Journal of Urban Health

, 83:656

Unprotected Sexual Behavior Among Heterosexual HIV-Positive Injection Drug Using Men: Associations by Partner Type and Partner Serostatus

  • David W. Purcell
  • Yuko Mizuno
  • Lisa R. Metsch
  • Richard Garfein
  • Karin Tobin
  • Kelly Knight
  • Mary H. Latka
Article

DOI: 10.1007/s11524-006-9066-1

Cite this article as:
Purcell, D.W., Mizuno, Y., Metsch, L.R. et al. JURH (2006) 83: 656. doi:10.1007/s11524-006-9066-1

Abstract

Few studies have examined sexual risk behaviors of HIV-positive, heterosexual, injection drug using (IDU) men. We investigated such behaviors and associations with risk among sexually active, HIV-positive IDU men who reported only female sex partners in the 3 months prior to baseline interview. We examined associations separately for four non-exclusive groups of men by crossing partner type (main or casual) and partner serostatus (HIV-positive or HIV-negative/unknown). Of 732 male participants, 469 (64%) were sexually active with only female partners. Of these 469 men, 155 (33%) reported sex with HIV-positive main partners, 127 (27%) with HIV-negative or unknown serostatus main partners, 145 (31%) with HIV-positive casual partners, and 192 (41%) with HIV-negative/unknown serostatus casual partners. Significant multivariate associations for unprotected sex with HIV-negative or unknown serostatus main partners were less self-efficacy to use condoms, weaker partner norms supporting condoms, and more negative condom beliefs. Similar correlates were found for unprotected sex with HIV-positive main and casual partners. In addition, alcohol or drug use during sex was a significant correlate of unprotected sex with HIV-positive main partners, while depression was significant for HIV-positive casual partners. For unprotected sex with HIV-negative/unknown status casual partners, self-efficacy for condom use, sex trade, and education were significant multivariate correlates. A combination of broad and tailored intervention strategies based on the relationship pattern of men's lives may provide the most benefit for reducing unprotected sex with female partners.

Keywords

Heterosexual menHIV-positiveInjection drug usersSexual risk

Copyright information

© The New York Academy of Medicine 2006

Authors and Affiliations

  • David W. Purcell
    • 1
  • Yuko Mizuno
  • Lisa R. Metsch
  • Richard Garfein
  • Karin Tobin
  • Kelly Knight
  • Mary H. Latka
  1. 1.Centers for Disease Control and PreventionNCHSTP/DHAP/PRBAtlantaUSA