Sexually transmitted infections, sexual risk behaviours and perceived barriers to safe sex among drug users
Article first published online: 30 JUL 2013
© 2013 The Authors. ANZJPH © 2013 Public Health Association of Australia
Australian and New Zealand Journal of Public Health
Volume 37, Issue 4, pages 311–315, August 2013
How to Cite
Islam, M. M., Topp, L., Conigrave, K. M., Haber, P. S., White, A. and Day, C. A. (2013), Sexually transmitted infections, sexual risk behaviours and perceived barriers to safe sex among drug users. Australian and New Zealand Journal of Public Health, 37: 311–315. doi: 10.1111/1753-6405.12077
- Issue published online: 30 JUL 2013
- Article first published online: 30 JUL 2013
- Submitted: February 2013 Revision requested: March 2013 Accepted: April 2013
- injecting drug users;
- sexual risk behaviour;
- unprotected sex;
- low-threshold healthcare
Objective : Drug users are at elevated risk of HIV and other sexually transmitted infections (STIs). This study examines prevalence of STIs and perceived barriers to safe sex among drug users accessing low-threshold primary healthcare in inner-city Sydney.
Methods : Data were extracted manually from clients’ medical records and analysed using STATA.
Results : Prevalence of HIV, syphilis, chlamydia and gonorrhoea were low (<2%), whereas hepatitis C (62%), hepatitis A (30%), and previous exposure to hepatitis B (25%) were more common. Recent unprotected vaginal and anal intercourse were reported by 85% and 26% of clients, respectively. Younger clients and those with a history of sex work or recent anal intercourse were more likely to report multiple recent unprotected sex partners. Having a regular sex partner was the most prevalent barrier to condom use (37%), and was more likely to be identified by clients who were older, of Indigenous descent, and/or heterosexual. Drug intoxication was a second important barrier (20%), and was more commonly identified by excessive alcohol users.
Conclusions : Targeted programs might increase awareness regarding the benefits of condom use and potential sexual risk associated with regular partners. Periodic assessments of alcohol use, and brief interventions for drug users who report problematic use, should also be considered.