Format

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. lc21302columbia.edu

Abstract

BACKGROUND:

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.

OBJECTIVE:

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

METHODS:

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.

RESULTS:

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.

CONCLUSIONS:

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

SCIENTIFIC SIGNIFICANCE:

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

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

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