Gender differences in risk behaviors among HIV+ persons with an IDU history. The link between partner characteristics and women's higher drug- sex risks

Erica L. Gollub, Dominique Rey, Yolande Obadia, Jean Paul Moatti, A. Bourgeade, P. Carrieri, J. P. Cassuto, P. Cavailler, M. Chesney, T. Coates, P. Dellamonica, M. Dugourd, P. Dujardin, N. Escaffre, H. Gallais, J. A. Gastaut, E. Gollub, G. Lepeu, A. Loundou, V. MaslinD. Mechali, J. P. Moatti, Y. Obadia, D. Rey, C. Reynaud-Maurupt, C. Rouzioux, A. Schaefter, A. Sobel, C. Tamalet, F. Tremolieres, D. Vlahov

Research output: Contribution to journalArticlepeer-review

Abstract

Background and Objectives: Risk-taking behaviors differ among women and men injection drug users (IDU). Goal: To specify the nature of sexual and drug risk-taking among women IDU and ex-IDU and how it relates to partner characteristics. Design: A cross-sectional analysis of 324 HIV+ subjects enrolled into a prospective cohort study in Marseille, France. Results: Women, as compared with men, were considerably more likely to report nonuse of condoms with a main partner (31% versus 12%). They were more likely to shoot with a partner at last injection (39% versus 12%), but far less likely to sterilize used needles (4% versus 16%). Two thirds of both men and women reported consistent condom use with a seronegative partner, but only 47% of men and 23% of women reported the same with a seropositive partner. Among the women only, needle and syringe sharing was associated with consistent use of a condom. Conclusions: Women reported behaviors which protect their partners from STD infection more frequently than behaviors which protect themselves. Greater attention must be paid to sexual risk-taking among HIV+ women.

Original languageEnglish (US)
Pages (from-to)483-488
Number of pages6
JournalSexually transmitted diseases
Volume25
Issue number9
DOIs
StatePublished - Oct 1998
Externally publishedYes

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)
  • Infectious Diseases

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