Sexual mixing and condom use with different types of sex partners among non-institutionalized sexually active female injecting drug users in Sichuan, China

AIDS Behav. 2011 Jan;15(1):86-94. doi: 10.1007/s10461-010-9754-4.

Abstract

Behavioral surveillance data of 1422 sexually active female injecting drug users (IDU) in Sichuan China were analyzed. The prevalence of syringe-sharing was 43.5%. Respectively, 59.0%, 38.5% and 55.7% had regular, non-regular, and commercial sex-partner (RP, NRP, and CSP); 44.3% had multiple types of sex partners; 23.6 and 36.2% of those with RP had NRP and CSP. The prevalence of unprotected sex (last episode) with RP, NRP and CSP were respectively 75.4%, 50.7% and 39.3%; these three variables were associated with each other and with syringe sharing (univariate OR = 1.58-30.13). About 85% of the participants had attempted quitting drug use; the experience was not associated with condom use. HIV voluntary counseling and testing was associated with lower likelihood of unprotected sex with RP, NRP and CSP (multivariate OR= 0.44-0.60); the coverage was only 40.7%. Potential bridging of HIV transmission from IDU to non-IDU populations is a serious concern.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Behavioral Risk Factor Surveillance System
  • China / epidemiology
  • Condoms / statistics & numerical data*
  • Drug Users
  • Female
  • HIV Infections / epidemiology
  • HIV Infections / prevention & control*
  • HIV Infections / psychology
  • HIV Infections / transmission
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Institutionalization
  • Male
  • Middle Aged
  • Needle Sharing / statistics & numerical data*
  • Prevalence
  • Risk-Taking
  • Sexual Behavior / psychology*
  • Sexual Partners / classification
  • Sexual Partners / psychology*
  • Substance Abuse, Intravenous / epidemiology
  • Substance Abuse, Intravenous / psychology*
  • Surveys and Questionnaires
  • Syringes
  • Young Adult