title: Substance use and high risk sexual behaviors among women in psychosocial outpatient and methadone maintenance treatment programs.
abstract: OBJECTIVE
  The purpose of the present study was to assess the association between substance use/diagnosis and sexual risk behaviors among women enrolled in both psychosocial outpatient (PS) and methadone maintenance (MM) treatment and involved in a HIV prevention intervention study within the National Institute for Drug Abuse Clinical Trials Network.
  
  
  METHODS
  515 sexually active women reported on unprotected sexual occasions (USO), anal sex, sex trading, sex with drug occasions, and multiple male sex partners at the baseline assessment.
  
  
  RESULTS
  Within the PS sample, cocaine use diagnosis was associated with more than twice the risk of having multiple partners, trading sex for drugs, having anal sex, or having sex with drugs; alcohol or opioid use diagnosis was associated with fewer risk behaviors. Within the MM sample, cocaine use, alcohol use and opiate use diagnoses were each associated with one to two risk behaviors. Associations between sexual risk and substance using days were less frequent in both samples.
  
  
  CONCLUSIONS
  These findings highlight the need for integration of HIV sexual prevention interventions that address the relationship between sexual risk behavior and substance use diagnoses into substance abuse treatment programs.
authors.affiliation: Columbia University Medical Center, Department of Psychiatry, USA. st130@columbia.edu
authors.forename: Susan
authors.initials: S
authors.lastname: Tross
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hanner
authors.forename: Mei-Chen
authors.initials: MC
authors.lastname: Hu
authors.forename: Martina
authors.initials: M
authors.lastname: Pavlicova
authors.forename: Aimee
authors.initials: A
authors.lastname: Campbell
authors.forename: Edward V
authors.initials: EV
authors.lastname: Nunes
mesh_terms: D000328:Adult; D001294:Attitude to Health; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D008691:Methadone / Q000627:therapeutic use*; D008875:Middle Aged; D009294:Narcotics / Q000627:therapeutic use; D010045:Outpatients; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology*; D012747:Sexual Partners; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000188:drug therapy*; D011795:Surveys and Questionnaires
chemical_list: D009294:Narcotics; D008691:Methadone