Sexual risk taking among HIV-positive injection drug users: Contexts, characteristics, and implications for prevention

Kelly R. Knight, David Purcell, Carol Dawson-Rose, Perry N. Halkitis, Cynthia A. Gomez

Research output: Contribution to journalReview articlepeer-review

Abstract

HIV-positive injection drug users (IDUs) (N = 161) were recruited to complete a qualitative interview and a quantitative survey about sexual behavior and transmission risk. We identified two contexts in which exposure encounters occurred most commonly for HIV-positive IDUs: in intimate serodiscordant relationships and in the drug/sex economy. Salient characteristics in both contexts included the role of intimacy, drug use and sexual decision making, disclosure of HIV status, and perceived responsibility. Although these characteristics emerged in both risk contexts, they operated differently within each context. The preservation of intimacy was paramount among those in serodiscordant relationships, and agreements to take risks were common. In the drug/sex economy, serostatus disclosure was uncommon and drug acquisition and use played a significant role in sexual risk taking. Our data emphasize a need to address the specific transmission risk contexts occurring among HIV-positive IDUs and to prioritize social and interpersonal factors when promoting safer sexual norms among HIV-positive IDUs.

Original languageEnglish (US)
Pages (from-to)76-88
Number of pages13
JournalAIDS Education and Prevention
Volume17
Issue numberSUPPL. A
DOIs
StatePublished - 2005

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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