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Official websites use. Share sensitive information only on official, secure websites. Corresponding author: Donald A. Calsyn, Ph. University of Washington, NE 45 th St. In a previous report, the effectiveness of the Real Men Are Safe REMAS intervention in reducing the number of unprotected sexual occasions among male drug abuse treatment patients was demonstrated.
SUI during the most recent sexual event served as the primary outcome in a repeated measures logistic regression model. No difference between the treatment groups was evident at 6-month follow-up. At each assessment time point, sex with a casual partner versus a regular partner, and being in methadone maintenance versus psychosocial outpatient treatment, were associated with engaging in SUI.
Overall a motivational and skills training HIV prevention intervention designed for men was associated with greater reduction in SUI than standard HIV education at the 3-month follow-up. Sexual behavior in the context of substance use is a growing area of scientific focus due to being a risk factor in the transmission of HIV and other sexually transmitted infections.
Substance users may engage in sexual risk behaviors such as trading sex for drugs or money, vaginal and anal intercourse without condoms, or sex with multiple partners 1 - 3. In addition, engaging in sexual behavior while under the influence of drugs or alcohol, especially stimulants, has been associated with increased involvement in sexual risk behaviors 2 , 4 - 6.
Sex under the influence SUI is also a relapse prevention issue. In a pilot study of methadone maintenance patients Calsyn et al. In a self-report survey asking about sexual thoughts, feelings and behaviors while under the influence, Rawson and colleagues 8 found that men in substance abuse treatment reported their drug use was so strongly associated with sex that it would be difficult to separate the two.