Sexually Transmitted Disease Clinics in Los Angeles County

Stahlman, Shauna; Javanbakht, Marjan; Stirland, Ali; Guerry, Sarah; Gorbach, Pamina M.

doi:10.1097/01.olq.0000430801.14841.75

Cited by 18 publications

(20 citation statements)

References 19 publications

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“…Further, substance abuse has been found to be related to the maintenance of power imbalances within sexual relationships, which may, in turn, influence one’s power over sexual decision making within the relationship (e.g., condom use, frequency of sexual intercourse) and thus risk for HIV (Siemieniuk, Krentz, and Gill 2013). HIV risk among women who use drugs may be caused directly by injection drug use or indirectly via high-risk sexual practices with injection drug users (Cheng et al 2009, 2010; Lorvick et al 2006; McKenna 2013; Meade et al 2012; Semple, Patterson, and Grant 2004a, 2004b; Semple et al 2011; Stahlman et al 2013). IPV may also lead to HIV through the direct and indirect pathway of risky sexual practices (e.g., concurrent sex partners, unprotected vaginal and/or anal sex, forced sex with HIV-infected partners) (Amaro et al 1990; Amaro 1995; Amaro and Raj 2000; Axelrod et al 1999; Coker 2007; Dunkle et al 2004; Rothenberg and Paskey 1995; Van der Straten et al 1998; Wingood, DiClemente, and Raj 2000; Wyatt et al 2000).…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Recent Intimate Partner Violence among Methamphetamine-Using Men and Women

Hayashi

Patterson

Semple

et al. 2016

Journal of Psychoactive Drugs

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The Substance Abuse, Violence, and HIV/AIDS (SAVA) syndemic model describes how the confluence of the three epidemics of substance abuse, violence, and HIV risk work synergistically to create excess burden among populations. We sought to identify risk factors associated with recent intimate partner violence (IPV) victimization among heterosexual methamphetamine (meth)-using men (n = 108) and women (n = 122) enrolled in FASTLANE-II, an HIV behavioral intervention in San Diego, CA. Women and men reported high rates of physical-only (women: 20%; men: 18%) and sexual (women: 25%; men: 23%) IPV. Multinomial regression analysis revealed that individuals who reported lower social support and individuals who reported a greater likelihood of engaging in risky sexual behaviors while high on meth were more likely to report IPV versus no IPV. Women who reported a greater likelihood of engaging in risky sexual behaviors while high on meth were 1.58 times more likely to report physical-only IPV versus no IPV, while men who reported similar behaviors were 1.15 times more likely to report physical-only IPV versus no IPV. Our findings highlight the influence of interpersonal factors on IPV. This research supports further study on gender-specific risk/protective factors and the development of gender-specific interventions targeting the SAVA syndemic among meth users.

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Section: Introductionmentioning

confidence: 99%

Risk Factors for Recent Intimate Partner Violence among Methamphetamine-Using Men and Women

Hayashi

Patterson

Semple

et al. 2016

Journal of Psychoactive Drugs

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“…Stimulant use among women has been linked to younger age, Caucasian race, extreme poverty (Stahlman et al, 2013; Torchalla et al, 2011), risky sexual practices (Neblett et al, 2011; Torchalla et al, 2011) and violence (Falck et al, 2001; Riley et al, 2014). It is also associated with psychiatric co-morbidity, such as bi-polar disorder, anxiety and psychiatric distress (Kolodziej et al, 2005; Velasquez et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

Risk factors for stimulant use among homeless and unstably housed adult women

Riley

Shumway

Knight

et al. 2015

Drug and Alcohol Dependence

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Background One of the most common causes of death among homeless and unstably housed women is acute intoxication where cocaine is present. While correlates of stimulant use have been determined in prior research, few studies have assessed risk factors of use specifically in this high-risk population. Methods We sampled biological women with a history of housing instability from community-based venues to participate in a cohort study. Baseline and 6-month follow-up data were used to determine the relative risk of stimulant use (crack cocaine, powder cocaine or methamphetamine) among individuals who did not use at baseline. Results Among 260 study participants, the median age was 47 years, 70% were women of color; 47% reported having unmet subsistence needs and 53% reported abstinence from stimulants at baseline. In analyses adjusting for baseline sociodemographics and drug treatment, the risk of using stimulants within 6 months was significantly higher among women who reported recent sexual violence (Adjusted Relative Risk [ARR] = 4.31; 95% CI:1.97–9.45), sleeping in a shelter or public place (ARR = 2.75; 95% CI:1.15–6.57), and using unprescribed opioid analgesics (ARR = 2.54; 95% CI:1.01–6.38). Conclusion We found that almost half of homeless and unstably housed women used stimulants at baseline and 14% of those who did not use began within 6 months. Addressing homelessness and sexual violence is critical to reduce stimulant use among impoverished women.

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“…Furthermore, the emergence of some forms of non-injection substance use (particularly stimulants) is occurring in a number of countries including parts of Africa. This rise of non-injection drug use may also be driving HIV transmission, due to associations between substance use and sexual risk behaviors (4, 10–13). …”

Section: Introductionmentioning

confidence: 99%

Drug use as a driver of HIV risks

El‐Bassel

Shaw

Dasgupta

et al. 2014

Current Opinion in HIV and AIDS

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Purpose of Review We reviewed papers published in 2012–2013 that focused on re-emerging and emerging injection and non-injection drug use trends driving HIV risk behaviors and transmission in some parts of the world. Recent Findings While HIV incidence has declined in many countries, HIV epidemics remain at troubling levels among key drug using populations including females who inject drugs (FWID), FWID who trade sex, sex partners of people who inject drugs (SP-PWID), young PWID, and people who use non-injection drugs in a number of low- and middle- income countries such as in Central Asia, Eastern Europe, Southeast Asia, and parts of Africa. Summary HIV epidemics occur within contexts of global economic and political forces, including poverty, human rights violations, discrimination, drug policies, trafficking, and other multi-level risk environments. Trends of injection and non-injection drug use and risk environments driving HIV epidemics in Central Asia, Eastern Europe, Southeast Asia, and parts of Africa call for political will to improve HIV and substance use service delivery, access to combination HIV prevention, and harm reduction programs.

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Methamphetamine Use Among Women Attending Sexually Transmitted Disease Clinics in Los Angeles County

Abstract: Female meth users have high-risk behaviors that could increase their risk for STIs/HIV.

Cited by 18 publications

References 19 publications

Risk Factors for Recent Intimate Partner Violence among Methamphetamine-Using Men and Women

Risk Factors for Recent Intimate Partner Violence among Methamphetamine-Using Men and Women

Risk factors for stimulant use among homeless and unstably housed adult women

Drug use as a driver of HIV risks

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