title: Cocaine use and HIV risk behavior in methadone maintenance patients.
abstract: This study examined sexual and drug use behavior in 247 methadone maintenance patients, to explore the association of cocaine use with human immunodeficiency virus (HIV) risk behavior. In univariate analyses, cocaine use was positively associated with any drug injection, number of injections, and sexual intercourse without condoms. These relationships remained significant after controlling for other drug use and demographic factors. Heroin use also contributed to injection-related risk. We conclude that cocaine use represents a continued source of risk for exposure to HIV in this population, and that more aggressive efforts are warranted to reduce illicit drug use, particularly of heroin and cocaine, in methadone patients.
authors.affiliation: Medical College of Pennsylvania, Department of Psychiatry, Philadelphia.
authors.forename: D A
authors.initials: DA
authors.lastname: Bux
authors.forename: R J
authors.initials: RJ
authors.lastname: Lamb
authors.forename: M Y
authors.initials: MY
authors.lastname: Iguchi
mesh_terms: D000328:Adult; D003042:Cocaine; D015897:Comorbidity; D017280:Condoms / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control / Q000635:transmission*; D007722:Health Knowledge, Attitudes, Practice; D006556:Heroin Dependence / Q000453:epidemiology* / Q000534:rehabilitation; D006801:Humans; D008297:Male; D008691:Methadone / Q000627:therapeutic use*; D008875:Middle Aged; D008913:Minority Groups / Q000706:statistics & numerical data; D015143:Philadelphia / Q000453:epidemiology; D012307:Risk Factors; D012725:Sexual Behavior; D016320:Substance Abuse Treatment Centers; D015819:Substance Abuse, Intravenous / Q000453:epidemiology* / Q000534:rehabilitation; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000534:rehabilitation
chemical_list: D003042:Cocaine; D008691:Methadone