Send to

Choose Destination
See comment in PubMed Commons below
Am J Drug Alcohol Abuse. 2009;35(5):305-10. doi: 10.1080/00952990903060127.

Substance use, childhood sexual abuse, and sexual risk behavior among women in methadone treatment.

Author information

  • 1Department of Psychiatry, Columbia University Medical Center, New York, New York, USA.



Substance use and a history of childhood sexual abuse (CSA) are risk factors for unprotected sex among women, yet questions remain as to how their combined influence may differentially affect sexual risk.


The current study investigated how complex relationships among drug use and CSA may contribute to unprotected sexual occasions (USO).


A Generalized Linear Mixed Model was used to examine the interaction between current cocaine/stimulants and opioid use and CSA on number of USOs in a sample of 214 sexually active women in outpatient methadone maintenance treatment.


For women with CSA, an increase in days of cocaine/stimulant use was associated with a significant increase in USOs. In contrast, an increase in days of opiate use was associated with a significant decrease in USOs. For the group of women who did not report CSA, there was a significant increase in USOs with increased opiate use.


Findings indicate that CSA is related to unprotected sexual occasions depending on drug type and severity of use.


Women with CSA using cocaine are at particularly high risk for having unprotected sex and should be specifically targeted for HIV prevention interventions.

[PubMed - indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Taylor & Francis Icon for PubMed Central
    Loading ...
    Write to the Help Desk