Titre : | Predictors of HIV sexual risk behaviors in a community sample of injection drug-using men and women |
Auteurs : | SOMLAI A. M. ; J. A. KELLY ; T. L. McAULIFFE ; K. KSOBIECH ; HACKL K. L. |
Type de document : | Périodique |
Année de publication : | 2003 |
Format : | 383-393 / tabl. |
Note générale : | AIDS and Behavior, 2003, 7, (4), 383-393 |
Langues: | Anglais |
Discipline : | MAL (Maladies infectieuses / Infectious diseases) |
Mots-clés : |
Thésaurus mots-clés USAGER ; INJECTION ; SEXE FEMININ ; SEXE MASCULIN ; SEXUALITE ; CONDUITE A RISQUE ; VIH ; SIDAThésaurus géographique ETATS-UNIS |
Résumé : | Injection risk practices and unprotected sex between injection drug users (IDUs) and their sexual partners are responsible for a high proportion of AIDS cases and new HIV infections in the United States. The purpose of this study was to investigate the links between drug use behaviors and psychosocial factors with high-risk sexual behaviors among male and female IDUs. Understanding the determinants of sexual risk practices among drug users can lead to the development of more effective programs to prevent sexual HN and STD transmission. This study enrolled a community sample of 101 IDUs (males = 65, females = 36), primarily African American and unemployed, who injected drugs and had unprotected sex in the past 3 months. The sample was categorized into highest sexual risk (multiple partners and intercourse without condoms) and lower sexual risk subgroups. Univariate analyses showed that IDUs at highest sexual risk had lower sexual risk reduction self-efficacy (p = .01) and were more likely to be African American (p = .02). Drug users at highest sexual risk also used noninjected cocaine and crack more frequently (p = .05), were less likely to inject heroin (p = .04), and tended to more often inject cocaine (p = .05). IDUs at highest sexual risk also tended to more often use crack and methamphetamines. Logistic regression analyses showed that injecting cocaine or crack, sexual risk reduction self-efficacy, and race were independent predictors of sexual risk behavior levels. Sexual risk reduction programs for this population are needed, with HIV prevention programs tailored to specific IDU risk reduction needs. (Author's abstract) |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 25 |
Affiliation : | Med. College of Wisconsin, 2071 North Summit Ave., Milwaukee, Wisconsin, USA |
Numéro Toxibase : | 207367 |
Centre Emetteur : | 02 Coordonnateur |
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