title: Risky sex in rural America: longitudinal changes in a community-based cohort of methamphetamine and cocaine users.
abstract: OBJECTIVE
  This study examined the longitudinal associations between stimulant use and sexual behaviors.
  
  
  METHODS
  Data are from a 3-year community-based study of 710 rural stimulant users. Past 30-day crack cocaine, powder cocaine, and methamphetamine use and sexual behaviors (any sex, inconsistent condom use, and multiple sexual partners) were assessed through in-person interviews every 6 months.
  
  
  RESULTS
  GEE analyses revealed that the odds of having sex remained steady over time, with crack cocaine and methamphetamine use positively associated with having sex. The odds of multiple sexual partners declined, but the odds of inconsistent condom use remained steady over time. Crack cocaine use was positively associated with multiple sexual partners, whereas powder cocaine use was negatively associated with inconsistent condom use.
  
  
  CONCLUSIONS
  Many rural stimulant users could potentially benefit from safe sex educational programs. Such efforts could reduce the incidence of HIV and other STIs in rural America.
authors.affiliation: Department of Health Policy and Management, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
authors.forename: Tyrone F
authors.initials: TF
authors.lastname: Borders
authors.forename: Katharine E
authors.initials: KE
authors.lastname: Stewart
authors.forename: Patricia B
authors.initials: PB
authors.lastname: Wright
authors.forename: Carl
authors.initials: C
authors.lastname: Leukefeld
authors.forename: Russel S
authors.initials: RS
authors.lastname: Falck
authors.forename: Robert G
authors.initials: RG
authors.lastname: Carlson
authors.forename: Brenda M
authors.initials: BM
authors.lastname: Booth
mesh_terms: D000328:Adult; D019969:Amphetamine-Related Disorders / Q000453:epidemiology*; D003042:Cocaine; D019970:Cocaine-Related Disorders / Q000453:epidemiology*; D015331:Cohort Studies; D017280:Condoms / Q000706:statistics & numerical data; D016578:Crack Cocaine; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008694:Methamphetamine / Q000009:adverse effects; D016017:Odds Ratio; D012309:Risk-Taking; D012424:Rural Population / Q000706:statistics & numerical data; D012747:Sexual Partners; D014481:United States / Q000453:epidemiology; D047568:Unsafe Sex / Q000523:psychology / Q000706:statistics & numerical data*; D055815:Young Adult
chemical_list: D016578:Crack Cocaine; D008694:Methamphetamine; D003042:Cocaine