Abstract
The objectives of this study were first, to identify psychosocial and medical service utilization factors associated with unprotected sex with HIV-negative or unknown serostatus partners among persons living with HIV/AIDS, and second, to identify risk behaviours associated with HIV medical service use. We assessed 244 HIV-positive participants in an HIV intervention targeting drug users (1997-99). Fifty-seven per cent of HIV-positive participants reported unprotected sex within the past 90 days, 16.4% with serodiscordant partners. Odds of risky sex were lower among those currently receiving HIV medical care (odds ratio (OR)=0.36), and were greater among females (OR=2.6), those having friends with lower norms of condom use (OR=3.3), and those having a main sexual partner (OR=6.2). Lower odds of receiving HIV medical care were associated with current drug use (OR=0.33), sharing drugs with a sex partner (OR=0.27), and exchanging sex for drugs or money (OR=0.24). Findings suggest the importance of community-based HIV prevention intervention targeting HIV-positive drug users not recovery HIV medical care.
References
Aug 1, 1993·American Journal of Public Health·R E BoothD D Chitwood
Nov 14, 1998·Addiction·C A Latkin, D Vlahov
Jul 1, 1999·JAMA : the Journal of the American Medical Association·M F ShapiroS A Bozzette
Jul 13, 1999·Drug and Alcohol Dependence·R E BoothG Weissman
May 18, 2001·Lancet·A H KralB R Edlin
Jun 14, 2001·Archives of Internal Medicine·S A StrathdeeK E Nelson
Jun 21, 2001·AIDS·K E PoundstoneR D Moore
Jul 27, 2001·Journal of Acquired Immune Deficiency Syndromes : JAIDS·C A Latkin, V L Forman
Oct 25, 2002·International Journal of STD & AIDS·Seth C KalichmanJames Austin
Nov 5, 2002·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Grace E MacalinoDavid Vlahov
Aug 28, 2003·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Carl A LatkinAmy Knowlton
Citations
Feb 8, 2006·AIDS and Behavior·Steffanie A Strathdee, Thomas L Patterson
Jan 24, 2007·AIDS and Behavior·Robert H RemienUNKNOWN NIMH Healthy Living Project Team
Aug 11, 2007·AIDS and Behavior·V Anna Gyarmathy, Alan Neaigus
Sep 19, 2007·AIDS and Behavior·Anissa L MoodyDesiree Byrd
Apr 28, 2010·Journal of Community Health·Nadra C TyusBernard Guyer
Oct 8, 2008·Current HIV/AIDS Reports·David D CelentanoShruti H Mehta
Jun 1, 2005·The Medical Clinics of North America·Victoria A Cargill, Valerie E Stone
Nov 22, 2005·Journal of Psychoactive Drugs·Irene Vernon, Pamela Jumper-Thurman
Jul 16, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Lisa R MetschUNKNOWN Antiretroviral Treatment and Access Study (ARTAS) Study Group
Apr 8, 2009·BMC Public Health·Duong Cong ThanhKnut Fylkesnes
Mar 1, 2006·BMC Health Services Research·Theresa W KimJeffrey H Samet
Apr 9, 2008·Journal of Acquired Immune Deficiency Syndromes : JAIDS·James WalkupJoseph E Schumacher
May 16, 2007·Infectious Disease Clinics of North America·Carla J BergSteven A Safren
Jun 4, 2015·AIDS and Behavior·Amy R KnowltonJulie Denison
Aug 26, 2010·Substance Use & Misuse·Joseph R MerighiHutson W Inniss
May 2, 2008·AIDS Care·Wynne E NortonJeffrey D Fisher