Gender differences in risk behaviors among HIV+ persons with an IDU history. The link between partner characteristics and women's higher drug-sex risks. The Manif 2000 Study Group

Sex Transm Dis. 1998 Oct;25(9):483-8. doi: 10.1097/00007435-199810000-00008.


Background and objectives: Risk-taking behaviors differ among women and men injection drug users (IDU).

Goal: To specify the nature of sexual and drug risk-taking among women IDU and ex-IDU and how it relates to partner characteristics.

Design: A cross-sectional analysis of 324 HIV+ subjects enrolled into a prospective cohort study in Marseille, France.

Results: Women, as compared with men, were considerably more likely to report nonuse of condoms with a main partner (31% versus 12%). They were more likely to shoot with a partner at last injection (39% versus 12%), but far less likely to sterilize used needles (4% versus 16%). Two thirds of both men and women reported consistent condom use with a seronegative partner, but only 47% of men and 23% of women reported the same with a seropositive partner. Among the women only, needle and syringe sharing was associated with consistent use of a condom.

Conclusions: Women reported behaviors which protect their partners from STD infection more frequently than behaviors which protect themselves. Greater attention must be paid to sexual risk-taking among HIV+ women.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Condoms / statistics & numerical data
  • Cross-Sectional Studies
  • Female
  • France
  • HIV Infections / etiology*
  • HIV Infections / prevention & control*
  • Humans
  • Male
  • Needle Sharing
  • Prospective Studies
  • Risk-Taking*
  • Sex Factors
  • Substance Abuse, Intravenous / complications*