High-risk sexual behaviors in a context of substance abuse

Nadeau, Louise; Truchon, Michel; Biron, Colette

doi:10.1016/s0740-5472(00)00127-6

Cited by 32 publications

(26 citation statements)

References 58 publications

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“…As shown in other studies (Morrison, DiClemente, Wingood, & Collins, 1998;Nadeau, Truchon, & Biron, 2000), drug and alcohol use were associated with risky sexual behavior in bivariate analyses, and drug use remained associated in multivariate analysis. However, alcohol use dropped out of the multivariate model, likely due to the highly significant positive relationship between drug and alcohol use.…”

Section: Discussionsupporting

confidence: 79%

Current Sexual Activity and Risky Sexual Behavior in Older Men With or At Risk for HIV Infection

Cooperman

Arnsten

Klein

2007

AIDS Education and Prevention

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In a cross-sectional analysis, we investigated frequency of sexual activity and factors associated with risky sexual behavior among 624 older men, aged 49−80, with or at risk for HIV infection. During the prior 6 months, 75% reported sexual activity with at least one partner, and one quarter of both the HIV-negative and HIV-positive men had more than one sexual partner. Only 18% of the HIVnegative men and 58% of the HIV-positive men always used condoms with their sexual partners. Factors independently and positively associated with risky sexual behavior included lack of HIV infection, any drug use in the past 6 months, greater importance of sex in one's life, weekly or more frequent sexual activity in the past 6 months, and ever taking sildenafil. These results suggest that older men with or at risk for HIV infection are sexually active, participate in risky sexual behavior, and need safer sex interventions.

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Section: Discussionsupporting

confidence: 79%

Current Sexual Activity and Risky Sexual Behavior in Older Men With or At Risk for HIV Infection

Cooperman

Arnsten

Klein

2007

AIDS Education and Prevention

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“…One reason for this relationship is that drug abuse is a significant mode of HIV transmission, either through injection of drugs using blood-contaminated needles or through increased high risk behavior (e.g., unprotected sex under the influence of drugs or in exchange for drugs) [2] . The connection between drug abuse and HIV is much more complex than this, however.…”

Section: Introductionmentioning

confidence: 99%

“…Animal models of HIV are needed to evaluate the effect of HIV-1 on factors ranging from the behavioral to the molecular level that may increase vulnerability to addiction. Although there are several animal models for understanding HIV infection and AIDS, we suggest that the recently developed noninfectious HIV-1 transgenic rat [2] may be an important animal model for further study because it may more closely model HIV-1 infection in the post-HAART era in which HIV is treated as a manageable, chronic disease by suppressing viral replication.…”

Section: Introductionmentioning

confidence: 99%

Role of HIV-1 Infection in Addictive Behavior: A Study of a HIV-1 Transgenic Rat Model

Chang¹,

Vigorito²

2006

American J. of Infectious Diseases

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Epidemiological research indicates that drug abuse is prevalent among individuals infected with HIV-1. Evidence from preclinical research also suggests that drugs of abuse exacerbate the progression of neuropathological changes in the HIV-1 infected brain probably through common mechanisms of neuronal injury. The effects of HIV-1 on the efficacy and abuse potential of controlled drugs such as morphine, however, has not been explored. The current study reports that the noninfectious HIV-1 transgenic (HIV-1 Tg) rat shows up-regulated expression of the mu opioid receptor (MOR) at the transcriptional level and functional supersensitivity to morphine, a MOR agonist. Compared to nontransgenic control rats, the HIV-1 Tg rats also show greater motivation to run in a wheel, a behavior that is known to be associated with increased drug self-administration. These results suggest the potential role of HIV-1 infection in enhancing vulnerability to addiction and this possibility warrants further investigation to better understand the link between HIV-1 infection and the abuse of drugs including opioids.

