Intersecting Epidemics -- Crack Cocaine Use and HIV Infection among Inner-City Young Adults

Edlin, Brian; Irwin, Kathleen L.; Faruque, Sairus; McCoy, Clyde B.; Word, Carl O.; Serrano, Yolanda; Inciardi, James A.; Bowser, Benjamin P.; Schilling, Robert F.; Holmberg, Scott D.

doi:10.1056/nejm199411243312106

Cited by 541 publications

(292 citation statements)

References 18 publications

Supporting

Mentioning

266

Contrasting

Unclassified

Order By: Relevance

“…For example, crack cocaine has been associated with trading sex for drugs (Edlin et al, 1994;Marx et al, 1991), and among MSM, nitrites (Ostrow et al, 1990;Ostrow et al, 1993) and methamphetamine (Colfax et al, 2004;Mansergh et al, 2006) may serve as triggers for risky sex. Heroin may reduce sexual interest and ability, while methamphetamine and cocaine are associated with increased sex drive (Zule and Desmond, 1999;Rhodes and Quirk, 1998).…”

Section: Discussionmentioning

confidence: 99%

Alcohol, drugs, and condom use among drug offenders: An event-based analysis

Leigh

Ames

Stacy

2008

Drug and Alcohol Dependence

View full text Add to dashboard Cite

Background-Studies of the association between substance use and condom use in specific sexual encounters often do not separate the effects of alcohol and different types of drugs. Because the pharmacological effects and social settings of various substances differ, their effects on unprotected intercourse may vary as well.Goal-This study examined the relationship between alcohol and drug use and the use of condoms in sexual encounters with casual partners in a high-risk population of drug offenders Design-Participants in court-ordered drug diversion programs (n=536; 26% female) completed a questionnaire in which they reported on the circumstances of their most recent sexual encounter with a casual partner.Results-In multivariate logistic models, alcohol use in conjunction with sex was not related to decreased condom use in either men or women. Amphetamines (smoked or injected) were associated with decreased condom use, while cocaine, marijuana, and orally-administered amphetamines were not significantly associated with condom use.Conclusions-In this high-risk sample, links between substance use and unprotected sex differ with type of drug used.

show abstract

Section: Discussionmentioning

confidence: 99%

Alcohol, drugs, and condom use among drug offenders: An event-based analysis

Leigh

Ames

Stacy

2008

Drug and Alcohol Dependence

View full text Add to dashboard Cite

show abstract

“…For example, crack use has been associated with a higher prevalence of sexually transmitted infections and hepatitis C virus, involvement in sex work or exchanging sex for drugs, multiple sex partners, sex with injection drug users, depression, anxiety, and social isolation. [23][24][25][26][27][28] Further, several studies from the 1990s examining black MSMW found that 25% reported injecting drugs in the past 6 months. 13,29,30 To the extent that injection drug use is prevalent among MSMW, a considerable proportion of HIV acquisition and transmission could be blood-borne through the sharing of injection equipment.…”

Section: Introductionmentioning

confidence: 99%

Differences in Sexual Identity, Risk Practices, and Sex Partners between Bisexual Men and Other Men among a Low-Income Drug-Using Sample

et al. 2009

View full text Add to dashboard Cite

Men who have sex with men and women (MSMW) represent an important target population for understanding the spread of HIV because of the inherent bridging aspect of their sexual behavior. Despite their potential to spread HIV between gender groups, relatively little recent data have been reported about this population as a subgroup distinct from men who have sex with men only. This paper analyzes data from the Chicago site of Sexual Acquisition and Transmission of HIV Cooperative Agreement Program to characterize 343 MSMW in terms of their demographics, drug use, sexual risk behavior, sexual identity, and sex partners. Results show the MSMW sample to be extremely disadvantaged; to have high rates of drug use, including injection and crack use; to report more female than male sex partners; to not differ from gay and heterosexual men in rates of condom use; and, for the most part, to report sexual identities that are consistent with their sex behavior. MSMW represent an important subpopulation in the HIV epidemic and should be targeted for risk reduction interventions.

show abstract

“…Substantial research has found that drug-involved men are at disproportionately high risk of engaging in transmission risk behaviors for HIV and other sexually transmitted infections (STIs) [1][2][3][4] as well as of perpetrating intimate partner violence (IPV) against women. [5][6][7][8][9][10][11][12][13][14] Over the past decade, mounting evidence also has documented multifaceted relationships between experiencing IPV and HIV/STI transmission risks among drug-involved women.…”

Section: Introductionmentioning

confidence: 99%

Intimate Partner Violence and HIV Risks: A Longitudinal Study of Men on Methadone

Gilbert

El‐Bassel

et al. 2007

J Urban Health

View full text Add to dashboard Cite

Whereas research has suggested that drug-involved men are at disproportionately high risk of engaging in transmission risk behaviors for HIV and of perpetrating intimate partner violence (IPV) against women, only a few cross-sectional studies have examined the relationship between IPV and HIV/sexually transmitted infection (STI) transmission risks among heterosexual, drug-involved men. This study builds on previous cross-sectional research by using a longitudinal design to examine the temporal relationships between perpetration of IPV and different HIV/STI transmission risks among a random sample of 356 men on methadone assessed at baseline (wave 1), 6 months (wave 2), and 12 months (wave 3). The findings indicate that (1) perpetration of IPV in the past 6 months at wave 1 was associated with having more than one intimate partner, buying sex, and sexual coercion at subsequent waves and that (2) noncondom use, injecting drugs, and sexual coercion at wave 1 were associated with subsequent IPV. The temporal relationships between perpetration of IPV and HIV risks found in this study underscore the need for HIV prevention interventions targeting men on methadone to consider IPV and HIV risks as cooccurring problems.

show abstract

Intersecting Epidemics -- Crack Cocaine Use and HIV Infection among Inner-City Young Adults

Abstract: In poor, inner-city communities young smokers of crack cocaine, particularly women who have sex in exchange for money or drugs, are at high risk for HIV infection. Crack use promotes the heterosexual transmission of HIV.

Cited by 541 publications

References 18 publications

Alcohol, drugs, and condom use among drug offenders: An event-based analysis

Alcohol, drugs, and condom use among drug offenders: An event-based analysis

Differences in Sexual Identity, Risk Practices, and Sex Partners between Bisexual Men and Other Men among a Low-Income Drug-Using Sample

Intimate Partner Violence and HIV Risks: A Longitudinal Study of Men on Methadone

Contact Info

Product

Resources

About