The contribution of male and female partners' substance use to sexual risks and stds among african american hiv serodiscordant couples

Nabila El-Bassel, Gina Wingood, Gail E. Wyatt, John B. Jemmott, Willo Pequegnat, J. Richard Landis, Scarlett Bellamy, Louisa Gilbert, Robert H. Remien, Susan Witte, Elwin Wu, Ralph DiClemente, Hector Myers, Loretta Sweet Jemmott, David Metzger, Shawn Ballard, Trina Brown, Quincy Greene, Christopher Helker, Nancy RobinsonLynne Allen-Taylor, Dina Appleby, Evelyn Crowley, Angela Ankoma, Deidre Ashton, Dawn A. Goddard, Tamu Daniel, Tina Henderson, Inna Rivkin, Cynthia M. Green, Jeffery Brently, Rebecca D. Cheraquit, Deborah Gray, Linda Hakim, Bright Sarfo, Kijana Saunders, Dawn Simmons, Keisha Wilson, Nikia D. Braxton, Anita Conner, Jevon Gibson, Alvin Harmon, Teaniese Latham, Tiffany Pennick-Walters, Kenneth Rucker, Shammara Steinback, Phillip Williams, Richard Williams, Shauni Williams, Kevin Chancy, Frank Levels, Nathaniel Thomas, Reginald Bennett, Shirley Bryson, Salema Curtis, Michelle Jones, Phyllis Jones, Malachi Moore, Charles Patterson, Marcia Penn, Alicia Samuel, Randy Shine, Ralph Stevenson, Robert Tate, Michael Taylor, Charlotte Wroton, Derryck Griffith, Pearl Johnson, Lisa Matthews, Rhonda Mendoza, Allan Winkle, Jill Daugherty, Deja Er, Linda Felix, Meklit Hailemeskal, Toya Howard, Tamika Hoyte, Jamie Smith, Lisa Smith, Les DeMorst, Rotrease Regan, Elsa Rogers, Karen Carter, Calvin Collier, Mikia Croom, Dionna Samuel, Joseph Sosa, Brian Taylor, Tamara S. Bryan, La Shun Robinson-Simpson, Christina Camp, Tamra Loeb, John Williams, Lynette Gueits, Cynthia Bayer, Angela Caliendo, Shalonda Freeman, Jessica Ingersoll, Lisa Maslankowski, Debra McGee-Smith, Patrice Moorer, Michelle Mott, Bennie Woodard, Claudette Bannerman, Warren Blake, Tiffany Bratts, Olivia Copeland, Daisy De Jesus-Sosa, Adefunke Faly, Sonya Combs, Mathew MacDonald, Lolita Roy, Dalena White, Pandora Woods, Crystal Wyatt

Research output: Contribution to journalArticle

Abstract

Growing evidence suggests that drug and alcohol use are fueling the heterosexual transmission of HIV among African Americans. This study aims to examine the relative contribution of drug and alcohol use of male and female partners to risks of heterosexual transmission of HIV among 535 African American HIV serodiscordant couples (N = 1,070 participants) who participated in an HIV prevention trial. Associations found between use of drugs and alcohol by one or both partners and sexual risk indicators varied by type of substance and whether male or female partner or both partners reported use. The findings suggest multiple ways in which substance use of male and female partners may be contributing to the heterosexual transmission of HIV and other STDs among African Americans and underscore the need for HIV prevention strategies to address dyadic patterns of substance use that lead to sexual risks.

Original languageEnglish (US)
Pages (from-to)1045-1054
Number of pages10
JournalAIDS and Behavior
Volume14
Issue number5
DOIs
StatePublished - Oct 2010

Keywords

  • African-American couples
  • HIV
  • STDs
  • Serodiscordant
  • Substance use

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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