The Age of Initiation of Drug Use and Sexual Behavior May Influence Subsequent HIV Risk Behavior: A Systematic Review

Abstract

Researchers examining injection drug users (IDUs) in drug treatment have been trying for decades to determine the optimal way to intervene to prevent the transmission and spread of human immunodeficiency virus (HIV) in this population. Although efficacious HIV risk reduction interventions are widely available, questions remain about what specific factors are most related to HIV risk behavior and defined as unprotected sexual activity and/or high risk drug use. This review involved an evaluation of the research literature in order to better understand the association between drug use and sexual behavior debut on HIV risk behavior. Findings suggest that drug use debut and sexual behavior debut may be related to subsequent HIV risk behavior. Evidence to date implies that intervening at an earlier age to assist youth to avoid or delay these high risk behaviors may be an additional means of reducing subsequent HIV risk.

Earlier Anal Sexarche and Co-occurring Sexual Risk are Associated with Current HIV-Related Risk Behaviors Among an Online Sample of Men Who Have Sex with Men in Asia

“…Consistent with previous findings from studies conducted in other countries or regions [8], we found that earlier anal sexarche was associated lack of condom use during anal sexarche and behaviors that conferred higher per contact risk of HIV infection (i.e., being the receptive or both the receptive and insertive partner) among our participants. In addition, earlier anal sexarche was associated with a range of current HIV-related risk behaviors including multiple sex partners, higher frequency of drug use, engagement in exchange sex, and inconsistent condom use with male partners.…”

“…One of such early sexual experiences that warrants more attention is earlier sexual debut (sexarche) and its co-occurring risk behaviors (i.e., sexual experiences during sexarche). A recent systematic review of 57 studies from diverse geographic locations and populations found that earlier initiation of sexual behavior was linked with higher levels of co-occurring health risk behaviors including unprotected intercourse [8]. Furthermore, results from these studies suggested that earlier sexarche might be associated with HIV risk behaviors at later points in life [8].…”

Adverse childhood experience effects on opioid use initiation, injection drug use, and overdose among persons with opioid use disorder

“…Age of opioid use initiation is a critical developmental concern, as those who initiate drug use at an earlier age are more likely to develop drug dependence problems (Anthony and Petronis, 1995; Baldwin et al, 2013; Chen et al, 2009; King and Chassin, 2007). Another milestone in the history of an opioid user is the transition from prescription opioids to injection heroin use.…”

Model Prediksi Pengendalian Komplikasi Penyakit Penyerta Pada Pengguna Narkotika Di Palembang

“…Responden yang melakukan hubungan seksual sebelum menikah dilakukan dengan pasangannya (pacarnya) lebih dari 80%, sedangkan yang melakukan hubungan 19,20 Menurut penelitian Rico, menunjukan bahwa pengguna narkotika yang melakukan hubungan seksual pada umur ≤17 tahun berisiko 6,74 kali untuk melakukan perilaku seksual berisiko dibandingkan dengan yang melakukan hubungan seksual >17 tahun. 21 Perilaku seksual berisiko adalah melakukan hubungan seksual sebelum menikah, berganti-ganti pasangan dan tidak menggunakan alat kontrasepsi.…”