Factors Associated with the Involvement of Women Drug Users in Risky Sexual Behaviors: A Narrative Review

Hadis Sourinejad; Mahnaz Noroozi; Fariba Taleghani; Gholam Reza Kheirabadi

Factors Associated with the Involvement of Women Drug Users in Risky Sexual Behaviors: A Narrative Review

Hadis Sourinejad, Mahnaz Noroozi, Fariba Taleghani, Gholam Reza Kheirabadi

Abstract

Background: Drug use is known as an important underlying factor in the occurrence of risky sexual behaviors. The present study was conducted to identify the factors associated with the involvement of women drug users in risky sexual behaviors.

Materials and Methods: This review was conducted by searching databases of ISI Web of Science, Scopus, Science Direct, Cochrane, PubMed, Scientific Information Database (SID), the Iranian Magazine Database (Magiran), the Iranian Research Institute for Information Science and Technology (IranDoc), and the Iranian Medical Articles Database (IranMedex) and searching through the Google Scholar engine. All the articles published in English and Persian using the keywords including substance use, drug users, addiction, substance use disorders, substance‑related disorders, sexual risks, high‑risk sexual behavior, HIV risk behavior, unsafe sex, unprotected sex, and risky sex were searched from January 2000 to December 2020. After reviewing the articles, out of 110 articles, 21 articles were selected for final evaluation.

Results: Factors related to the involvement of women drug users in risky sexual behaviors were divided into five categories: individual factors, factors related to drug use, inter‑personal relationships, gender discrimination, and socio‑economic factors.

Conclusions: The results can be used in the field of women’s social harms in finding strategies and designing the necessary interventions to prevent risky sexual behaviors in women drug users in different societies and cultural contexts. Also, the results can be used by all researchers who want to study the relationship between these factors and the involvement of women drug users in risky sexual behaviors.

Keywords

Drug users, sexual behavior, substance related disorders, unsafe sex, women

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References

Sohrabi F, Mamsharifi P, Rafezi Z, A’azami Y. Predicting addiction potential based on mental health, social support and neuroticism and agreeableness personality traits. Iranian J Psychiatric Nurs 2019;6:57 66.

Njuho PD, Davids AE. Extent and influence of recreational drug use on men and women aged 15 years and older in South Africa. Afr J Drug Alcohol Stud 2010;9:33 48.

UNODC (UN Office on Drugs and Crime). UNODC World Drug Report 2019. NewYork: United Nations Publications; 2019. [Last accessed on: https://reliefweb.int/report/world /unodc world drug report 2019].

Ghane T, Zamani N, Hassanian Moghaddam H, Beyrami A, Noroozi A. Lead poisoning outbreak among opium users in the Islamic Republic of Iran, 2016–2017. Bull World Health Organ 2018;96:165 72.

Khajedalue MDM. Maternal substance abuse and the child’s addiction during adolescence and young adulthood. IJOGI 2013;16:1 7.

Tavakoli M, Mohammadi L, Yarmohammadi M, Farhoudian A, Ja’fari F, Farhadi MH. Status and trend of substance abuse and dependence among Iranian women. J Rehabil 2014;14:30 7.

Khajedaluee M, Dadgar Moghadam M. Methods and patterns of drug abuse among young addict women. JRH 2013;3:527 35.

Chawla N, Sarkar S. Defining high risk sexual behavior in the context of substance use. J Psychosexual Health 2019;1:26 31.

Ritchwood TD FH, DeCoster J, Sutton M, Lochman JE. Risky sexual behavior and substance use among adolescents: A meta analysis. Child Youth Serv Rev 2015;1:74 88.

Jones AA, Dyer TV, Das A, Lasopa SO, Striley CW, Cottler LB. Risky sexual behaviors, substance use, and perceptions of risky behaviors among criminal justice involved women who trade sex. J Drug Issues 2019;49:15 27.

Swartzendruber A, Sales JM, Brown JL, DiClemente RJ, Rose ES. Comparison of substance use typologies as predictors of sexual risk outcomes in African American adolescent females. Arch Sex Behav 2016;45:63 72.

Hamzeh B, Moradi Z, Najafi F, Moradinazar M. Pattern of substance abuse and prevalence of risk factors of HIV and hepatitis among addicted women in Western Iran. Int J Prev Med 2019;10:58.

Larijani M, Mirhosseini Z. The hidden half life of prostitute women. SRSPI 2019;8:45 64.

Sharma V, Sarna A, Tun W, Saraswati LR, Thior I, Madan I, et al. Women and substance use: a qualitative study on sexual and reproductive health of women who use drugs in Delhi, India. BMJ Open 2017;7:e018530.

Martinez G, et al. The longitudinal association of venue stability with consistent condom use among female sex workers in two Mexico–USA border cities. Int J STD AIDS 2013;24:523 9.

Wang Q, Lin G. Sex exchange and HIV related risk behaviors among female heroin users in China. J Drug Issues 2003;33:119 32.

Merghati Khoei E, Jamshidimanesh M, Emamian MH, Sheikhan F, Dolan K, Brady KT. Veiled truths: Iranian women and risky sexual behavior in the context of substance use. J Reprod Infertil 2018;19:237 46.

Lee TS H, Fu L A, Fleming P. Using focus groups to investigate the educational needs of female injecting heroin users in Taiwan in relation to HIV/AIDS prevention. Health Educ Res 2006;21:55 65.

