Abstract
Methamphetamine use, sexual relationship power (SRP), and partner violence (PV) are associated with increased risk of sexually transmitted infections (STIs) among women. The objective of our study was to examine the association of recent PV and SRP on STIs by partner type among HIV-negative, heterosexual women who use methamphetamine in San Diego, CA. Using baseline survey data from 209 women enrolled in FASTLANE II, an HIV behavioral intervention trial, we conducted logistic regression analyses to examine associations between PV, SRP, and self-reported lifetime STIs (e.g., chlamydia, gonorrhea). Models focused on PV perpetrated within the past 2 months by: (1) spouse, live-in, or steady sexual partners and (2) casual or anonymous sexual partners. Seventy-eight percent of women reported lifetime physical PV and 57% reported lifetime sexual PV. In the past 2 months, 19.6% reported physical and/or sexual violence by a spouse, live-in, or steady sexual partner, and 7.2% reported physical and/or sexual PV by a casual or anonymous partner. Median SRP score was 2.36 (interquartile range: 2.02–2.68). Twenty-six percent of women reported ever being diagnosed with ≥ 1 STI. While recent physical violence and sexual violence were not associated with STI history among women in steady relationships, women who reported recent sexual violence by casual/anonymous partners were approximately 8 times more likely to ever have an STI compared with those with no history of recent PV by casual/anonymous partners (AOR: 7.70; 95% CI: 1.32, 44.84). SRP was not associated with lifetime STIs among women who reported either partner type. Our findings support a relationship between recent sexual violence perpetrated by casual/anonymous partners and women’s STI history. Women who use methamphetamine need help in navigating partner violence experiences. Risk reduction interventions to support this marginalized population are needed.
Similar content being viewed by others
References
Degenhardt L, Mathers B, Guarinieri M, Panda S, Phillips B, Strathdee SA, et al. Meth/amphetamine use and associated HIV: implications for global policy and public health. Int J Drug Policy. 2010;21(5):347–58.
Larson SA, Desai R, Kates FR. Concerns about heroin, cocaine and methamphetamine: prevalence and correlates of at-risk users from 2015 National Survey on Drug Use and Health. J Subst Abus. 2019;24(2):206–11.
County of San Diego Health and Human Services Agency. Methamphetamine Strike Force Report Card, 2015. San Diego, CA: https://www.justice.gov/usao-sdca/file/796391/download.
Cohen JB, Dickow A, Horner K, Zweben JE, Balabis J, Vandersloot D, et al. Abuse and violence history of men and women in treatment for methamphetamine dependence. Am J Addict. 2003;12(5):377–85.
Gonzales R, Mooney L, Rawson RA. The methamphetamine problem in the United States. Annu Rev Public Health. 2010;31:385–98.
El-Bassel N, Gilbert L, Witte S, et al. Intimate partner violence and HIV among drug-involved women: contexts linking these two epidemics--challenges and implications for prevention and treatment. Subst Use Misuse. 2011;46(2–3):295–306.
Brecht ML, O'Brien A, von Mayrhauser C, Anglin MD. Methamphetamine use behaviors and gender differences. Addict Behav. 2004;29(1):89–106.
Cheng WS, Garfein RS, Semple SJ, Strathdee SA, Zians JK, Patterson TL. Binge use and sex and drug use behaviors among HIV(−), heterosexual methamphetamine users in San Diego. Subst Use Misuse. 2010;45(1–2):116–33.
Stahlman S, Javanbakht M, Stirland A, Guerry S, Gorbach PM. Methamphetamine use among women attending sexually transmitted disease clinics in Los Angeles County. Sex Transm Dis. 2013;40(8):632–8.
McKenna SA. Navigating the risk environment: structural vulnerability, sex, and reciprocity among women who use methamphetamine. Int J Drug Policy. 2014;25(1):112–5.
Lorvick J, Martinez A, Gee L, Kral AH. Sexual and injection risk among women who inject methamphetamine in San Francisco. J Urban Health. 2006;83(3):497–505.
Meyer JP, Springer SA, Altice FL. Substance abuse, violence, and HIV in women: a literature review of the syndemic. J Women's Health (Larchmt). 2011;20(7):991–1006.
Singer M. A dose of drugs, a touch of violence, a case of AIDS, part 2: further conceptualizing the SAVA syndemic. Free Inq Creat Sociol. 2006;34(1):39–54.
Gilbert L, Raj A, Hien D, et al. Targeting the SAVA (substance abuse, violence, and AIDS) syndemic among women and girls: a global review of epidemiology and integrated interventions. J Acquir Immune Defic Syndr. 2015;69(Suppl 2):S118–27.
