%0 Journal Article %J Am J Addict %D 2013 %T Differences between men and women in condom use, attitudes, and skills in substance abuse treatment seekers. %A Calsyn, Donald A %A Peavy, Michelle %A Wells, Elizabeth A %A Campbell, Aimee N C %A Hatch-Maillette, Mary A %A Greenfield, Shelly F %A Tross, Susan %K Adolescent %K Adult %K Condoms %K Female %K Health Behavior %K Health Knowledge, Attitudes, Practice %K Humans %K Male %K Sex Characteristics %K Substance-Related Disorders %K Surveys and Questionnaires %K Unsafe Sex %X

BACKGROUND: For substance abuse treatment-seekers engaging in high risk sexual behavior, their inconsistent condom use may be related to their condom use attitudes and skills.

OBJECTIVE: This study compared treatment-seeking male and female substance abusers in their reported barriers to condom use and condom use skills.

METHODS: Men and women (N = 1,105) enrolled in two multi-site HIV risk reduction studies were administered the Condom Barriers Scale, Condom Use Skills, and an audio computer-assisted structured interview assessing sexual risk behavior.

RESULTS: Men endorsed more barriers to condom use, especially on the Effects on Sexual Experience factor. For both men and women, stronger endorsement of barriers to condom use was associated with less use of condoms. However, the difference between condom users and non-users in endorsement of condom barriers in general is greater for men than women, especially for those who report having casual partners.

CONCLUSIONS: Findings support the need to focus on gender-specific barriers to condom use in HIV/STI prevention interventions, especially risk behavior intervention techniques that address sexual experience with condoms.

SCIENTIFIC SIGNIFICANCE: Results provide additional information about the treatment and prevention needs of treatment-seeking men and women.

%B Am J Addict %V 22 %P 150-7 %8 2013 Mar-Apr %G eng %N 2 %R 10.1111/j.1521-0391.2013.00312.x %0 Journal Article %J AIDS Behav %D 2010 %T The impact of trauma-focused group therapy upon HIV sexual risk behaviors in the NIDA Clinical Trials Network "Women and trauma" multi-site study. %A Hien, Denise A %A Campbell, Aimee N C %A Killeen, Therese %A Hu, Mei-Chen %A Hansen, Cheri %A Jiang, Huiping %A Hatch-Maillette, Mary %A Miele, Gloria M %A Cohen, Lisa R %A Gan, Weijin %A Resko, Stella M %A DiBono, Michele %A Wells, Elizabeth A %A Nunes, Edward V %K Adaptation, Psychological %K Adult %K Cognitive Therapy %K Female %K Health Education %K HIV Infections %K Humans %K Risk Reduction Behavior %K Risk-Taking %K Sexual Behavior %K Stress Disorders, Post-Traumatic %K Substance-Related Disorders %K Treatment Outcome %K Unsafe Sex %K Wounds and Injuries %X

Women in drug treatment struggle with co-occurring problems, including trauma and post-traumatic stress disorder (PTSD), which can heighten HIV risk. This study examines the impact of two group therapy interventions on reduction of unprotected sexual occasions (USO) among women with substance use disorders (SUD) and PTSD. Participants were 346 women recruited from and receiving treatment at six community-based drug treatment programs participating in NIDA's Clinical Trials Network. Participants were randomized to receive 12-sessions of either seeking safety (SS), a cognitive behavioral intervention for women with PTSD and SUD, or women's health education (WHE), an attention control psychoeducational group. Participants receiving SS who were at higher sexual risk (i.e., at least 12 USO per month) significantly reduced the number of USO over 12-month follow up compared to WHE. High risk women with co-occurring PTSD and addiction may benefit from treatment addressing coping skills and trauma to reduce HIV risk.

%B AIDS Behav %V 14 %P 421-30 %8 2010 Apr %G eng %N 2 %R 10.1007/s10461-009-9573-7