title: Sexual risk behavior and sex under the influence: an event analysis of men in substance abuse treatment who have sex with women.
abstract: The objective of this study was to determine if there is evidence for a causative link between sex under the influence of drugs or alcohol and risky sex for men in substance abuse treatment. Men in treatment participating in a multisite HIV prevention protocol who reported on baseline, 3, or 6 months computerized assessments the details of their most recent sexual events, and who reported having sexual events under the influence and not under the influence, and who reported most recent events that did and did not include condom use served as participants (n = 37). Safe sex was not significantly more likely to happen when participants were under the influence of drugs or alcohol during their most recent sexual event (48.3%) than when they were not under the influence (49%, p = .82). In this high-risk in treatment sample, a causative link between sex under the influence of drugs or alcohol and sexual risk behavior was not supported.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 1107 NE 45th Street, Seattle, WA 98105, USA. calsyn@u.washington.edu
authors.forename: Donald A
authors.initials: DA
authors.lastname: Calsyn
authors.forename: Heather
authors.initials: H
authors.lastname: Baldwin
authors.forename: Xiaoyue
authors.initials: X
authors.lastname: Niu
authors.forename: Paul
authors.initials: P
authors.lastname: Crits-Christoph
authors.forename: Mary A
authors.initials: MA
authors.lastname: Hatch-Maillette
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D012309:Risk-Taking; D012725:Sexual Behavior / Q000187:drug effects*; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000523:psychology*; D047568:Unsafe Sex / Q000187:drug effects*