Oral contraception and unprotected sex with occasional partners of women HIV-infected through injection drug use

M. P. Carrieri, D. Rey, D. Serraino, F. Trémolières, D. Méchali, J. P. Moatti, B. Spire

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Among HIV-infected women, unprotected sex with the main sexual partner is common practice. Conversely, studies about condom use with sexual partners of unknown HIV sero-status are sparsely reported. We aimed to assess the impact of oral contraception on unsafe sexual behaviours with occasional partners in women HIV-infected through injection drug use. The analysis focused on 90 women, enrolled in the French cohort MANIF 2000 and reported having engaged in sexual relationships with occasional partners during a 48-month period. Visits where women reported unprotected sex with occasional partners in the prior 6 months were compared to visits where they reported protected sex using a logistic model based on Generalised Estimating Equations. Unprotected sex with occasional partners was independently associated with oral contraception (OR[95%CI]=3.2[1.4-7.2]), reporting only one occasional partner (OR[95%CI]=3.1[1.6-6.2]) and antiretroviral treatment receipt. No significant association was found between unprotected sex and CD4 level or plasma viral load. With the growing population of people living with HIV as a chronic infection, the development and evaluation of HIV-prevention interventions tailored toward women remain a public health priority. Risk reduction counselling and interventions are needed to promote either the use of dual contraception or, alternatively, that of female condom.

Original languageEnglish
Pages (from-to)795-800
Number of pages6
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume18
Issue number7
DOIs
Publication statusPublished - Oct 1 2006

Fingerprint

Unsafe Sex
contraception
Contraception
Sexual Behavior
drug use
HIV
Injections
Pharmaceutical Preparations
Sexual Partners
Female Condoms
Safe Sex
Health Priorities
Condoms
Risk Reduction Behavior
Viral Load
Counseling
counseling
Public Health
public health
Logistic Models

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)
  • Social Sciences (miscellaneous)

Cite this

Oral contraception and unprotected sex with occasional partners of women HIV-infected through injection drug use. / Carrieri, M. P.; Rey, D.; Serraino, D.; Trémolières, F.; Méchali, D.; Moatti, J. P.; Spire, B.

In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Vol. 18, No. 7, 01.10.2006, p. 795-800.

Research output: Contribution to journalArticle

Carrieri, M. P. ; Rey, D. ; Serraino, D. ; Trémolières, F. ; Méchali, D. ; Moatti, J. P. ; Spire, B. / Oral contraception and unprotected sex with occasional partners of women HIV-infected through injection drug use. In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV. 2006 ; Vol. 18, No. 7. pp. 795-800.
@article{1909cbdd403947f9aae0d61618b7751b,
title = "Oral contraception and unprotected sex with occasional partners of women HIV-infected through injection drug use",
abstract = "Among HIV-infected women, unprotected sex with the main sexual partner is common practice. Conversely, studies about condom use with sexual partners of unknown HIV sero-status are sparsely reported. We aimed to assess the impact of oral contraception on unsafe sexual behaviours with occasional partners in women HIV-infected through injection drug use. The analysis focused on 90 women, enrolled in the French cohort MANIF 2000 and reported having engaged in sexual relationships with occasional partners during a 48-month period. Visits where women reported unprotected sex with occasional partners in the prior 6 months were compared to visits where they reported protected sex using a logistic model based on Generalised Estimating Equations. Unprotected sex with occasional partners was independently associated with oral contraception (OR[95{\%}CI]=3.2[1.4-7.2]), reporting only one occasional partner (OR[95{\%}CI]=3.1[1.6-6.2]) and antiretroviral treatment receipt. No significant association was found between unprotected sex and CD4 level or plasma viral load. With the growing population of people living with HIV as a chronic infection, the development and evaluation of HIV-prevention interventions tailored toward women remain a public health priority. Risk reduction counselling and interventions are needed to promote either the use of dual contraception or, alternatively, that of female condom.",
author = "Carrieri, {M. P.} and D. Rey and D. Serraino and F. Tr{\'e}moli{\`e}res and D. M{\'e}chali and Moatti, {J. P.} and B. Spire",
year = "2006",
month = "10",
day = "1",
doi = "10.1080/09540120500431584",
language = "English",
volume = "18",
pages = "795--800",
journal = "AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV",
issn = "0954-0121",
publisher = "Routledge",
number = "7",

}

TY - JOUR

T1 - Oral contraception and unprotected sex with occasional partners of women HIV-infected through injection drug use

AU - Carrieri, M. P.

AU - Rey, D.

AU - Serraino, D.

AU - Trémolières, F.

AU - Méchali, D.

AU - Moatti, J. P.

AU - Spire, B.

PY - 2006/10/1

Y1 - 2006/10/1

N2 - Among HIV-infected women, unprotected sex with the main sexual partner is common practice. Conversely, studies about condom use with sexual partners of unknown HIV sero-status are sparsely reported. We aimed to assess the impact of oral contraception on unsafe sexual behaviours with occasional partners in women HIV-infected through injection drug use. The analysis focused on 90 women, enrolled in the French cohort MANIF 2000 and reported having engaged in sexual relationships with occasional partners during a 48-month period. Visits where women reported unprotected sex with occasional partners in the prior 6 months were compared to visits where they reported protected sex using a logistic model based on Generalised Estimating Equations. Unprotected sex with occasional partners was independently associated with oral contraception (OR[95%CI]=3.2[1.4-7.2]), reporting only one occasional partner (OR[95%CI]=3.1[1.6-6.2]) and antiretroviral treatment receipt. No significant association was found between unprotected sex and CD4 level or plasma viral load. With the growing population of people living with HIV as a chronic infection, the development and evaluation of HIV-prevention interventions tailored toward women remain a public health priority. Risk reduction counselling and interventions are needed to promote either the use of dual contraception or, alternatively, that of female condom.

AB - Among HIV-infected women, unprotected sex with the main sexual partner is common practice. Conversely, studies about condom use with sexual partners of unknown HIV sero-status are sparsely reported. We aimed to assess the impact of oral contraception on unsafe sexual behaviours with occasional partners in women HIV-infected through injection drug use. The analysis focused on 90 women, enrolled in the French cohort MANIF 2000 and reported having engaged in sexual relationships with occasional partners during a 48-month period. Visits where women reported unprotected sex with occasional partners in the prior 6 months were compared to visits where they reported protected sex using a logistic model based on Generalised Estimating Equations. Unprotected sex with occasional partners was independently associated with oral contraception (OR[95%CI]=3.2[1.4-7.2]), reporting only one occasional partner (OR[95%CI]=3.1[1.6-6.2]) and antiretroviral treatment receipt. No significant association was found between unprotected sex and CD4 level or plasma viral load. With the growing population of people living with HIV as a chronic infection, the development and evaluation of HIV-prevention interventions tailored toward women remain a public health priority. Risk reduction counselling and interventions are needed to promote either the use of dual contraception or, alternatively, that of female condom.

UR - http://www.scopus.com/inward/record.url?scp=33748708820&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33748708820&partnerID=8YFLogxK

U2 - 10.1080/09540120500431584

DO - 10.1080/09540120500431584

M3 - Article

VL - 18

SP - 795

EP - 800

JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV

JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV

SN - 0954-0121

IS - 7

ER -