Gender differences in patterns of drug use and sexual risky behaviour among crack cocaine users in Central Brazil

Guimarães, Rafael Alves; Castro, Vivianne de Oliveira Landgraf de; Oliveira, Sandra Maria do Valle Leone de; Stabile, Andrea; Motta-Castro, Ana Rita Coimbra; Carneiro, Megmar Aparecida dos Santos; Araújo, Lyriane Apolinário de; Caetano, Karlla Antonieta Amorim; Matos, Marcos André de; Teles, Sheila Araújo

doi:10.1186/s12888-017-1569-7

Cited by 31 publications

(43 citation statements)

References 30 publications

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“…For instance, our previous study with men revealed that men's sexual experiences have less impact in their risky behaviors (32). Socio economic status of female SUDs are more affected than men such as exchanging sex for money or shelter similar to our findings (57,58). (32).…”

Section: Discussionsupporting

confidence: 91%

Risky Sexual Behaviors and Condom Use Barriers in Women with Substance Use Disorders, Iran

Khoei

Mohraz

Rezaei

et al. 2019

Preprint

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Background Scant information exists on Iranian women's protective behaviors mainly constant condom use. This seems prevalent among women with drug abuse problems. We aimed to investigate risky sexual behaviors (RSBs) and condom use barriers in Iranian female with substance use disorders (SUDs).Methods In our cross-sectional study, we recruited 300 women who sought treatments for their SUDs from outpatient drug free (ODF) and Methadone Maintenance Therapy (MMT) centers. We selected active centers in Tehran, Iran (N#6). We use three batteries including demographic questionnaire, the Risky Sexual Behavior Questionnaire (RSBQ), and the Condom Barriers Scale (CBS). The statistical software R, analysis of variance post hoc and multivariate analysis of variance (MANOVA) logistic regression tests were used in data analysisFindings we recruited 300 women who sought treatments for their SUDs from outpatient drug free (ODF) and Methadone Maintenance Therapy (MMT) centers. We use three batteries including demographic questionnaire, the Risky Sexual Behavior Questionnaire (RSBQ), and the Condom Barriers Scale (CBS). Analysis of variance post hoc and multivariate analysis of variance (MANOVA) logistic regression tests were used in data analysisConclusion RSBs was prevalent among our study population. Our results suggest that RSBs and condom use barriers are significantly interwoven. The condom use barriers were highly associated with the types of sexual encounters such as group sex or casual sexual relations than specific mean of sexual performance (i.e anal sex). Gender-specific SRB, STIs/HIV/AIDS prevention program is recommended for women with SUDs.

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Section: Discussionsupporting

confidence: 91%

Risky Sexual Behaviors and Condom Use Barriers in Women with Substance Use Disorders, Iran

Khoei

Mohraz

Rezaei

et al. 2019

Preprint

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“…Our findings reinforce that among those with CUD, males and females suffer from different consequences of drug use [8, 11, 12, 45, 46]. This work advances in comparison to a similar previous investigations on sex differences that assessed indexes of disease severity in crack cocaine users [11, 25], since we assessed a larger sample, but most importantly because we considered testing in multiple potentially impacted domains of life, using reliable and valid measures of it. Furthermore, we tested results on the severity of psychosocial problems considering the interference of comorbidities and problems in other areas of life, specially exposure to childhood maltreatment and lifetime victimization.…”

Section: Discussionsupporting

confidence: 88%

“…Moreover, females showed higher HIV prevalence rates and more common sexual abuse history [11]. Similarly, other Brazilian study with 919 crack cocaine users revealed that males report higher lifetime polydrug use, while females have a higher prevalence of syphilis and report to consume higher crack cocaine amounts, and to had more often positive history of prostitution and sexual victimization [25]. In addition, a study with 227 cocaine users revealed that females have higher rates of bipolar disorder, posttraumatic stress disorder and psychotic-induced disorders [26].…”

