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Sexual behavior and illicit drug use.

M W Ross1, M L Williams

  • 1WHO Center for Health Promotion and Prevention Research, School of Public Health, University of Texas, Houston 77225, USA. MRoss@sph.uth.tmc.edu

Annual Review of Sex Research
|April 2, 2003
PubMed
Summary

Sexual behavior among drug users is influenced by drug type, subculture, and addiction needs. This review examines drug-associated sexual practices and their links to disease transmission in Western societies.

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Area of Science:

  • Public Health
  • Sociology
  • Epidemiology

Background:

  • Sexual behavior among individuals using illicit substances is complex and multifactorial.
  • Factors such as drug type, social environment, and economic pressures significantly shape these behaviors.
  • Understanding these dynamics is crucial for public health interventions, particularly concerning infectious disease transmission.

Purpose of the Study:

  • To review existing literature on the sexual behavior of drug users.
  • To explore the influence of drug type, subculture, setting, and addiction on sexual practices.
  • To examine the role of drug-associated sexual behavior in the spread of sexually transmissible pathogens and injection-related pathogens.

Main Methods:

  • Literature review of studies focusing on sexual behavior in drug-using subcultures.
  • Analysis of data concerning opioid and crack cocaine users.
  • Investigation into the context of drug use and sex within circuit party environments.

Main Results:

  • Sexual behavior patterns vary significantly based on the specific drug used and the associated subculture and setting.
  • Economic pressures and the need to maintain drug addiction are key drivers of sexual behavior in this population.
  • Circuit parties represent a specific context where drug use and sexual activity are highly concentrated, particularly within gay communities.

Conclusions:

  • Drug-associated sexual behavior poses significant risks for the transmission of sexually transmissible pathogens and injection-related pathogens.
  • Further research is needed to fully understand the complex interplay of factors influencing sexual behavior in diverse drug-using populations.
  • Public health strategies must address the unique challenges presented by drug use and sexual risk-taking behaviors.

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