HIV Risk, Health, and Social Characteristics of Sexual Minority Female Injection Drug Users in Baltimore

Research output: Contribution to journalArticle


Female injection drug users (IDU) who report sex with women are at increased risk for HIV and social instability, but it is important to assess whether these disparities also exist according to sexual minority identity rather than behaviorally defined categories. Within a sample of current IDU in Baltimore, about 17 % of female study participants (n = 307) identified as gay/lesbian/bisexual. In controlled models, sexual minorities were three times as likely to report sex exchange behavior and four times as likely to report a recent STI. Injection risk did not differ significantly, but sexual minority women reported higher prevalence of socio-economic instability, negative health indicators, and fewer network financial, material, and health support resources. There is a need to identify and address socio-economic marginalization, social support, and health issues among female IDUs who identify as lesbian or bisexual.

Original languageEnglish (US)
Pages (from-to)1361-1365
Number of pages5
JournalAIDS and behavior
Issue number7
StatePublished - Jul 25 2015



  • HIV
  • Health disparities
  • Injection drug users
  • LGBT
  • Lesbian, gay, bisexual
  • Sexual minority
  • Women

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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