View in EDS HTML Full Text PDF Full Text

Longitudinal changes in sexual risk behavior among HIV+ and HIV- male injecting drug users.

Saved in:
Bibliographic Details
Title: Longitudinal changes in sexual risk behavior among HIV+ and HIV- male injecting drug users.
Authors: Dolezal, Curtis (AUTHOR), Meyer-Bahlburg, Heino F. L. (AUTHOR), Liu, Xinhua (AUTHOR), Ehrhardt, Anke A. (AUTHOR), Exner, Theresa M. (AUTHOR), Rabkin, Judith G. (AUTHOR), Gorman, Jack M. (AUTHOR), Marder, Karen (AUTHOR), Stern, Yaakov (AUTHOR), Dolezal, C (AUTHOR), Meyer-Bahlburg, H F (AUTHOR), Liu, X (AUTHOR), Ehrhardt, A A (AUTHOR), Exner, T M (AUTHOR), Rabkin, J G (AUTHOR), Gorman, J M (AUTHOR), Marder, K (AUTHOR), Stern, Y (AUTHOR)
Source: American Journal of Drug & Alcohol Abuse. May99, Vol. 25 Issue 2, p281-303. 23p. 3 Charts, 9 Graphs.
Subjects: HIV infection transmission, HIV, HIV infections, Risk-taking behavior, Immunity, Immunodeficiency
Abstract: Unlabelled: Injecting drug users (IDUs) play a prominent role in the transmission of human immunodeficiency virus (HIV), particularly in urban areas such as New York City, where they comprise nearly half of all adult acquired immunodeficiency syndrome (AIDS) cases. Intervention studies have demonstrated that IDUs are responsive to safer sex messages, but sexual behavior appears to be more resistant to change than drug use behavior. This multidisciplinary study (without an intervention component) assesses changes in sexual risk behavior as a function of time, HIV status, and disease progression in a cohort of HIV+ and HIV- male IDUs (N = 144) for 4 years.Results: For HIV+ and HIV- men, there were increases in abstinence and monogamy, with decreases in the frequency of unprotected vaginal/anal sex and sexual risk index scores. With the exception of monogamy, HIV+ men reported lower levels of risk. Although there was also a decline in substance use, this accounted for only some of the decline in sexual risk behavior. Among the HIV+ men, a CD4 level below 200 was associated with more abstinence and monogamy. HIV-related medical symptoms were associated with increased abstinence, less unprotected sex, and lower sexual risk index scores. Lower neuropsychological memory test scores were associated with increased abstinence and lower sexual risk index scores. Neurological impairment and depression were not associated with sexual risk behavior.Conclusion: IDU men in New York City have modified their sexual behavior toward safer practices. Lower levels of risk are found among HIV+ men, particularly those with more progressed HIV illness. Nevertheless, a substantial amount of sexual risk behavior remained in this cohort, indicating the continued need for education and intervention. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Drug & Alcohol Abuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 1911705
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Longitudinal changes in sexual risk behavior among HIV+ and HIV- male injecting drug users.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Dolezal%2C+Curtis%22">Dolezal, Curtis</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Meyer-Bahlburg%2C+Heino+F%2E+L%2E%22">Meyer-Bahlburg, Heino F. L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Liu%2C+Xinhua%22">Liu, Xinhua</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ehrhardt%2C+Anke+A%2E%22">Ehrhardt, Anke A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Exner%2C+Theresa+M%2E%22">Exner, Theresa M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rabkin%2C+Judith+G%2E%22">Rabkin, Judith G.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gorman%2C+Jack+M%2E%22">Gorman, Jack M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Marder%2C+Karen%22">Marder, Karen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stern%2C+Yaakov%22">Stern, Yaakov</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dolezal%2C+C%22">Dolezal, C</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Meyer-Bahlburg%2C+H+F%22">Meyer-Bahlburg, H F</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Liu%2C+X%22">Liu, X</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ehrhardt%2C+A+A%22">Ehrhardt, A A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Exner%2C+T+M%22">Exner, T M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rabkin%2C+J+G%22">Rabkin, J G</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gorman%2C+J+M%22">Gorman, J M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Marder%2C+K%22">Marder, K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stern%2C+Y%22">Stern, Y</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Drug+%26+Alcohol+Abuse%22">American Journal of Drug & Alcohol Abuse</searchLink>. May99, Vol. 25 Issue 2, p281-303. 23p. 3 Charts, 9 Graphs.