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325817
Gender differences in the influence of amphetamine-type stimulant use on sexual risk behaviors among youths in China


Sunday, November 1, 2015

Yuchen Mao, PhD, Department of Statistics, North Carolina State University, Raleigh, NC
Xiaoming Li, PhD, Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University School of Medicine, Detroit, MI
Qun Zhao, Nanjing University of Information Science & Technology, Nanjing, China
Shan Qiao, PhD, Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University School of Medicine, Detroit, MI
The current study examines gender differences in the influence of amphetamine-type stimulant (ATS) use on youth sexual risk behaviors and uses a sample of ATS drug users in compulsory detoxification settings in China.

Cross-sectional data were collected from two compulsory detoxification institutes in China in 2014. The sampling technique used is cluster sampling. After having filled out a consent form to participate in the study, the subjects filled out a self-administered questionnaire. Totally, 901(504 males aged 20 to 56 years, and 397 females aged 16 to 48 years) participants were recruited and investigated in each institute. Both bivariate and multivariate tests were used in the study.

The ANOVA indicated that comared to females, males tended to have sexual desire after taking drug (P < .001), think drug taking increases sexual pleasure (p < .001), take drugs for temporary sexual partners (p < .001), have sex with someone for drugs (p < .001), have one night love affair with internet friends (p < .001), and use condoms a lot fewer during sex with temporary partners (p < .001).

Multivariate analysis revealed sexual desire after taking drugs, thought that drug taking increases sexual pleasure, taking drugs for temporary sexual partners, having sex for drugs, having one night love affair with internet friends, and usage rate of condoms during sex with temporary partners were significantly associated with gender (p < .001) among ATS abusers, controlling for age (p < .05), education (p < .001), economic earnings, and years of drug abuse.

Results suggests that males and females should be treated differently when we examine the influence on risk behaviors and why youths in China use ATS. Among the ATS users, males are more likely to have risk behaviors physiologically and psychologically. Therefore, our education and intervention should proceed by treating males and females pointedly and differently.

Learning Areas:

Diversity and culture
Public health or related research

Learning Objectives:
Identify whether sexual risk behaviors among male youths are more easily influenced by amphetamine-type stimulant use than among female youths in China.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal or co-principal of US and China's jointly-funded grants focusing on epidemiology of drug use and HIV prevention. Among my research interests has been the strategies for preventing sexual risk behaviors among youths in China.
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.

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