       Document 0346
 DOCN  M9650346
 TI    Gender differences in high-risk sex behaviours among heterosexual drug
       injectors and crack smokers.
 DT    9605
 AU    Booth RE; Department of Psychiatry, University of Colorado Health
       Sciences; Center, Denver 80211, USA.
 SO    Am J Drug Alcohol Abuse. 1995 Nov;21(4):419-32. Unique Identifier :
       AIDSLINE MED/96112353
 AB    This study was designed to assess gender differences in high-risk sex
       behaviors related to the transmission of HIV among injection drug users
       (IDUs) and crack smokers. Using a standard national survey instrument,
       593 verified drug users were questioned about their sexual activities
       and drug use in the 30 day period prior to the interview. High-risk sex
       behaviors included nonuse of condoms, exchanging sex for drugs or money,
       sex with an IDU, and sex with more than one partner. Results showed that
       IDUs who engaged in needle risk practices were more likely report nonuse
       of condoms than IDUs who practiced safer needle use. African-American
       ethnicity was a more powerful determinant of exchanging sex than smoking
       crack cocaine. Sex with more than one partner in the previous 30 day was
       reported by 11% of married males and 15% of married females.
       Independently, marital status was found to be a marker for high-risk sex
       behaviors, in particular, sex with an IDU and nonuse of condoms,
       behaviors reported more often by married than unmarried respondents.
       Needle risk, more common among females than males, was associated with
       sex with an IDU. Approximately one-fourth of the injectors reporting sex
       with only non-IDUs also reported needle risk, sex with more than one
       partner, and nonuse of condoms. These findings show the dual threat drug
       injectors face for HIV infection, through sex and needle risk behaviors,
       and the pivotal role IDUs play in the heterosexual transmission of HIV
       to noninjectors.
 DE    Adolescence  Adult  Blacks  Comparative Study  *Crack Cocaine  Female
       Human  HIV Seropositivity/TRANSMISSION  Male  Middle Age  Risk-Taking
       *Sex Behavior  *Sex Factors  *Substance Abuse, Intravenous  *Substance
       Use Disorders  Support, U.S. Gov't, P.H.S.  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

