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Cocaine Use and High-Risk Sexual Behavior Among STD Clinic Patients

1999; Lippincott Williams & Wilkins; Volume: 26; Issue: 2 Linguagem: Inglês

10.1097/00007435-199902000-00003

1537-4521

Yih‐Ing Hser, Chih‐Ping Chou, Valerie Hoffman, M. Douglas Anglin,

HIV/AIDS Research and Interventions

Background and Objectives: Crack-smoking sexually transmitted disease (STD) patients are at high-risk for contracting HIV. Goal of the Study: To examine the effects of cocaine use and other correlates on high-risk sexual behavior among STD clinic patients. Study Design: This was a cross-sectional study of 1,490 consecutive patients attending three Los Angeles County STD clinics between 1992 and 1994. Results: Logistic regression analysis found high-risk sexual activity was associated with being a male and being of younger age. Among women, high-risk sexual behavior was associated with crack cocaine use and a perceived need for help. Among the men in the study, ethnicity (being black) and having an arrest history were associated with high-risk behavior. Conclusions: Effective intervention strategies should address cocaine use among STD patients and provide them with referrals to drug treatment.