Impact of drug treatment on subsequent sexual risk behavior in a multisite cohort of drug-using women: A report from the Women's Interagency HIV Study

Mary H. Latka, Tracey E. Wilson, Judith A. Cook, Melanie C. Bacon, Jean L. Richardson, Nancy Sohler, Mardge H. Cohen, Ruth M. Greenblatt, Evie Andreopoulis, David Vlahov

    Research output: Contribution to journalArticle

    Abstract

    Background: The evidence that drug treatment programs are associated with changes in sexual behavior and, thus, have prevention benefits beyond addiction is inconclusive. We examined whether entry into drug treatment was associated with subsequent alterations in sexual behavior among a group of drug-using women. Methods: Data were collected semiannually via structured interviews over 8 years. Generalized estimating equations evaluated the relationship between self-reported drug treatment at each visit and sexual abstinence and consistent condom use in the subsequent 6-month period. Results: In this sample (N = 1,658; mean age, 37.3 years; 57.5% African American; 80.3% HIV positive; 49.6% crack/cocaine users), 40% reported being in a variety of drug treatment programs. Those undergoing drug treatment (vs. those not) were less likely to become sexually active (adjusted odds ratio [AOR], 0.83; 95% confidence interval [CI], 0.76-0.91); this association was unchanged when the frequency of attendance and number of different drug treatment programs were evaluated. Drug treatment was not associated with subsequent consistent condom, regardless of frequency of attendance, but involvement in at least three treatment programs was (AOR, 1.40; 95% CI, 1.00-1.97). Conclusions: Additional efforts are needed to integrate effective sexual risk reduction programs into drug treatment settings; expanding access to different types of drug treatment modalities may be indicated.

    Original languageEnglish (US)
    Pages (from-to)329-337
    Number of pages9
    JournalJournal of Substance Abuse Treatment
    Volume29
    Issue number4
    DOIs
    StatePublished - Dec 1 2005

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    Keywords

    • Abstinence
    • Condom use
    • Drug abuse treatment
    • Human immunodeficiency virus
    • Sexual activity
    • Substance use
    • Women

    ASJC Scopus subject areas

    • Phychiatric Mental Health
    • Medicine (miscellaneous)
    • Clinical Psychology
    • Psychiatry and Mental health

    Cite this

    Latka, M. H., Wilson, T. E., Cook, J. A., Bacon, M. C., Richardson, J. L., Sohler, N., Cohen, M. H., Greenblatt, R. M., Andreopoulis, E., & Vlahov, D. (2005). Impact of drug treatment on subsequent sexual risk behavior in a multisite cohort of drug-using women: A report from the Women's Interagency HIV Study. Journal of Substance Abuse Treatment, 29(4), 329-337. https://doi.org/10.1016/j.jsat.2005.08.008