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High-risk sexual behavior among drug-using men
S N Seidman1, C Sterk-Elifson, S O Aral
1Division of STD/HIV Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
Sexually Transmitted Diseases
|May 1, 1994
Summary
Drug-using men engage in high-risk sexual behaviors, increasing STD transmission. Interventions targeting these behaviors are crucial for public health. Further research is needed to understand the links between sexual activity, drug use, and STDs.
Area of Science:
- Public Health
- Epidemiology
- Behavioral Science
Background:
- Men who use drugs are at elevated risk for sexually transmitted disease (STD) acquisition and transmission.
- This risk is likely associated with high-risk behaviors prevalent in drug-use environments.
Purpose of the Study:
- To investigate sexual behaviors linked to STD transmission among men who use drugs.
- To identify specific behaviors and substance use patterns associated with increased STD risk in this population.
Main Methods:
- A voucher-based recruitment strategy was used to engage self-identified drug-using men in urban Atlanta.
- Participants underwent urine screening for urethritis and drug use, and completed interviews on sexual behaviors and STD history.
Main Results:
- Of 252 participants, most were Black, homeless, and used illicit drugs, with many reporting a history of STD.
- High-risk sexual behaviors were common, including multiple recent partners, particularly among those using alcohol or crack cocaine before sex.
- Daily alcohol or crack use correlated with having more partners or partners at higher STD risk.
Conclusions:
- A significant proportion of drug-using men exhibit high-risk sexual behaviors, necessitating targeted public health interventions.
- Incentive-based recruitment methods proved effective for engaging this population.
- Further research is required to elucidate the complex interplay between sexual behavior, cocaine use, and STD transmission.