Sexual Risk Among African Americans in Substance Use Treatment: Secondary Analysis of Two Clinical Trials

被引：0
作者：
Caravella McCuistian
Bridgette J. Peteet
A. Kathleen Burlew
Brittany D. Miller-Roenigk
Quiera Lige
Aimee Campbell
Susan Tross
机构：
[1] University of California,
[2] Loma Linda University,undefined
[3] University of Cincinnati,undefined
[4] Yale School of Medicine,undefined
[5] Columbia University Medical Center,undefined
[6] Department of Psychiatry,undefined
[7] New York State Psychiatric Institute,undefined
[8] Division on Substance Use Disorders,undefined
[9] HIV Center for Clinical and Behavioral Studies,undefined
[10] The New York State Psychiatric Institute and Columbia University College of Physicians and Surgeons,undefined
来源：
Sexuality & Culture | 2020年 / 24卷
关键词：
HIV/AIDS; Clinical trials; Health disparity; African American health; Racial/ethnic minority; Secondary data analysis;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
African Americans who use substances experience a particular risk for HIV. Negative attitudes towards condoms are a strong predictor of risk and can serve as barriers to safe sex. They also vary by gender. In a secondary analysis of data from two National Drug Abuse Treatment Clinical Trials Network trials collecting data from 2004 to 2006, the relationship between gender, unprotected sex, and condom barriers among 203 African Americans in substance use treatment was examined. Results indicated that no gender differences were present in unprotected sex. Men reported more motivational barriers to condom use and were more likely to believe that condoms would impede sexual experience (the latter not statistically significant). For both genders, the perception that condoms might negatively impact sexual experience was associated with unprotected sex. Gender did not moderate the relationship between condom barriers and unprotected sex. These findings suggest the need for gender and race-specific prevention strategies that focus on motivation and address pleasure-based concerns regarding condoms. Substance use treatment facilities are well-positioned to support interventions to target these issues.
引用
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页码：2065 / 2078
页数：13
相关论文
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  • [11] Burlew AK(2008)HIV/AIDS and the African-American community: a state of emergency Journal of the National Medical Association 100 35-43
  • [12] Copeland VC(1999)Measuring perceived barriers to condom use: Psychometric evaluation of the Condom Barriers Scale Assessment 6 391-404
  • [13] Ahuama-Jonas C(2014)How gendered attitudes relate to women’s and men’s sexual behaviors and beliefs Sexuality and Culture 18 833-846
  • [14] Calsyn DA(2000)Partner type and condom use AIDS 14 537-546
  • [15] Calsyn DA(1992)State of the science on psychosocial interventions for ethnic minorities Journal of Substance Abuse Treatment 9 199-213
  • [16] Campbell AN(2005)Sexual partnerships, risk behaviors, and condom use among low-income heterosexual African Americans: a qualitative study Annual Review of Clinical Psychology 1 113-142
  • [17] Tross S(2012)Meta-analysis of HIV risk-reduction interventions within drug abuse treatment programs Archives of Sexual Behavior 41 959-970
  • [18] Hatch-Maillette MA(2001)Sexual pleasure and condom use Journal of Consulting and Clinical Psychology 69 389-405
  • [19] Calsyn DA(2007)Condom use rates in a national probability sample of males and females ages 14–94 in the United States Archives of Sexual Behavior 36 844-848
  • [20] Hatch-Maillette M(2010)The effects of ethnicity and perceived power on women’s sexual behavior The Journal of Sexual Medicine 7 266-276
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