The relationship of sexual dyad and personal network characteristics and individual attributes to unprotected sex among young injecting drug users.
We examine in the heterosexual partnerships (dyads) of IDUs the correlates of engaging in unprotected sex on three levels: individual attributes, social network characteristics, and dyad characteristics. Unprotected sex was significantly less likely to occur in dyads where the participant injected daily or had high safe-sex attitude scores, and in dyads where both members encouraged each other to use condoms. Unprotected sex was significantly more likely to occur in dyads that smoked crack together, shared needles with each other, and where the participant knew that the sex partner had concurrent sex partners. In the sexual dyads of IDUs there is a combined risk of unsafe injecting and unsafe sex. Both injecting and sexual risk, and their combination need to be addressed in interventions that target the sexual partnerships of IDUs. Such interventions should also aim to reduce injected and non-injected crack and other stimulant use associated with high-risk sex.
Gyarmathy
V Anna
VA
National Development and Research Institutes, Inc., 71 W 23rd St., 8th Floor, New York, NY 10010, USA. gyarmathy@ndri.org
Neaigus
Alan
A
D000293:Adolescent; D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data; D055030:Drug Users / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000517:prevention & control / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D012309:Risk-Taking; D021841:Safe Sex; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D012944:Social Support; D047568:Unsafe Sex / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult
Drug Alcohol Depend. 2005 Jan 7;77(1):1-5
15607835
Am J Drug Alcohol Abuse. 1999 May;25(2):281-303
10395161
J Urban Health. 2003 Dec;80(4 Suppl 3):iii7-14
14713667
Sex Transm Dis. 1998 Aug;25(7):353-60
9713915
AIDS. 1996 Sep;10(11):1265-71
8883589
Connect (Tor). 2006;27(1):25-38
34629605
Drug Alcohol Depend. 2000 Mar 1;58(3):219-26
10759032
Drug Alcohol Depend. 2007 Jul 10;89(2-3):145-52
17276623
AIDS Care. 2002 Aug;14(4):493-507
12204152
AIDS Care. 1993;5(2):149-57
8329480
J Urban Health. 2002 Jun;79(2):266-77
12023502
AIDS Care. 2004 Oct;16(7):901-8
15385245
J Acquir Immune Defic Syndr. 1999 Sep 1;22(1):83-91
10534151
Addict Behav. 2006 Sep;31(9):1607-18
16459023
J Infect Dis. 2001 Aug 1;184(3):359-63
11443564
MMWR Morb Mortal Wkly Rep. 2006 Mar 17;55(10):273-7
16543881
Am J Epidemiol. 1997 Aug 15;146(4):350-7
9270414
Women Health. 1998;27(1-2):205-29
9640643
NIDA Res Monogr. 1995;151:20-37
8742759
J Urban Health. 2006 Jul;83(4):602-13
16755389
J Urban Health. 2003 Mar;80(1):137-46
12612103
J Urban Health. 2005 Mar;82(1 Suppl 1):i43-50
15738321
AIDS Behav. 2006 Nov;10(6):707-15
16676223
AIDS. 1994 Mar;8(3):357-61
8031514
Am J Epidemiol. 2003 May 15;157(10):915-22
12746244
Violence Against Women. 1995 Mar;1(1):55-76
12346572
J Urban Health. 2000 Sep;77(3):396-414
10976613
J Psychoactive Drugs. 2004 Sep;36(3):315-22
15559679
Addiction. 1997 Nov;92(11):1457-65
9519489
AIDS Behav. 2003 Dec;7(4):383-93
14707535
J Acquir Immune Defic Syndr. 2006 Jun;42(2):222-8
16760799
Am J Public Health. 1999 Jun;89(6):825-33
10358670
AIDS Care. 1998 Apr;10(2):133-46
9625898
Drug Alcohol Depend. 2006 Apr;82 Suppl 1:S65-9
16769448
AIDS. 1998 Apr 16;12(6):625-33
9583603
J Urban Health. 2005 Mar;82(1 Suppl 1):i1-8
15738326
J Acquir Immune Defic Syndr Hum Retrovirol. 1998;18 Suppl 1:S11-9
9663618
Drug Alcohol Depend. 2007 Jul 10;89(2-3):234-43
17289298
AIDS Educ Prev. 2003 Dec;15(6):561-9
14711168
J Acquir Immune Defic Syndr Hum Retrovirol. 1996 Apr 15;11(5):499-509
8605596
J Acquir Immune Defic Syndr. 2002 Jul 1;30(3):335-41
12131571
Drug Alcohol Depend. 2001 Sep 1;64(1):97-104
11470345
Am J Epidemiol. 2003 Mar 1;157(5):467-71
12615611
J Acquir Immune Defic Syndr. 2003 Jan 1;32(1):86-93
12514419
Br J Addict. 1992 Nov;87(11):1527-36
1458032
Soc Sci Med. 1994 Jan;38(1):67-78
8146717
J Urban Health. 2006 May;83(3):497-505
16739050
Am J Epidemiol. 2002 Oct 1;156(7):641-53
12244033
Trauma Violence Abuse. 2005 Jan;6(1):24-39
15574671
J Acquir Immune Defic Syndr. 2004 Oct 1;37(2):1307-12
15385739
J Acquir Immune Defic Syndr. 2002 Jul 1;30 Suppl 1:S73-93
12107362
Am J Public Health. 1993 Aug;83(8):1144-8
8342724