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Sexual Mixing and Condom Use with Different Types of Sex Partners among Non-Institutionalized Sexually Active Female Injecting Drug Users in Sichuan, China

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Abstract

Behavioral surveillance data of 1422 sexually active female injecting drug users (IDU) in Sichuan China were analyzed. The prevalence of syringe-sharing was 43.5%. Respectively, 59.0%, 38.5% and 55.7% had regular, non-regular, and commercial sex-partner (RP, NRP, and CSP); 44.3% had multiple types of sex partners; 23.6 and 36.2% of those with RP had NRP and CSP. The prevalence of unprotected sex (last episode) with RP, NRP and CSP were respectively 75.4%, 50.7% and 39.3%; these three variables were associated with each other and with syringe sharing (univariate OR = 1.58–30.13). About 85% of the participants had attempted quitting drug use; the experience was not associated with condom use. HIV voluntary counseling and testing was associated with lower likelihood of unprotected sex with RP, NRP and CSP (multivariate OR = 0.44–0.60); the coverage was only 40.7%. Potential bridging of HIV transmission from IDU to non-IDU populations is a serious concern.

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Acknowledgments

The study was supported by the United Kingdom Department for International Development, Family Health International, and the China–UK HIV/AIDS Prevention and Care Project.

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Correspondence to Joseph T. F. Lau.

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Lau, J.T.F., Tsui, H.Y., Gu, J. et al. Sexual Mixing and Condom Use with Different Types of Sex Partners among Non-Institutionalized Sexually Active Female Injecting Drug Users in Sichuan, China. AIDS Behav 15, 86–94 (2011). https://doi.org/10.1007/s10461-010-9754-4

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