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“…Les femmes toxicomanes qui se prostituent le feront en général en dernier recours, typiquement en offrant leurs services dans la rue et non dans le cadre d'agences spécialisées, se rendant ainsi particulièrement vulnérables (Philpot, Harcourt et Edwards, 1989 Inciardi et Suratt, 2001 ;Nadeau, Truchon et Biron, 2000 ;Spittal et coll., 2003). Par ailleurs, il est également bien établi que ces femmes vivent des niveaux alarmants de violence physique et émotionnelle (Miller et coll., 2002 ;Romero-Daza, Weeks et Singer, 2003).…”

Section: Esta Investigación Se Propone Explorar Las Vivencias Y El Puunclassified

“…Ces 21 femmes ont été sélectionnées entre 1995 et 1998 parmi 219 femmes qui, à leur admission dans un centre de traitement public situé à Montréal, présentaient les problèmes de santé mentale et/ou légaux les plus graves à l'Indice de gravité d'une toxicomanie (IGT). Bien que des auteurs conceptualisent les échanges sexe-drogues en termes de prostitution, les acteurs sociaux impliqués ne les considèrent généralement pas comme tels (Brochu, 2006 ;Nadeau, Truchon et Biron, 2000).…”

Section: Méthodologie Participantesunclassified

Trajectoires de femmes toxicomanes en traitement ayant un vécu de prostitution : étude exploratoire

Bertrand

Nadeau

2007

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La toxicomanie et la prostitution chez les femmes constituent une double problématique fort complexe et préoccupante. Ces femmes sont davantage à risque d’être victimes de violence ainsi que d’être infectées par le VIH ou par une autre infection transmissible sexuellement et par le sang. Alors qu’elles tendent à se retrouver régulièrement dans des états de crise psychosociale, elles rencontrent davantage d’obstacles pour accéder à des traitements adaptés que les autres femmes toxicomanes. Objectifs. Cette recherche vise à explorer le vécu et le point de vue subjectif de femmes, à partir de leurs récits de vie, quant à leurs trajectoires de toxicomanie et de prostitution, incluant leurs perceptions quant aux interrelations entre ces deux problématiques et leurs implications pour leurs démarches de réadaptation. Méthode. Dans le cadre d’un projet de recherche plus large, 21 femmes toxicomanes en traitement présentant des problèmes sévères d’inadaptation sociale ont été interviewées. Cette entrevue de type histoire de vie a été réalisée de 5 à 8 ans à la suite de l’épisode de traitement de référence. Une analyse qualitative thématique du compte rendu détaillé des entrevues a été réalisée à l’aide du logiciel QSR NUD*IST. Résultats. Les résultats portent plus précisément sur les récits de vie de six femmes toxicomanes parmi 21 participantes interviewées ayant un vécu de prostitution. Trois types de trajectoires sont identifiés : la prostitution comme dernier recours pour soutenir une dépendance aux substances dans le contexte d’une trajectoire délinquante précoce, la prostitution comme métier entraînant un style de vie déviant ; et la prostitution comme accident de parcours. Les constats quant au vécu de ces femmes sur le plan de la maternité et des services sont dégagés. Les implications cliniques des résultats sont discutées.The problem of women’s substance abuse and prostitution is twofold, extremely complex, and alarming. These women are at greater risk of becoming victims of violence and of becoming infected with HIV or another infection that can be sexually transmitted or transmitted by blood. Even though they tend to end up in a state of psychosocial crisis on a regular basis, they run into more obstacles preventing them from accessing appropriate treatment than other women who abuse substances. Purpose. This research aims to explore women’s life experiences and their subjective point of view on the course of their substance abuse and prostitution, using their life stories, and including their perceptions on the interrelation between these two issues and their implications in their recovery efforts. Method. As part of a broader research project, 21 substance-abusing women, in treatment and presenting severe social maladjustment problems, were interviewed. This life-story type of interview was conducted 5 to 8 years following the reference treatment episode. A qualitative thematic analysis of the verbatim interviews was performed using the QSR NUD*IST software program. Results. Among the 21 participants intervi...

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High-risk sexual behaviors in a context of substance abuse

Cited by 32 publications

References 58 publications

Current Sexual Activity and Risky Sexual Behavior in Older Men With or At Risk for HIV Infection

Current Sexual Activity and Risky Sexual Behavior in Older Men With or At Risk for HIV Infection

Role of HIV-1 Infection in Addictive Behavior: A Study of a HIV-1 Transgenic Rat Model

Trajectoires de femmes toxicomanes en traitement ayant un vécu de prostitution : étude exploratoire

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