Morrill AC, Kasten L, Urato M, Larson MJ. Abuse, addiction, and depression as pathways to sexual risk in women and men with a history of substance abuse. J Subst Abuse 2001;13:169 84.

Brooks A, Meade CS, Potter JS, Lokhnygina Y, Calsyn DA, Greenfield SF. Gender differences in the rates and correlates of HIV risk behaviors among drug abusers. Subst Use Misuse 2010;45:2444 69.

Gu J, Chen H, Chen X, Lau JT, Wang R, Liu C, et al. Severity of drug dependence, economic pressure and HIV related risk behaviors among non institutionalized female injecting drug users who are also sex workers in China. Drug Alcohol Depend 2008;97:257 67.

Gore-Felton C, Somlai AM, Benotsch EG, Kelly JA, Ostrovski D, Kozlov A. The influence of gender on factors associated with HIV transmission risk among young Russian injection drug users. Am J Drug Alcohol Abuse 2003;29:881 94.

Mackesy Amiti ME, Boodram B, Williams C, Ouellet LJ, Broz D. Sexual risk behavior associated with transition to injection among young non injecting heroin users. AIDS Behav 2013;17:2459 66.

Syvertsen JL, Bazzi AR, Martinez G, Rangel MG, Ulibarri MD, Fergus KB, et al. Love, trust, and HIV risk among female sex workers and their intimate male partners. Am J Public Health 2015;105:1667 74.

Syvertsen JL, Bazzi AR. Sex work, heroin injection, and HIV risk in Tijuana: A love story. Anthropol Conscious 2015;26:182 94.

Lam NT. Drugs, sex and AIDS: Sexual relationships among injecting drug users and their sexual partners in Vietnam. Cult Health Sex 2008;10:S123 37.

Strathdee SA, Lozada R, Martinez G, Vera A, Rusch M, Nguyen L, et al. Social and structural factors associated with HIV infection among female sex workers who inject drugs in the Mexico US border region. PLoS One 2011;6:e19048.

Mwangi C, Karanja S, Gachohi J, Wanjihia V, Ngang’a Z. Depression, injecting drug use, and risky sexual behavior syndemic among women who inject drugs in Kenya: A cross sectional survey. Harm Reduct J 2019;16:1 11.

Robertson AM, Syvertsen JL, Amaro H, Martinez G, Rangel MG, Patterson TL, et al. Can’t buy my love: A typology of female sex workers’ commercial relationships in the Mexico–US border region. J Sex Res 2014;51:711 20.

El Bassel N, Gilbert L, Witte S, Wu E, Chang M. Intimate partner violence and HIV among drug involved women: contexts linking these two epidemics—challenges and implications for prevention and treatment. Subst Use Misuse 2011;46:295 306.

Wechsberg WM, Jewkes R, Novak SP, Kline T, Myers B, Browne FA, et al. A brief intervention for drug use, sexual risk behaviours and violence prevention with vulnerable women in South Africa: A randomised trial of the women’s health CoOp. BMJ Open 2013;3:e002622.

Medina Perucha L, Family H, Scott J, Chapman S, Dack C. Factors associated with sexual risks and risk of STIs, HIV and other blood borne viruses among women using heroin and other drugs: A systematic literature review. AIDS Behav 2019;23:222 51.

Goldenberg SM, Rangel G, Staines H, Vera A, Lozada R, Nguyen L, et al. Individual, interpersonal, and social structural correlates of involuntary sex exchange among female sex workers in two Mexico–US border cities. J Acquir Immune Defic Syndr 2013;63:639 46.

Airhihenbuwa CO, Ford CL, Iwelunmor JI. Why culture matters in health interventions: lessons from HIV/AIDS stigma and NCDs. Health Educ Behav 2014;41:78 84.

Sallis JF, Owen N, Fisher E. Ecological Models of Health Behavior. 5th ed. USA: Jossey Bass; 2015.

Razzaghi EM, Rahimi Movaghar A, Mohammad K, Hosseini M. A qualitative study of risky sexual behaviour in injecting drug users in Tehran. SJSPH 2004;2:1 10.

Abasi I, Mohammadkhani P. Family risk factors among women with addiction related problems: an integrative review. Int J High Risk Behav Addict 2016;5:e27071.

Charnigo R, Noar SM, Garnett C, Crosby R, Palmgreen P, Zimmerman RS. Sensation seeking and impulsivity: combined associations with risky sexual behavior in a large sample of young adults. J Sex Res 2013;50:480 8.

Jamshidi manesh M, Mousavi SA, Merghati Khoei E, Emamian MH, Keramat A. Sexual risk behaviors constructed in Iranian women’s life with substance use disorders: A new implication of human ecological theory. Addict Health 2016;8:157 69.

Farmanfarmaee S, Habibi M, Darharaj M, Khoshnood K, Zadeh Mohammadi A, Kazemitabar M. Predictors of HIV related high risk sexual behaviors among female substance users. J Subst Use 2018;23:175 80.

Chambers RS, Littlepage S, Rompalo A, Lee A, Slimp A, Melgar L, et al. Predictors of sexually transmitted infection positivity among substance using native American adults. Sex Transm Dis 2020;47:211 6.

Gaines T, Rudolph A, Brouwer K, Strathdee S, Lozada R,Martinez G, et al. The longitudinal association of venue stability with consistent condom use among female sex workers in two Mexico–USA border cities. Int J STD AIDS 2013;24:523 9.