AIDS and Behavior

, Volume 4, Issue 4, pp 329–340

Drug-Using Women's Sexual Risk: An Event Analysis


  • Stephanie Tortu
    • Tulane University School of Public Health and Tropical Medicine
  • James McMahon
    • National Development and Research Institutes, Inc.
  • Rahul Hamid
    • National Development and Research Institutes, Inc.
  • Alan Neaigus
    • National Development and Research Institutes, Inc.

DOI: 10.1023/A:1026446305081

Cite this article as:
Tortu, S., McMahon, J., Hamid, R. et al. AIDS Behav (2000) 4: 329. doi:10.1023/A:1026446305081


Using event analysis, this study describes the most recent sexual events of drug-using women and their male partners and identifies relationship-specific and event-specific determinants of condom use. Women drug users (n = 320) were recruited from the streets of East Harlem. After validation of drug use, they participated in structured interviews and were offered HIV testing and counseling. Interview topics included the following: (1) demographic characteristics of respondents, (2) relationship factors, including age difference, race/ethnicity concordance, and HIV serostatus of partners, and (3) event-specific factors, including sexual repertoire, communication about condom use, and perception of HIV risk. Univariate and multivariate analyses identified five major variables associated with event-specific condom use: (1) closeness to partner, (2) perceived dyadic serostatus, (3) sexual repertoire, (4) communication about condoms, and (5) perceived control of condom use. Behavioral interventions to reduce sexual risk should target dyads with long-standing sexual relationships and focus on the dynamics of the relationship, especially the issues of dyadic serostatus, intimacy, communication, and control.

women and HIVsexual riskdrug use and HIVsocial contextevent analysis

Copyright information

© Plenum Publishing Corporation 2000