TY - JOUR
T1 - Gender and race as correlates of high risk sex behaviors among injection drug users at risk for HIV enrolled in the HPTN 037 study
AU - Hill, Mandy J.
AU - Holt, Michael
AU - Hanscom, Brett
AU - Wang, Zhe
AU - Cardenas-Turanzas, Marylou
AU - Latkin, Carl
N1 - Publisher Copyright:
© 2018 Elsevier B.V.
PY - 2018/2/1
Y1 - 2018/2/1
N2 - Background: Sexual contact has been shown to be a major mode of HIV transmission among people who inject drugs (PWID). This study examined gender and racial differences among PWID’ sexual risk behaviors from the perspective of sexual scripts. Methods: 696 PWID enrolled from Philadelphia on HPTN 037 were classified as engaging in high-risk sex behaviors if they reported having sex in the past 30 days and condomless sex with a non-primary partner, giving/receiving sex for money, or multiple partners. A multivariable logistic regression model was used to assess associations between demographic factors and high risk sex. Results: Findings of the multivariable regression analysis demonstrated that being White (OR = 0.52, p < 0.001) and male (OR = 0.59, p = 0.002) were protective of high risk sex, while homelessness (OR = 1.7, p = 0.005), and being single (OR = 1.83, p = 0.006) were positively associated with high risk sex. African American (AA) women were 1.7 times more likely to report high-risk sex than AA men (p = 0.002), 3.28 times more likely than White men (p < 0.001), and 1.93 times more likely than White women (p < 0.001). Conclusions: Since AA women report high-risk sex behaviors more than other demographic groups, behavioral interventions for HIV risk reduction among PWID may benefit from focusing on sex-risk reduction among AA women.
AB - Background: Sexual contact has been shown to be a major mode of HIV transmission among people who inject drugs (PWID). This study examined gender and racial differences among PWID’ sexual risk behaviors from the perspective of sexual scripts. Methods: 696 PWID enrolled from Philadelphia on HPTN 037 were classified as engaging in high-risk sex behaviors if they reported having sex in the past 30 days and condomless sex with a non-primary partner, giving/receiving sex for money, or multiple partners. A multivariable logistic regression model was used to assess associations between demographic factors and high risk sex. Results: Findings of the multivariable regression analysis demonstrated that being White (OR = 0.52, p < 0.001) and male (OR = 0.59, p = 0.002) were protective of high risk sex, while homelessness (OR = 1.7, p = 0.005), and being single (OR = 1.83, p = 0.006) were positively associated with high risk sex. African American (AA) women were 1.7 times more likely to report high-risk sex than AA men (p = 0.002), 3.28 times more likely than White men (p < 0.001), and 1.93 times more likely than White women (p < 0.001). Conclusions: Since AA women report high-risk sex behaviors more than other demographic groups, behavioral interventions for HIV risk reduction among PWID may benefit from focusing on sex-risk reduction among AA women.
KW - African american
KW - Gender
KW - High risk sex
KW - Injection drug use
KW - Race
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U2 - 10.1016/j.drugalcdep.2017.11.018
DO - 10.1016/j.drugalcdep.2017.11.018
M3 - Article
C2 - 29316523
AN - SCOPUS:85044381742
SN - 0376-8716
VL - 183
SP - 267
EP - 274
JO - Drug and Alcohol Dependence
JF - Drug and Alcohol Dependence
ER -