HIV risks of men in methadone maintenance treatment programs who abuse their intimate partners: A forgotten issue

Accumulating findings suggest a relationship between partner violence and HIV risk among women, however, this issue has yet to be adequately researched among men. This study examines the relationship between perpetrating intimate partner violence and HIV risk behavior among a sample of men in methad...

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Bibliographic Details
Published in:Journal of substance abuse 2001-01, Vol.13 (1-2), p.29-43
Main Authors: El-Bassel, Nabila, Fontdevila, Jorge, Gilbert, Louisa, Voisin, Dexter, Richman, Beverly L., Pitchell, Pamela
Format: Article
Language:English
Subjects:
Adult
Female
HIV
HIV Infections - transmission
Humans
Logistic Models
Male
Men on methadone
Methadone - therapeutic use
Middle Aged
Needle Sharing - psychology
Opioid-Related Disorders - drug therapy
Partner abuse
Safe Sex - psychology
Self Disclosure
Sex Work - psychology
Sexual Behavior - psychology
Sexual Partners - psychology
Sexually Transmitted Diseases - psychology
Spouse Abuse - psychology
Substance Abuse Treatment Centers
Substance Abuse, Intravenous - therapy
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Summary:Accumulating findings suggest a relationship between partner violence and HIV risk among women, however, this issue has yet to be adequately researched among men. This study examines the relationship between perpetrating intimate partner violence and HIV risk behavior among a sample of men in methadone maintenance treatment programs (MMTPs). Data were collected on 273 sexually active men, who were recruited from four inner-city MMTP clinics. More than a third of the sample reported perpetrating intimate physical abuse and 15% reported severe physical abuse in the past 12 months. Results from multiple logistic regression analyses indicate that after adjusting for demographic, poverty, and drug-use factors, men who abused an intimate partner were almost 4 times more likely to have more than one intimate partner, almost 3 times more likely to have unprotected anal sex, and 2.6 times more likely to have sex with a drug-injecting sexual partner than their counterparts. This study showed that men who perpetrated partner violence were at higher risk for HIV transmission. HIV prevention interventions need to consider the complex relationship between partner violence and HIV risk.
ISSN:0899-3289
DOI:10.1016/S0899-3289(01)00068-2