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22HIV+infection+transmission%22">HIV infection transmission</searchLink><br /><searchLink fieldCode="DE" term="%22HIV%22">HIV</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Risk-taking+behavior%22">Risk-taking behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Immunity%22">Immunity</searchLink><br /><searchLink fieldCode="DE" term="%22Immunodeficiency%22">Immunodeficiency</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: <bold>Unlabelled: </bold>Injecting drug users (IDUs) play a prominent role in the transmission of human immunodeficiency virus (HIV), particularly in urban areas such as New York City, where they comprise nearly half of all adult acquired immunodeficiency syndrome (AIDS) cases. Intervention studies have demonstrated that IDUs are responsive to safer sex messages, but sexual behavior appears to be more resistant to change than drug use behavior. This multidisciplinary study (without an intervention component) assesses changes in sexual risk behavior as a function of time, HIV status, and disease progression in a cohort of HIV+ and HIV- male IDUs (N = 144) for 4 years.<bold>Results: </bold>For HIV+ and HIV- men, there were increases in abstinence and monogamy, with decreases in the frequency of unprotected vaginal/anal sex and sexual risk index scores. With the exception of monogamy, HIV+ men reported lower levels of risk. Although there was also a decline in substance use, this accounted for only some of the decline in sexual risk behavior. Among the HIV+ men, a CD4 level below 200 was associated with more abstinence and monogamy. HIV-related medical symptoms were associated with increased abstinence, less unprotected sex, and lower sexual risk index scores. Lower neuropsychological memory test scores were associated with increased abstinence and lower sexual risk index scores. Neurological impairment and depression were not associated with sexual risk behavior.<bold>Conclusion: </bold>IDU men in New York City have modified their sexual behavior toward safer practices. Lower levels of risk are found among HIV+ men, particularly those with more progressed HIV illness. Nevertheless, a substantial amount of sexual risk behavior remained in this cohort, indicating the continued need for education and intervention. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Drug & Alcohol Abuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=1911705
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1081/ADA-100101861
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 23
        StartPage: 281
    Subjects:
      – SubjectFull: HIV infection transmission
        Type: general
      – SubjectFull: HIV
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Risk-taking behavior
        Type: general
      – SubjectFull: Immunity
        Type: general
      – SubjectFull: Immunodeficiency
        Type: general
    Titles:
      – TitleFull: Longitudinal changes in sexual risk behavior among HIV+ and HIV- male injecting drug users.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Dolezal, Curtis
      – PersonEntity:
          Name:
            NameFull: Meyer-Bahlburg, Heino F. L.
      – PersonEntity:
          Name:
            NameFull: Liu, Xinhua
      – PersonEntity:
          Name:
            NameFull: Ehrhardt, Anke A.
      – PersonEntity:
          Name:
            NameFull: Exner, Theresa M.
      – PersonEntity:
          Name:
            NameFull: Rabkin, Judith G.
      – PersonEntity:
          Name:
            NameFull: Gorman, Jack M.
      – PersonEntity:
          Name:
            NameFull: Marder, Karen
      – PersonEntity:
          Name:
            NameFull: Stern, Yaakov
      – PersonEntity:
          Name:
            NameFull: Dolezal, C
      – PersonEntity:
          Name:
            NameFull: Meyer-Bahlburg, H F
      – PersonEntity:
          Name:
            NameFull: Liu, X
      – PersonEntity:
          Name:
            NameFull: Ehrhardt, A A
      – PersonEntity:
          Name:
            NameFull: Exner, T M
      – PersonEntity:
          Name:
            NameFull: Rabkin, J G
      – PersonEntity:
          Name:
            NameFull: Gorman, J M
      – PersonEntity:
          Name:
            NameFull: Marder, K
      – PersonEntity:
          Name:
            NameFull: Stern, Y
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 05
              Text: May99
              Type: published
              Y: 1999
          Identifiers:
            – Type: issn-print
              Value: 00952990
          Numbering:
            – Type: volume
              Value: 25
            – Type: issue
              Value: 2
          Titles:
            – TitleFull: American Journal of Drug & Alcohol Abuse
              Type: main
ResultId 1