HIV Prevalence and Associated Risks in a Respondent-Driven Sample of Illicit Stimulant Users in a Southern United States City

Meade, Christina S.; Towe, Sheri L.; Xu, Yunan; Rainer, Crissi

doi:10.1007/s10461-020-02793-6

Cited by 6 publications

(2 citation statements)

References 51 publications

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“…Heroin–cocaine class also reported riskier sexual behavior compared with heroin alone, although it did not manifest through higher HIV prevalence [45 ▪ ]. In a sample of people who used stimulants recruited through respondent-driven sampling in North Carolina [46], the majority (73%) reported at least one sexual behavior, and only 38% used condoms consistently, although sex risk factors were not associated with HIV prevalence. Polysubstance injecting (both opioids and methamphetamine) was associated with transactional and condomless sex among women of low socioeconomic status in Oregon [47].…”

Section: Recent Findingsmentioning

confidence: 94%

Challenges of sexually transmitted infections and sexual health among people who inject drugs

Dumchev

2021

Current Opinion in Infectious Diseases

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Purpose of reviewThis review provides a summary of recently published research on sexually transmitted infections (STI) and related behaviors among people who inject drugs (PWID), covering three major areas: sexual behavior and its role in STI transmission among PWID, multilevel factors associated with STI risk, and strategies addressing sexual health of PWID. This review is timely given the growing priority of combination prevention approaches and integrated care for PWID. Recent findingsModern research improves the understanding that PWID have an increased risk of STI, which varies by gender, setting, type of substance used, and presence of mental disorders. Major socioeconomic and structural factors, specific and nonspecific to PWID, facilitate inequality and sexual risk behavior. Sexual transmission continues to contribute substantially to the spread of bloodborne infections among PWID, accounting for at least 10% of new HIV cases according to epidemiological modeling. Despite the substantial evidence that behavioral interventions can improve sexual health and reduce sex-related risks among PWID, there is a research-practice gap, reflected in the scarcity of implementation studies published recently.

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Section: Recent Findingsmentioning

confidence: 94%

Challenges of sexually transmitted infections and sexual health among people who inject drugs

Dumchev

2021

Current Opinion in Infectious Diseases

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“…The study did not elucidate the relationship between sexual behavior and infectious diseases enough to validate our second hypothesis. A study of adult stimulant users in the United States found that the majority (73%) reported having at least one sexual risk behavior and only 38% used condoms consistently, although sexual risk factors were not associated with the HIV epidemic [40]. While others have found that an increase in the number of condomless anal sex partners could explain the fact that MSM who primarily inject methamphetamine were more likely to be diagnosed with syphilis and HIV [7].…”

Section: Discussionmentioning

confidence: 99%

Pathways of effects of adverse childhood experiences on infectious diseases among border drug-use adults: A Structural Equation Modeling

Zhang,

He,

et al. 2023

Preprint

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Background Injection of drug abuse could result in infectious disease, and adverse childhood experiences (ACEs) possibly are associated with infectious disease. However, there is a paucity of literature on a direct or indirect relationship between ACEs, injection of drug use and infectious disease. We thus identified the pathway of influence of ACEs in adulthoods and injection of drug use on infectious disease by structural equation models (SEM). Methods A cross-sectional study was conducted by respondent driving sampling and consecutive sampling among adult drug users in southwest of China in 2021. R software 4.2.1 was used to conduct descriptive, univariate, and SEM analysis. Results There were 404 participants in total, with an average age of 34 and most males (98.3%) and minorities (79.6%). 95.5% of respondents experienced ACEs with 46.6% of reporting 4 or more ACEs. Correlations in SEM showed that infectious disease was directly positively affected by injection of drug use (β = 0.184), and directly negatively affected by ACEs (β=-0.188). Age(β = 0.029), Ethnic(β=-0.021), Education(β = 0.019), Gender(β = 0.022), Sex partners (β=-0.017), and ACEs (β=-0.029) had indirect effects on infectious disease. Conclusions ACEs could be a direct or indirect predictor for infectious disease in adulthood, injection of drug use could be a risk factor and moderate other factors of infection of infectious disease. Strategies for creating a positive home environment, minimizing traumatic or stressful childhood experiences, and increasing awareness of the risks associated with drug injection use are all ways to lower the chance of contracting infectious diseases.

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Barriers and Facilitators to HIV Pre-Exposure Prophylaxis Uptake Among Men Who have Sex with Men Who Use Stimulants: A Qualitative Study

et al. 2022

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The HIV epidemic disproportionately impacts men who have sex with men (MSM), particularly those who use stimulants. We explored barriers and facilitators to pre-exposure prophylaxis (PrEP) uptake among this population. From June 2018 through February 2019, we conducted semi-structured interviews in Providence, Rhode Island, and New Haven, Connecticut, with 21 MSM who reported recent (past six months) stimulant use. We identified individual, interpersonal, and structural barriers to PrEP, including: 1) high awareness but mixed knowledge of PrEP, resulting in concerns about side effects and drug interactions; 2) interest that was partly determined by substance use and perceived HIV risk; 3) fragmented and constrained social networks not conducive to disseminating PrEP information; and 4) PrEP access, such as insurance coverage and cost. Our findings suggest potential approaches to increase PrEP uptake in this group, including promotion through mainstream and social media, clarifying misinformation, and facilitating increased access through structural interventions.

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HIV Prevalence and Associated Risks in a Respondent-Driven Sample of Illicit Stimulant Users in a Southern United States City

Cited by 6 publications

References 51 publications

Challenges of sexually transmitted infections and sexual health among people who inject drugs

Challenges of sexually transmitted infections and sexual health among people who inject drugs

Pathways of effects of adverse childhood experiences on infectious diseases among border drug-use adults: A Structural Equation Modeling

Barriers and Facilitators to HIV Pre-Exposure Prophylaxis Uptake Among Men Who have Sex with Men Who Use Stimulants: A Qualitative Study

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