title: Correlates of anal intercourse vary by partner type among substance-using women: baseline data from the UNITY study.
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.
authors.affiliation: Laboratory of Infectious Disease Prevention, New York Blood Center, New York, NY 10021, USA. bkoblin@nybloodcenter.org
authors.forename: Beryl A
authors.initials: BA
authors.lastname: Koblin
authors.forename: Donald R
authors.initials: DR
authors.lastname: Hoover
authors.forename: Guozhen
authors.initials: G
authors.lastname: Xu
authors.forename: Victoria
authors.initials: V
authors.lastname: Frye
authors.forename: Mary H
authors.initials: MH
authors.lastname: Latka
authors.forename: Debbie
authors.initials: D
authors.lastname: Lucy
authors.forename: Sebastian
authors.initials: S
authors.lastname: Bonner
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D005260:Female; D015658:HIV Infections / Q000453:epidemiology; D020010:Heterosexuality / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D015995:Prevalence; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012747:Sexual Partners; D019966:Substance-Related Disorders / Q000453:epidemiology*; D055815:Young Adult