Section: Introductionmentioning

confidence: 99%

Sex-based differences in multidimensional clinical assessments of early-abstinence crack cocaine users

et al. 2019

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Crack cocaine use disorder (CUD) has been related to sex differences. This work aimed to compare the severity of drug use and the severity of other negative related outcomes in males and females with CUD. A total of 1344 inpatients (798 males and 546 females) with crack cocaine use disorder (CUD) were evaluated by a detailed multidimensional clinical assessment, including addiction severity and trauma exposure. Linear regression predicted higher drug use severity ( β = 0.273, p < 0.001) and more problems in domains related to childcare issues ( β = 0.321), criminal involvement ( β = 0.108), work-related problems ( β = 0.281) and social support impairments ( β = 0.142) for females, all with p < 0.001. Alcohol problems were predicted to be higher in males ( β = -0.206, P < 0.001). Females had higher rates of other mental disorders, particularly trauma and stress-related disorders (OR: 3.206, CI: 2.22, 4.61). Important sex differences also emerged in trauma history and HIV infection prevalence. CUD has a more severe clinical presentation among females facing early abstinence. Sex differences in the CUD course indicate the need for consideration of sex-specific interventions and research.

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“…Our analysis found that male (three times) and female (two times) current other drug users were significantly more likely to self-report STIs in the last 12 months compared with never users. According to the literature, when males use illicit drugs, they tend to use them with greater frequency, magnitude, and are more likely to engage in simultaneous poly-drug use compared with females 49,50. Our results suggest that 1 in 12 post-secondary students engage in current other drug use regardless of their knowledge and setting.…”

Section: Discussionmentioning

confidence: 49%

Substance use preferences and sexually transmitted infections among Canadian post-secondary students

Soe¹,

Bird²,

Schwandt³

et al. 2018

PPA

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BackgroundIn Canada, substance use is one of the key predisposing factors that may lead to risky sexual behaviors among post-secondary students. There is considerable economic burden and significant public health concern posed by substance use and sexually transmitted infections (STIs). The purpose of this study was to examine the prevalence of substance use preferences (alcohol, cannabis, and other drugs) and its association with STIs among Canadian post-secondary students.Materials and methodsThis is a cross-sectional study using data from the National College Health Assessment II, Spring 2016 survey conducted by the American College Health Association. There were 31,642 sexually active participants, representing 41 post-secondary institutions in Canada. Descriptive analysis and logistic regression were conducted to estimate the effect of substance use preferences on STIs.ResultsThis study found that participants reported being current users of alcohol (80%), cannabis (23%), and other drugs (8%). Additionally, 3.96% of the participants self-reported being diagnosed or treated for an STI in the last 12 months. Multivariate logistic analysis revealed current cannabis use to be significantly associated with self-reported STIs (aOR, 1.34; 95% CI, 1.12–1.6). There was a significant association between current drug use and STIs among male (aOR, 3.04; 95% CI, 2.27–4.06) and female participants (aOR, 1.87; 95% CI, 1.52–2.30). Having multiple sexual partners, a history of sexual assault, being homosexual, Black, and >21 years old were also found to have a significant association with self-reported STIs (P-value <0.001).ConclusionIn this study, significant associations were found between cannabis and other drug use and STIs among post-secondary students in Canada. The results of this study can help inform institutions of higher learning and public health professionals in the design, implementation, and evaluation of substance use and STI policies and effective school-based health programming.

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Gender differences in patterns of drug use and sexual risky behaviour among crack cocaine users in Central Brazil

Cited by 31 publications

References 30 publications

Risky Sexual Behaviors and Condom Use Barriers in Women with Substance Use Disorders, Iran

Risky Sexual Behaviors and Condom Use Barriers in Women with Substance Use Disorders, Iran

Sex-based differences in multidimensional clinical assessments of early-abstinence crack cocaine users

Substance use preferences and sexually transmitted infections among Canadian post-secondary students

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