کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
900687 | 915480 | 2006 | 12 صفحه PDF | دانلود رایگان |
Cocaine use is associated with injecting and sexual HIV risk behaviors. This study was a randomized controlled trial of behavioral interventions for cocaine dependence and HIV risk behaviors among dually (cocaine and heroin) dependent outpatients. Methadone maintenance was augmented with cognitive-behavioral therapy (CBT), contingency management (CM), both (CBT + CM), or neither. The study sample (n = 81) was 52% female, 70% African American, and 37.9 ± 7.0 years old. Proportions reporting HIV risk behaviors at intake were: 96.3% (78 / 81) injection drug use, 56.8% (46 / 81) sharing needles, 30.9% (25 / 81) unprotected sex, 28.4% (23 / 81) trading sex for money or drugs. Proportions who no longer reported behaviors at study exit were: 51.3% (40 / 78) injection drug use, 91.3% (42 / 46) sharing needles, 88% (22 / 25) unprotected sex, 91.3% (21 / 23) trading sex for money or drugs. Participants receiving CBT + CM were more likely to report cessation of unprotected sex relative to control (OR = 5.44, 95% CI 1.14–26.0, p = 0.034) but this effect was no longer significant after adjusting for drug-negative urines. These results suggest broad beneficial effects of methadone maintenance augmented with behavioral interventions for reducing HIV risk behaviors.
Journal: Addictive Behaviors - Volume 31, Issue 5, May 2006, Pages 868–879