AIDS and Behavior

, Volume 15, Issue 1, pp 103–113

Age and HIV Sexual Risk among Women in Methadone Treatment

  • Malitta Engstrom
  • Tazuko Shibusawa
  • Nabila El-Bassel
  • Louisa Gilbert
Original paper

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 

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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Malitta Engstrom
    • 1
  • Tazuko Shibusawa
    • 2
  • Nabila El-Bassel
    • 3
  • Louisa Gilbert
    • 3
  1. 1.School of Social Service AdministrationThe University of ChicagoChicagoUSA
  2. 2.Silver School of Social WorkNew York UniversityNew YorkUSA
  3. 3.Social Intervention Group, School of Social WorkColumbia UniversityNew YorkUSA

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