Risky sexual behaviors and sexually transmitted diseases: a comparison study of cocaine-dependent individuals in treatment versus a community-matched sample.
- Authors
- Cavazos-Rehg, Patricia A; Spitznagel, Edward L; Schootman, Mario; Strickland, Jaime R; Afful, Stephanie E; Cottler, Linda B; Bierut, Laura Jean
- Year
- 2009
- Journal
- AIDS patient care and STDs
- PMID
- 19645618
- DOI
- 10.1089/apc.2008.0272
- PMCID
- PMC2804246
Cocaine users routinely engage in high-risk sexual behaviors that place them at an elevated risk of contracting HIV and other blood-borne infections. The purpose of the present study was to compare trading sex for drugs and/or money, having 10 or more sexual partners in 1 year, and sexually transmitted diseases (STDs) of cocaine-dependent individuals in treatment for their dependence across race and gender and against participants who live in their community. Cocaine-dependent individuals (n = 459) were identified through nine publicly and privately funded inpatient and outpatient chemical dependency treatment centers in the St. Louis area during 2001-2006. Community-based participants (n = 459) were matched to cocaine-dependent participants on age, ethnicity, gender, and zip code of residence. Mean age of the sample was 36 years old, 50% were Caucasians, 50% were African American, and 47% were male. Nearly half of cocaine-dependent participants in treatment had traded sex for drugs and/or money and over one-third had more than 10 sexual partners in 1 year with a risk concentrated among African Americans even after controlling for income and educational attainment. Participants recruited from the community with some exposure to cocaine reported similar rates of high risk sexual behaviors as the cocaine dependent subjects from treatment settings. It is important for clinicians to recognize that once released from treatment, cocaine-dependent individuals may be returning to high-risk environments where sexual risk behaviors are occurring in the context of cocaine use.
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External
| Title | Authors | Journal | Year | Link |
|---|---|---|---|---|
| Prevalence and Correlates of Sex Selling and Sex Purchasing among Adults Seeking Treatment for Cocaine Use Disorder. | Lathan EC et al. | — | 2021 | → |
| Substances detected in used syringes of injecting drug users across 7 cities in Europe in 2017 and 2018: The European Syringe Collection and Analysis Project Enterprise (ESCAPE). | Brunt TM et al. | — | 2021 | → |
| Re-emergence of HIV related to injecting drug use despite a comprehensive harm reduction environment: a cross-sectional analysis. | McAuley A et al. | — | 2019 | → |
| Cigarette smoking is associated with an altered vaginal tract metabolomic profile. | Nelson TM et al. | — | 2018 | → |
| Gender and Sex Trading Among Active Methamphetamine Users in Cape Town, South Africa. | Lion RR et al. | — | 2017 | → |
| Buspirone reduces sexual risk-taking intent but not cocaine self-administration. | Bolin BL et al. | — | 2016 | → |
| Associations between blood lead level and substance use and sexually transmitted infection risk among adults in the United States. | Hu H et al. | — | 2014 | → |
| Medical service use among individuals receiving HIV prevention services in Los Angeles County. | Erlyana E et al. | — | 2014 | → |
| Controlling chaos: the perceptions of long-term crack cocaine users in vancouver, british columbia, Canada. | Persaud S et al. | — | 2013 | → |
| Risky sex in rural America: longitudinal changes in a community-based cohort of methamphetamine and cocaine users. | Borders TF et al. | — | 2013 | → |
| Effects of Sexual Expectancies on Early Sexualized Behavior Among Urban Minority Youth. | Holloway IW et al. | — | 2012 | → |
| Drug use and receipt of highly active antiretroviral therapy among HIV-infected persons in two U.S. clinic cohorts. | McGowan CC et al. | — | 2011 | → |
| Spatial visualization of multivariate datasets: an analysis of STD and HIV/AIDS diagnosis rates and socioeconomic context using ring maps. | Lòpez-De Fede A et al. | — | 2011 | → |
| Factors associated with sexually transmitted infection testing among men who utilize an internet-based men who have sex with men community. | Stupiansky NW et al. | — | 2010 | → |
| Alcohol use and gender effects on HIV risk behaviors in cocaine-using methadone patients. | Rash CJ et al. | — | 2009 | → |