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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Prevalence and determinants of unprotected sex in intimate partnerships of men who inject drugs: findings from a prospective intervention study
International Journal of STD and AIDS, Volume 30, No. 4, Year 2019
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Description
Unprotected sex, common among people who inject drugs, puts them and their partners at risk of sexually transmitted infections including human immunodeficiency virus (HIV). This analysis assesses the changes in sexual risk behavior with regular female partners (RFPs), among married men who inject drugs, before and after implementation of a HIV prevention intervention, and identifies correlates of unprotected sex. People who inject drugs (PWID) were assessed at three points: baseline, preintervention follow-up visit (FV)1, and postintervention FV2. Descriptive analysis was used for reporting changes in sexual behavior over time. Generalized estimating equation assessed the population-averaged change in self-reported unprotected sex with an RFP, attributable to intervention uptake. Multivariable logistic regression determined correlates of self-reported unprotected sex with an RFP at FV2. Findings suggest that the proportion of men reporting any unprotected sex remained high (baseline = 46.0%, FV1 = 43.5%, FV2 = 37.0%). A reduction was observed in unprotected sex after the intervention phase, but this could not be attributed to uptake of the intervention. Higher odds of self-reported unprotected sex with an RFP in the past three months at FV2 were associated with self-reported unprotected sex at baseline, living with family, and being HIV-negative. Married male PWID should receive counseling for safe sex with RFPs, especially those who are HIV-negative and live with their families. © The Author(s) 2018.
Authors & Co-Authors
Sharma, Vartika
Belgium, Ghent
Universiteit Gent
India, New Delhi
Population Council
Tun, Waimar
United States, New York
The Population Council, Inc.
Sarna, Avina
India, New Delhi
Population Council
Saraswati, Lopamudra Ray
India, New Delhi
Population Council
Pham, Minh Duc
Australia, Melbourne
Burnet Institute
Thior, Ibou
United States, Washington, D.c.
Path
Luchters, Stanley M.F.
Belgium, Ghent
Universiteit Gent
Australia, Melbourne
Burnet Institute
Australia, Clayton
Monash University
Statistics
Citations: 5
Authors: 7
Affiliations: 6
Identifiers
Doi:
10.1177/0956462418802142
ISSN:
09564624
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Cross Sectional Study
Cohort Study
Participants Gender
Male
Female