Racial differences in sexual behaviors related to AIDS in a nineteen-city sample of street-recruited drug injectors. |
| Author: |
Friedman, S.R; Young, P.A; Snyder, F.R; Shorty, V; Jones, A; Estrada, A.L; NADR Consortium
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| Author Background: |
National Development and Research Inst., Inc., 11 Beach St., New York 10013
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| Date |
Fall 1993
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| Type |
Journal
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| Journal Title: |
AIDS-Education-and-Prevention
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| Volume/Pages |
5(3): 196-211
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| Publisher |
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| Subject Matter |
Research, Mexican Americans, Latinos, Blacks, Men, Racial-differences; Sexual-behavior; AIDS-; Drug-addiction
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| Population |
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| Pedagogies |
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| Abstract |
Questionnaire data from almost 12,000 street-recruited drug injectors in 19 cities were analyzed determine racial differences that may affect transmission of the human immunodeficiency virus (HIV). Self-reported sexual behaviors of drug injectors differed by city-type. White male drug injectors reported less unprotected vaginal sex than black or Latino males in multicultural-black/white/Mexican-origin and biracial cities. Black drug users of both sexes were less likely than white or Latino drug users to report unprotected anal sex in multicultural black/white/Mexican-origin and multicultural-black/white/Puerto Rican cities. The reported percentage of sex acts in which a condom was used was similar for black, white, and Puerto Rican men, and for black and white women in all city types, but Puerto Rican women reported more condom use than black women. Mexican-origin drug injectors of each gender were least likely to report using condoms in multicultural-black/white/Mexican-origin cities. Black drug injectors were particularly likely to report having sex partners who do not inject drugs, as are Puerto Rican men and as are whites in multicultural-black/white Mexican-origin cities. High risk sex without condoms is widely reported among all groups of drug injectors studied: Each racial/gender group in each city-type averaged 15 or more episodes of unprotected vaginal sex per month, and 10 percent of most subgroups reported having anal sex within the past six months. At least 45 percent of subjects in each city-type reported sex with noninjectors of the opposite gender. Without continued and expanded intervention, these data are consistent with HIV spreading to drug injectors, their sexual partners, and their future children, in all racial/ethnic groups. (Journal abstract.)
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