Alcohol and drug use during or before risky sexual behaviors among substance use disorder treatment seekers
Objectives: 1) Describe the prevalence of severe drug use and risky sexual behaviors among clients in substance use disorder treatment programs. 2) Examine the associations between severe drug use and risky sexual behaviors among clients having unprotected sex within two hours of using drugs or alcohol.
Methods: A total of 1281 participants from 12 US community-based substance use disorder treatment programs were included in this study. Chi-square tests, univariate, multiple logistic models were used in this planned secondary analysis of data from CTN-0032, a trial conducted within the National Drug Abuse Treatment Clinical Trials Network.
Results: People using pain medication (OR=3.42, 95% CI=1.76-6.66, p=0.0003), marijuana (OR=1.72, 95% CI=1.08-2.72, p=0.0219), or methamphetamines (OR=5.98, 95% CI=1.16-30.87, p=0.0327) were more likely to report unprotected sex within two hours of using drugs or alcohol. In addition, after controlling for different types of substances used, people having unprotected sex within two hours of using drugs or alcohol were more likely to have multiple sex partners, unprotected vaginal sex, anal sex, unprotected sex acts with non-primary partners and with HIV unknown serostatus partners. Marijuana (41%) was mostly commonly reported, followed by cocaine (37%) and opioids (30%), as the substance used during participants’ most recent episode of risky sex with substance use.
Conclusions: Results from the current study support the importance of focusing on the association between intoxication and sexual risk behaviors when delivering HIV risk reduction interventions to substance use disorder treatment clients.
Learning Areas:Administer health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Protection of the public in relation to communicable diseases including prevention or control
Social and behavioral sciences
Describe sexual risk and severe substance use profiles of clients in substance abuse treatment. Identify the HIV risk behaviors for people having alcohol and drug use during or before risky sexual behaviors.
Keyword(s): Sexual Risk Behavior, Drug Abuse Treatment
Qualified on the content I am responsible for because: I performed and initiated the analysis and have been part of data analysis team on the larger protocol and quality assurance. Further, I have a background in working with sexual risk behavior among substances use clients.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.