Unprotected Sexual Behavior Among Heterosexual HIV-Positive Injection Drug Using Men: Associations by Partner Type and Partner Serostatus
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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.
- Janssen RS, Hotlgrave DR, Valdiserri RO, Shepherd M, Gayle HD, DeCock KM. The serostatus approach to fighting the HIV epidemic: prevention strategies for infection individuals. Am J Public Health. 2001;91:1019–1024. CrossRef
- Centers for Disease Control and Prevention. Advancing HIV prevention: new strategies for a changing epidemic—United States, 2003. MMWR Morb Mortal Wkly Rep. 2003;52:329–332.
- Janssen RS, Valdiserri RO. HIV prevention in the United States: increasing emphasis on working with those living with HIV. J Acquir Immune Defic Syndr. 2004;37(Suppl 2):S119–S121.
- Wolitski RJ, Parson JT, Gomez CA, the SUMIT Study Group. Lessons learned from the Seropositive Urban Men's Study (SUMS) and the Seropositive Urban Men's Intervention Trial (SUMIT). J Acquir Immune Defic Syndr. 2004;37(suppl 2):S101–S109.
- Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report, 2004 (Vol. 16). Department of Health and Human Services, Centers for Disease Control and Prevention; 2005: 32. Also available at: http://www.cdc.gov/hiv/stats/hasrlink.htm.
- Des Jarlais DC, Perlis T, Arasteh K, et al. HIV incidence among injection drug users in New York City, 1990–2002: use of a serologic test algorithm to assess expansion of HIV prevention services. Am J Public Health. 2005;95:1439–1444. CrossRef
- Strathdee SA, Sherman SG. The role of sexual transmission of HIV infection among injection and non-injection drug users. J Urban Health. 2003;80:iii7–iii14.
- Kral AH, Bluthenthal RN, Lorvick J, Gee L, Bacchetti P, Edlin BR. Sexual transmission of HIV-1 among injection drug users in San Francisco, USA: risk-factor analysis. Lancet 2001;357:1397–1401. CrossRef
- Pinkerton SD, Abramson PR, Kalichman SC, Catz SL, Johnson-Masotti AP. Secondary HIV transmission rates in a mixed-gender sample. Int J STD AIDS. 2000;11:38–44. CrossRef
- Knight KR, Purcell DW, Dawson-Rose C, Halkitis PN, Gomez CA, & the Seropositive Urban Injectors Study Team. Sexual risk taking among HIV-positive injection drug users: Contexts, characteristics, and implications for prevention. AIDS Educ Prev. 2005;17(suppl A):76–88. CrossRef
- Crepaz N, Marks G. Towards an understanding of sexual risk behavior in people living with HIV: a review of social, psychological, and medical findings. AIDS. 2002;16:135–149. CrossRef
- Avants SK, Warburton LA, Hawkins KA, Margolin A. Continuation of high-risk behavior by HIV-positive drug users. Treatment implications. J Subst Abuse Treat. 2000;19:15–22. CrossRef
- Deren S, Beardsley M, Tortu S, Goldstein MF. HIV serostatus and changes in risk behaviors among drug injectors and crack users. AIDS Behav. 1998;2:171–176. CrossRef
- Kwiatkowski CF, Booth RE. HIV-Seropositive drug users and unprotected sex. AIDS Behav. 1998;2:151–159. CrossRef
- Metsch LR, McCoy CB, Lai S, Miles C. Continuing risk behaviors among HIV-seropositive chronic drug users in Miami, Florida. AIDS Behav. 1998;2:161–169. CrossRef
- Dolezal C, Meyer-Bahlburg HF, Liu X, et al. Longitudinal changes in sexual risk behavior among HIV+ and HIV male injecting drug users. Am J Drug Alcohol Abuse. 1999;25:281–303. CrossRef
- Avants SK, Warburton LA, Margolin A. How injection drug users coped with testing HIV-seropositive: implications for subsequent health-related behaviors. AIDS Educ Prev. 2001;13:207–218. CrossRef
- Bogart LM, Kral AH, Scott A, et al. Sexual risk among injection drug users recruited from syringe exchange programs in California. Sex Transm Dis. 2005;32:27–34. CrossRef
- Latkin CA, Sherman S, Knowlton A. HIV prevention among drug users: outcome of a network-oriented peer outreach intervention. Health Psychol. 2003;22:332–339. CrossRef
- Rosengard C, Anderson B, Stein MD. Intravenous drug users' HIV-risk behaviors with primary/other partners. Am J Drug Alcohol Abuse. 2004;30:225–236. CrossRef
- Purcell DW, Metsch L, Latka M, et al. Behavioral prevention trial with HIV-seropositive injection drug users: rationale and methods of the INSPIRE Study. J Acquir Immune Defic Syndr. 2004;37(Suppl 2):S110–S118.
