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NIDA-CTN-0019
(Enrollment Open)
HIV/STD Safer Sex Skills Groups for Women in Methadone
Maintenance or Drug-Free Outpatient Treatment Programs
Women in drug-using communities are one of the fastest growing groups
of people with AIDS in the U.S. Female drug users, even if they are
in drug treatment, are at especially high risk for heterosexual transmission
of HIV. First, they are often in primary sexual relationships
with male drug users. Second, like their male peers, despite
treatment, some continue to use drugs. Under the influence of drugs,
especially cocaine or crack, they are more likely to engage in unprotected
sex. It has been shown that drug abuse treatment can reduce activities
related to drug use that increase the risk of getting or transmitting
HIV. These behaviors have received less attention, however, than those
directly related to drug use. This study looks at a program
for women in drug abuse treatment designed to build safer sexual skills
and reduce unprotected sexual risk behavior. The program includes
five sessions of group treatment that focus on assessing HIV risk,
HIV safer sex problem-solving, condom use, negotiation, and assertiveness
training. This program will be compared to one session of HIV/STD
education, which is typically provided as standard in drug treatment
clinics.
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