AIDS and Behavior

, Volume 14, Issue 1, pp 132–140

Correlates of Anal Intercourse Vary by Partner Type Among Substance-Using Women: Baseline Data from the UNITY Study

  • Beryl A. Koblin
  • Donald R. Hoover
  • Guozhen Xu
  • Victoria Frye
  • Mary H. Latka
  • Debbie Lucy
  • Sebastian Bonner
Original Paper

DOI: 10.1007/s10461-008-9440-y

Cite this article as:
Koblin, B.A., Hoover, D.R., Xu, G. et al. AIDS Behav (2010) 14: 132. doi:10.1007/s10461-008-9440-y

Abstract

Data are limited about anal intercourse among women at risk of HIV infection. HIV-negative non-injection drug using women at sexual risk (N = 404) were recruited. At baseline, 41.7% reported anal intercourse in the prior 3 months; of these, 88.2% reported unprotected anal intercourse (UAI). Factors associated with UAI varied by partner type: UAI with a steady partner was associated with younger age, depressive symptoms, and experience of battering; UAI with casual partners was associated with younger age, cocaine use and negative outcome expectancies for condom use; UAI with exchange partners was associated with cocaine use, negative outcome expectancies for condom use and depressive symptoms. Younger women were more likely to report unprotected anal intercourse if they did not use birth control. Specific counseling messages are needed to identify and address this risk and associated factors, including partner relationships, substance use, birth control, mental health issues and domestic violence.

Keywords

WomenAnal intercourseHIVSubstance use

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Beryl A. Koblin
    • 1
  • Donald R. Hoover
    • 2
  • Guozhen Xu
    • 1
  • Victoria Frye
    • 3
  • Mary H. Latka
    • 4
  • Debbie Lucy
    • 1
  • Sebastian Bonner
    • 3
  1. 1.Laboratory of Infectious Disease PreventionNew York Blood CenterNew YorkUSA
  2. 2.Rutgers UniversityNew BrunswickUSA
  3. 3.The New York Academy of MedicineNew YorkUSA
  4. 4.Aurum Institute for Health ResearchJohannesburgSouth Africa