Sexual risk behaviors and STDs among persons who inject drugs: A national study.
Prev Med
; 126: 105779, 2019 09.
Article
em En
| MEDLINE
| ID: mdl-31319117
ABSTRACT
Opioid use and the rising case reports of STDs represent co-occurring epidemics; research indicates that persons who inject drugs (PWID) may be at increased risk for acquiring STDs. We use the National Survey of Family Growth (NSFG, 2011-2015) to examine the prevalence of risky sexual behaviors and STD diagnoses among PWID. We describe demographic characteristics, sexual behaviors, and self-reported STD diagnoses of sexually active women and men, separately, by whether they had ever engaged in injection-related behaviors (age 15-44; Nâ¯=â¯9006 women, Nâ¯=â¯7210 men). Results indicate that in 2011-15, 1.4% of women and 2.6% of men reported ever engaging in injection-related behaviors. Examining the full logistic regression models indicate that for women, sex with a PWID in the past 12â¯months (AORâ¯=â¯5.8, 95% CI 2.9, 11.7), exchanging money/drugs for sex in the past 12â¯months (AORâ¯=â¯3.6, 95% CI 1.2, 10.9), chlamydia and/or gonorrhea diagnosis in the past 12â¯months (AORâ¯=â¯2.6, 95% CI 1.2, 5.3), ever having a syphilis diagnosis (AORâ¯=â¯8.5, 95% CI 3.1, 23.4), and ever having a herpes diagnosis (AORâ¯=â¯3.3, 95% CI 1.0, 10.3) were associated with increased odds of engaging in injection-related behaviors. For men, sex with a PWID in the past 12â¯months (AORâ¯=â¯10.9, 95% CI 4.3, 27.7), ever being diagnosed with syphilis (AORâ¯=â¯5.8, 95% CI 1.8, 18.0), and ever being diagnosed with herpes (AORâ¯=â¯2.7, 95% CI 1.0, 7.1) were significantly associated with increased odds of engaging in injection-related behaviors. Future research may examine critical intervention points, including co-occurring factors in both STD acquisition and injection drug use.
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MEDLINE
Assunto principal:
Comportamento Sexual
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Infecções Sexualmente Transmissíveis
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Abuso de Substâncias por Via Intravenosa
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Transtornos Relacionados ao Uso de Opioides
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article