Sexual Behavior, Attitudes toward Safer Sex, and Gender among a Cohort of 244 Recovering IV Drug Users

Schilling, Robert F.; El‐Bassel, Nabila; Schinke, Steven P.; Nichols, Stuart E.; Botvin, Gilbert J.; Orlandi, Mario

doi:10.3109/10826089109058926

Cited by 50 publications

(25 citation statements)

References 8 publications

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“…Addicted women have a greater probability of having a partner who is also a drug user than men do (Brito, 1997;Schilling, El-Bassel, Schinke, & Nichols, 1991). This was also the case in our study.…”

Section: Discussionsupporting

confidence: 70%

A Study of the Sexuality of Opiate Addicts

Palha¹,

Esteves²

2002

Journal of Sex & Marital Therapy

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The influence of heroin use on sexual behavior was studied in individuals attending a drug abuse program in Porto, Portugal. As we expected, drug abuse was found mainly to adversely affect sexual behavior. A minority of patients reported improvement in sexual behavior with heroin use. Almost all patients remained sexually active and took no special precautions to prevent sexually transmitted diseases. Some patients reported heroin-related sexual effects to be a motivating factor for ceasing drug abuse.

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Section: Discussionsupporting

confidence: 70%

A Study of the Sexuality of Opiate Addicts

Palha¹,

Esteves²

2002

Journal of Sex & Marital Therapy

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“…In particular, two recent meta-analyses indicated that positive attitudes about condom use are strongly related to condom use intentions (r = .45) and moderately related to condom use behaviors (r = .32) Sheeran and Taylor, 1999). Studies investigating these relationships among IDUs have found positive attitudes toward condom use, and significant associations between attitudes about condoms and condom use intentions and behaviors, especially for casual partners (Belanger et al, 2002;Corby et al, 1996;Falck et al, 1997;Fernandez et al, 1997;Kasprzyk et al, 1998;Peterson et al, 1992;Schilling et al, 1991). Moreover, qualitative and quantitative research has identified several barriers to condom use among IDUs, including general dislike of condoms, low perceived risk of HIV, and the beliefs that condoms are difficult or inconvenient to use, and are not necessary with monogamous or steady partners (Corby et al, 1996;Weiss et al, 1993;White and Phillips, 1993).…”

Section: Introductionmentioning

confidence: 93%

Condom Attitudes and Behaviors Among Injection Drug Users Participating in California Syringe Exchange Programs

Bogart

Kral²,

Scott³

et al. 2005

AIDS Behav

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This study examined condom attitudes, preferences, barriers, and use among a sample of 550 injection drug using clients of syringe exchange programs in California. In multivariate analyses, positive attitudes toward condoms were significantly associated with consistent condom use for vaginal, anal, and oral sex in the past six months, beyond the effects of confounding socio-demographic and HIV risk variables. Participants commonly cited partner-related barriers to condom use, such as reluctance to use condoms with steady partners (34%). Almost a quarter of the sample cited dislike of condoms (e.g., because of pleasure reduction). In addition, a third of respondents stated specific preferences regarding condom brands, sensitivity, sizes, and textures. Interventions that increase awareness about positive aspects of condom use and sexual risk from steady partners may be successful in increasing condom use among injection drug users.

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“…Among women receiving methadone maintenance treatment in the early 1990s, African American women reported less frequent condom use during sex and were less likely to report changing their sexual practices to reduce HIV risk than White or Hispanic women (Schilling et al, 1991). Other studies from the same period examining women considered to be at high-risk for HIV infection found that White women were significantly more likely than African American or Hispanic women to use intravenous drugs, to have primary sex partners with a history of injection drug use, and to use dirty needles when injecting drugs (Harrison et al, 1991; Quadagno et al, 1991).…”

Section: Introductionmentioning

confidence: 99%

Ethnic differences in HIV risk behaviors among methadone-maintained women receiving contingency management for cocaine use disorders

Barry

Weinstock

Petry

2008

Drug and Alcohol Dependence

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Objective-To identify ethnic differences in HIV risk behaviors among cocaine using women receiving methadone maintenance for opioid dependence, and to evaluate the efficacy of contingency management (CM) for cocaine use disorders in reducing HIV risk behaviors.Methods-African American (N=47), Hispanic (N=47), and White women (N = 29) were randomized to standard methadone treatment or standard methadone treatment plus a CM intervention. They completed the HIV Risk Behavior Scale (HRBS) indicating frequency of drug use and sexual behaviors across the lifetime, in the month before baseline, and in the 3 months following clinical trial participation. Ethnic group differences and the effect of CM on change in HIV risk behaviors between baseline and follow-up were evaluated.Results-White women reported significantly higher lifetime rates of risky drug use and sexual behaviors on the HRBS than African American women; neither group differed significantly from Hispanic women. No ethnic group differences in HIV risk behaviors were identified in the month prior to baseline. At follow-up, African American women reported fewer high-risk drug use behaviors than White or Hispanic women, and Hispanic women reported more high-risk sexual behaviors than White or African American women. CM was associated with reduction in high-risk drug use behaviors regardless of ethnicity, but did not affect high-risk sexual behaviors.Conclusions-White women receiving methadone maintenance engage in more lifetime HIV risk behaviors than African American women. CM for cocaine use reduces risky drug use behaviors, but certain ethnic groups may benefit from additional targeted HIV prevention efforts.

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Sexual Behavior, Attitudes toward Safer Sex, and Gender among a Cohort of 244 Recovering IV Drug Users

Cited by 50 publications

References 8 publications

A Study of the Sexuality of Opiate Addicts

A Study of the Sexuality of Opiate Addicts

Condom Attitudes and Behaviors Among Injection Drug Users Participating in California Syringe Exchange Programs

Ethnic differences in HIV risk behaviors among methadone-maintained women receiving contingency management for cocaine use disorders

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