- Weller S, Davis K. Condom effectiveness in reducing heterosexual HIV transmission. The Cochrane Database of Systematic Reviews 2002, Issue 1. Art. No. CD003255. DOI 10.1002/14651858.CD003255.
- Derogatis LR, Spencer PM. The Brief Symptom Inventory (BSI): Administration, Scoring, and Procedure Manual—1. Baltimore, Maryland: John Wiley; 1982.
- O'Leary A, Hoff CC, Purcell DW, Gomez, et al. What happened in the SUMIT trial? Mediation and behavior change. AIDS. 2005;19(Suppl 1):S111–S121. CrossRef
- Wolitski RJ, Gómez CA, Parsons J, Ambrose T, Remien R. HIV-seropositive men's perceived responsibility for preventing transmission of HIV to others. Poster presented at the XII International Conference on AIDS, Geneva, Switzerland, June 1998 (Poster no. 23361).
- Mizuno Y, Kennedy M, Seals B, Myllyluoma J. Predictors of teens' attitudes toward condoms: gender difference in the effects of norms. J Appl Soc Psychol. 2000;30:1381–1395. CrossRef
- Ajzen I, Fishbein M. Understanding Attitudes and Predicting Social Behavior. Englewood Cliffs, New Jersey: Prentice Hall; 1980.
- Corby NH, Jamner MS, Wolitski RJ. Using the theory of planned behavior to predict intention to use condoms among male and female injection drug users. J Appl Soc Psychol. 1996;26:52–75. CrossRef
- Straus MA. Measuring intrafamily conflict and violence: the conflict tactics scales. J Marriage Fam. 1979;41:75–88. CrossRef
- Barrera MA. A method for assessing social support networks in community survey research. Connections. 1980;3:3–8.
- Neter J, Wasserman W, Kutner MH. Applied Linear Statistical Models: Regression, Analysis of Variance, and Experimental Designs 2nd ed. Homewood, Illinois: R.D. Irwin; 1985.
- O'Leary A. Guessing games: sex partner serostatus assumptions among HIV-positive gay and bisexual men. In: Halkitis PN, Gomez CA, Wolitski RJ, eds. HIV+ sex: The Psychological and Interpersonal Dynamics of HIV-Seropositive Gay and Bisexual Men's Relationships. Washington, District of Columbia: American Psychological Association; 2005:121–132. CrossRef
- Bandura A. Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs, New York: Prentice Hall; 1986.
- Macalino GE, Celentano DD, Latkin C, Strathdee SA, Vlahov D. Risk behaviors by audio computer-assisted self-interviews among HIV-seropositive and HIV-seronegative injection drug users. AIDS Educ Prev. 2002;14:367–378. CrossRef
- Ghanem KG, Hutton HE, Zenilman JM, Zimba, R, Erbelding EJ. Audio computer-assisted self-interview and face to face interview modes in assessing response bias among STD clinic patients. Sex Transm Infect. 2005;81:421–425. CrossRef
- Unprotected Sexual Behavior Among Heterosexual HIV-Positive Injection Drug Using Men: Associations by Partner Type and Partner Serostatus
Journal of Urban Health
Volume 83, Issue 4 , pp 656-668
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- Heterosexual men
- Injection drug users
- Sexual risk