Original paper

AIDS and Behavior

, Volume 15, Issue 1, pp 103-113

First online:

Age and HIV Sexual Risk among Women in Methadone Treatment

  • Malitta EngstromAffiliated withSchool of Social Service Administration, The University of Chicago Email author 
  • , Tazuko ShibusawaAffiliated withSilver School of Social Work, New York University
  • , Nabila El-BasselAffiliated withSocial Intervention Group, School of Social Work, Columbia University
  • , Louisa GilbertAffiliated withSocial Intervention Group, School of Social Work, Columbia University

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Abstract

This study examines the relationship between age and HIV sexual risk behaviors among a random sample of 372 women in methadone treatment in New York City. Logistic regression results indicate that women of all ages are at risk for HIV through inconsistent condom use. Exposure to intimate partner violence (IPV), alcohol use, and HIV-negative status are associated with inconsistent condom use during vaginal sex. Age (35–44), having a main sexual partner with an HIV risk factor, IPV, and alcohol use are associated with using crack or cocaine during sex. Similarly, age (35–44), having a main sexual partner with an HIV risk factor, IPV, and drug use are associated with consuming four or more drinks prior to sex. The findings highlight the importance of age-appropriate HIV prevention and intervention strategies, as well as the need to address intimate partner violence, mental health, polysubstance use, and relational factors associated with HIV sexual risk behaviors among women in methadone treatment.

Keywords

Sexual risk behavior HIV Midlife women Older women Methadone treatment