Drug assertiveness and sexual risk-taking behavior in a sample of HIV-positive, methamphetamine-using men who have sex with men |
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| Authors: | Semple Shirley J Strathdee Steffanie A Zians Jim McQuaid John R Patterson Thomas L |
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| Affiliation: | aDepartment of Psychiatry, University of California, San Diego, La Jolla, California, USA;bDivision of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, California, USA;cDepartment of Veterans Affairs Medical Center, San Francisco, California, USA;dDepartment of Psychiatry, University of California, San Francisco, San Francisco, California, USA |
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| Abstract: | ![]()
Drug assertiveness skills have been demonstrated to be effective in reducing substance use behaviors among patients with alcohol or heroin use disorders. This study examined the association between drug assertiveness and methamphetamine use, psychological factors, and sexual risk behaviors in a sample of 250 HIV-positive men who have sex with men enrolled in a safer sex intervention in San Diego, CA. Less assertiveness in turning down drugs was associated with greater frequency and larger amounts of methamphetamine use, lower self-esteem, higher scores on a measure of sexual sensation seeking, and greater attendance at risky sexual venues. These data suggest that drug assertiveness training should be incorporated into drug abuse treatment programs and other risk reduction interventions for methamphetamine users. |
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| Keywords: | Drug assertiveness behavior Methamphetamine Sexual risk behavior Men who have sex with men HIV-positive |
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