Transactional Sex among Noninjecting Illicit Drug Users: Implications for HIV Transmission

Guimarães, Rafael Alves; Rodovalho, Aurélio Goulart; Fernandes, Inaina Lara; Silva, Graciele Cristina; Felipe, Rodrigo Lopes de; Vêra, Ivânia; Gregório, Valéria Duarte; Lucchese, Roselma

doi:10.1155/2016/4690628

Cited by 13 publications

(19 citation statements)

References 22 publications

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“…Variables with p < 0.05 were then included in the Poisson regression model with robust variance. [15][16][17] The final model was adjusted for age. Variables were considered statistically significant if p < 0.05.…”

Section: Methodsmentioning

confidence: 99%

HIV infection, high-risk behaviors and substance use in homeless men sheltered in therapeutic communities in Central Brazil

et al. 2018

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Homeless men present high vulnerability to HIV infection, mainly due to sexual risk behaviors and substance use. The objective was to estimate the prevalence of HIV infection, risk behaviors and substance use in homeless men. A cross-sectional study was conducted in 481 homeless men recruited in four therapeutic communities in the Goiás State, Central Brazil. All were interviewed about sociodemographic characteristics, substance use, and risk behaviors. Furthermore, all were tested for HIV. Poisson regression was used to verify factors associated with HIV infection. HIV prevalence was 1.24% (95.0% CI: 0.57 to 2.69%). Previous HIV testing (adjusted prevalence ratio [APR]: 10.0; 95.0% CI: 1.86-55.8) and years of education (APR: 0.76; 95.0% CI: 0.60-0.97) were factors associated with HIV infection. Participants had high rates of hazardous alcohol use and illicit drug use. The prevalence of HIV infection among homeless men was higher than that found in the Brazilian male population and we identified a high rate of risk behaviors for HIV among the homeless men investigated. Thus, it is necessary to expand HIV prevention measures in Brazil, such as health education, condom availability, regular HIV testing and increased testing coverage in this population, and treatment for alcohol and/or illicit drug dependence/abuse.

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Section: Methodsmentioning

confidence: 99%

HIV infection, high-risk behaviors and substance use in homeless men sheltered in therapeutic communities in Central Brazil

et al. 2018

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“…Between October 2014 and March 2015, a cross-sectional study was conducted among NIDUs in two facilities for alcohol and/or drug dependence treatment in the southwest region of Goiás, Central Brazil. 14,15 These institutions offer ambulatory and inpatient treatment to alcohol and illicit drug users by way of the Brazilian National Health Care system or private insurance plans.…”

Section: Methodsmentioning

confidence: 99%

Risk behaviors for sexually transmitted infections in noninjecting drug users: A cross-sectional study

et al. 2018

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The objective of this study was to investigate risk behaviors for sexually transmitted infections (STIs) in noninjecting drug users (NIDUs), using STI diagnosis history as an indicator. A cross-sectional study was conducted in 323 NIDUs of two facilities for alcohol and/or drug dependence treatment in the Goiás State, Central Brazil. All participants were interviewed about risk behaviors and STI history. Multivariable analysis was performed in order to identify predictors of STIs. Adjusted prevalence ratio (APR) with confidence intervals of 95% was obtained using a Poisson regression model. Prevalence of self-reported STIs in the previous 12 months was 25.4% (95% confidence interval [95% CI]: 21.0-30.4%). A multivariable model verified that age (APR: 1.01; 95% CI: 1.00-1.01), sexual contact with partners diagnosed with STIs (APR: 1.27; 95% CI: 1.12-1.45) and injecting drug users (IDUs) (APR: 1.14; 95% CI: 1.14; 95% CI: 1.01-1.31), exchange sex for money and/or drugs (APR: 1.12; 95% CI: 1.02-1.21), and a history of sexual violence (APR: 1.04; 95% CI: 1.04-1.32) were predictors of STIs. Elevated rates of STI history and risk behaviors were observed in NIDUs, supporting the vulnerability of this group for these infections. Public policies and health outreach should be intensified in this population, principally regular STI testing of individuals in treatment for drug dependence and their sexual partners.

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“…Furthermore, several studies have shown that the use of psychoactive substances increases the chance of infection by the virus that causes Sexually Transmitted Infections (STI), such as human immunodeficiency virus (HIV), hepatitis C virus (HCV), and hepatitis B virus (HBV) (NOVAIS et al, 2009;GUIMARÃES et al, 2015;GUIMARÃES et al, 2016). The euphoric and relaxing effect of psychoactive substances provides attitudes that would not normally be taken in the absence of them, like eventual and unprotected sexual intercourse.…”

Section: Introductionmentioning

confidence: 99%

Psychoactive substances and sexually transmitted infections among military police officers from central-western, Brazil

Neto¹,

Guerra²,

Aquino³

et al. 2019

Biosci. J.

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The aim of this work was to evaluate the profile of military police officers regarding the use of psychoactive substances and the presence of Sexually Transmitted Infections (STI). Cross-sectional study carried out with military police officers in 2015 in the central-western, Brazil. The ASSIST (Alcohol, Smoking and Substance Involvement Screening Test) questionnaire was applied to investigate the use of psychoactive substances and serology was performed for syphilis, viral B and C hepatitis and HIV. Cronbach's alpha and Pearson Correlation Coefficient were employed. The ASSIST presented alpha coefficients of Cronbach almost perfect for tobacco (α=0.83) and substantial for the use of alcohol (α=0.70). Of 657 police officers, 78.5% consumed psychoactive substances at some point in their lives, with 76.7% alcohol, 28.5% tobacco, and 5.2% illegal psychoactive substances. A short intervention was required for 23.3% of police officers who used psychoactive substances, and 1.4% should be referred for treatment. Tobacco use was strongly associated with the use of more than one psychoactive substances in life (φ=0.9327), and the use of marijuana showed a moderate correlation with cocaine/crack (φ=0.5241). The prevalence of STI was 14.0%, being 7.6% for HBV, 6.8% syphilis, 0.5% HIV, and 0.3% HCV. HBV/syphilis and HBV/HIV co-infection were observed in 1.1% and 0.1%, respectively. There was no correlation between STI and use of psychoactive substances. The prevalence of HBV and syphilis was higher among police officers than in the general population. The ASSIST questionnaire was consistent when applied to this group and can be a significant tool for monitoring and decision making for timely intervention.

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Transactional Sex among Noninjecting Illicit Drug Users: Implications for HIV Transmission

Cited by 13 publications

References 22 publications

HIV infection, high-risk behaviors and substance use in homeless men sheltered in therapeutic communities in Central Brazil

HIV infection, high-risk behaviors and substance use in homeless men sheltered in therapeutic communities in Central Brazil

Risk behaviors for sexually transmitted infections in noninjecting drug users: A cross-sectional study

Psychoactive substances and sexually transmitted infections among military police officers from central-western, Brazil

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