Temporal Relationship of Sex Risk Behaviors and Substance Use Severity Among Men in Substance Use Treatment

Autor: Donald A. Calsyn, Howard Newville, Mary A. Hatch-Maillette, James L. Sorensen
Rok vydání: 2017
Předmět:
Male
Outcome Assessment
Sociology and Political Science
030508 substance abuse
HIV Infections
Logistic regression
Severity of Illness Index
Other Studies in Human Society
Substance Misuse
Alcohol Use and Health
0302 clinical medicine
Outcome Assessment
Health Care
Psychology
030212 general & internal medicine
General Psychology
media_common
Middle Aged
Substance abuse
Alcoholism
HIV/AIDS
Mental health
0305 other medical science
Alcohol-Related Disorders
Substance use treatment
Adult
Drug
medicine.medical_specialty
Methadone maintenance
Adolescent
Substance-Related Disorders
Sexual Behavior
media_common.quotation_subject
macromolecular substances
Article
Gender Studies
Young Adult
03 medical and health sciences
Risk-Taking
History and Philosophy of Science
Clinical Research
Behavioral and Social Science
Opiate Substitution Treatment
medicine
Humans
Psychiatry
Aged
Unsafe Sex
Sex risk
Prevention
Addiction
medicine.disease
Brain Disorders
Health Care
Good Health and Well Being
Substance use
Drug Abuse (NIDA only)
Follow-Up Studies
Demography
Zdroj: Journal of sex research, vol 55, iss 8
ISSN: 1559-8519
0022-4499
DOI: 10.1080/00224499.2017.1321101
Popis: Sex risk behaviors and substance use are intertwined. Many men continue to engage in high-risk sexual behaviors even when enrolled in substance use disorder (SUD) treatment. We hypothesized that changes in sex risk behaviors would coincide with changes in drug/alcohol use severity among men in SUD treatment. During an HIV risk-reduction trial, men in methadone maintenance and outpatient drug-free treatment (N=359) completed assessments at baseline and sixmonths after. We assessed changes in sex risk and substance use severity, using the Addiction Severity Index-Lite (ASI-Lite), controlling for treatment condition. In multinomial logistic regressions, decreased alcohol severity was significantly associated with decreases in reported sex partners, and increased alcohol severity was significantly associated with increases in reported sex partners. Increasing drug use severity was significantly associated with maintaining and initiating sex with a high-risk partner, while decreasing alcohol use severity was significantly associated with discontinuing sex under the influence. However, changes in drug/alcohol use severity were not associated with changes in unprotected sex. Substance use reductions may decrease HIV risk behaviors among male substance users. Our findings highlight the importance of integrating interventions in SUD treatment settings that address the intersection of sex risk behaviors and substance use.
Databáze: OpenAIRE
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