Substance Use, @entity308 and Sociodemographic Determinants of @entity645 Sexual Risk Behavior in Outpatient Substance Abuse Treatment XXXX .

@entity1 @entity308 @entity645 @entity2072 @entity285 @entity250
OBJECTIVES: The NIDA Clinical Trials Network trial of rapid @entity645 testing/counseling in 1281 @entity1 was a unique opportunity to examine relationships among substance use, @entity308 , and sex risk behavior. METHODS: Past 6-month substance use; substance use severity (Drug Abuse Screening Test - 10); @entity308 (Quick Inventory of Depressive Symptomatology); and three types of sex risk behavior ( @entity250 [ @entity250 ] with primary partners; @entity250 with nonprimary partners; and @entity250 while high/drunk) were assessed. Zero-inflated negative binomial analyses provided: probability and rate of sex risk behavior (in risk behavior subsample). RESULTS: Levels of sexual risk behavior were high, while variable across the three types of sex risk behaviors. Among the @entity1 , 50.4% had engaged in @entity250 with primary partners, 42% in sex while drunk or high, and 23.8% in @entity250 with nonprimary partners. Similar factors were significantly associated with all three types of sex risk behaviors. For all types, problem drinking, @entity2072 use, and substance use severity had an exacerbating effect. Older age was associated with lower risk behavior; other relationship categories (eg, married, separated/divorced, cohabitating) were associated with greater risk behavior than was single status. @entity308 were associated with decreased likelihood of @entity250 with a primary partner. CONCLUSIONS: Sexual risk behavior is common among individuals in outpatient substance abuse treatment. Results highlight problem drinking (eg, up to three-fold) and @entity2072 (eg, up to twice) in increasing sex risk behavior. They demonstrate the utility of distinguishing between partner types and presence/absence of @entity285 /drugs during sex. Findings argue for the need to integrate sex risk reduction into drug treatment.
