Correlates of anal intercourse vary by partner type among substance-using women: Baseline data from the unity study

Beryl A. Koblin, Donald Hoover, Guozhen Xu, Victoria Frye, Mary H. Latka, Debbie Lucy, Sebastian Bonner

Research output: Contribution to journalArticle

31 Scopus citations

Abstract

Data are limited about anal intercourse among women at risk of HIV infection. HIV-negative non-injection drug using women at sexual risk (N = 404) were recruited. At baseline, 41.7% reported anal intercourse in the prior 3 months; of these, 88.2% reported unprotected anal intercourse (UAI). Factors associated with UAI varied by partner type: UAI with a steady partner was associated with younger age, depressive symptoms, and experience of battering; UAI with casual partners was associated with younger age, cocaine use and negative outcome expectancies for condom use; UAI with exchange partners was associated with cocaine use, negative outcome expectancies for condom use and depressive symptoms. Younger women were more likely to report unprotected anal intercourse if they did not use birth control. Specific counseling messages are needed to identify and address this risk and associated factors, including partner relationships, substance use, birth control, mental health issues and domestic violence.

Original languageEnglish (US)
Pages (from-to)132-140
Number of pages9
JournalAIDS and behavior
Volume14
Issue number1
DOIs
StatePublished - Feb 1 2010

All Science Journal Classification (ASJC) codes

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Keywords

  • Anal intercourse
  • HIV
  • Substance use
  • Women

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