Campbell AN, Tross S, Dworkin SL, Hu MC, Manuel J, Pavlicova M, et al. Relationship power and sexual risk among women in community-based substance abuse treatment. J Urban Health. 2009;86(6):951–64.
Campbell AN, Tross S, Hu MC, et al. Predictors of relationship power among drug-involved women. AIDS Behav. 2012;16(6):1532–41.
Teitelman AM, Ratcliffe SJ, Morales-Aleman MM, Sullivan CM. Sexual relationship power, intimate partner violence, and condom use among minority urban girls. J Interpers Violence. 2008;23(12):1694–712.
Brown JL, Vanable PA. Alcohol use, partner type, and risky sexual behavior among college students: findings from an event-level study. Addict Behav. 2007;32(12):2940–52.
Senn TE, Carey MP, Vanable PA, et al. Sexual partner concurrency among STI clinic patients with a steady partner: correlates and associations with condom use. Sex Transm Infect. 2009;85(5):343–7.
Elifson KW, Klein H, Sterk CE. Predictors of sexual risk-taking among new drug users. J Sex Res. 2006;43(4):318–27.
Semple SJ, Strathdee SA, Zians J, Patterson TL. Correlates of trading sex for methamphetamine in a sample of HIV-negative heterosexual methamphetamine users. J Psychoactive Drugs. 2011;43(2):79–88.
Silverman JG, Raj A, Mucci LA, Hathaway JE. Dating violence against adolescent girls and associated substance use, unhealthy weight control, sexual risk behavior, pregnancy, and suicidality. JAMA. 2001;286(5):572–9.
Stockman JK, Syvertsen JL, Robertson AM, et al. Women’s perspectives on female-initiated barrier methods for the prevention of HIV in the context of methamphetamine use and partner violence. Womens Health Issues. 2014;24(4):e397–405.
Semple SJ, Strathdee SA, Zians J, et al. Factors associated with sex in the context of methamphetamine use in different sexual venues among HIV-positive men who have sex with men. BMC Public Health. 2010;10:178.
Aynalem G, Smith L, Bemis C, Taylor M, Hawkins K, Kerndt P. Commercial sex venues: a closer look at their impact on the syphilis and HIV epidemics among men who have sex with men. Sex Transm Infect. 2006;82(6):439–43.
Fulcher JA, Shoptaw S, Makgoeng SB, Elliott J, Ibarrondo FJ, Ragsdale A, et al. Brief report: recent methamphetamine use is associated with increased rectal mucosal inflammatory cytokines, regardless of HIV-1 serostatus. J Acquir Immune Defic Syndr. 2018;78(1):119–23.
Volkow ND, Chang L, Wang GJ, Fowler JS, Leonido-Yee M, Franceschi D, et al. Association of dopamine transporter reduction with psychomotor impairment in methamphetamine abusers. Am J Psychiatry. 2001;158(3):377–82.
Gilbert L, Raj A, Hien D, et al. Targeting the SAVA (substance abuse, violence, and AIDS) syndemic among women and girls: a global review of epidemiology and integrated interventions. J Acquir Immune Defic Syndr. 1999;2015(69 Suppl 2(0 2)):S118–27.
Watt MH, Guidera KE, Hobkirk AL, et al. Intimate partner violence among men and women who use methamphetamine: a mixed-methods study in South Africa. Drug and Alcohol Rev. 2017;36(1):97–106.
Watt MH, Kimani SM, Skinner D, Meade CS. “Nothing is free”: a qualitative study of sex trading among methamphetamine users in Cape Town, South Africa. Arch Sex Behav. 2016;45(4):923–33.
Acknowledgments
We thank the FASTLANE II study staff and the research participants for their contributions to our research study.
Funding
This research was supported by the National Institute of Mental Health (NIMH Grant #R01MH061146). At the time of this research, J. K. Stockman was supported by the National Institute on Drug Abuse (NIDA Grant #K01DA031593), and H. Hayashi was supported by the National Institute on Drug Abuse (NIMH Grant #R36DA039012). The contents of this article are solely the responsibility of the authors and do not necessarily represent the official views of the National Institutes of Health.
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Stockman, J.K., Hayashi, H.D., Barnes, R.F. et al. Recent Partner Violence, Sexual Relationship Power, and STIs among Women Who Use Methamphetamine: Does Type of Sexual Partner Matter?. J Urban Health 97, 387–394 (2020). https://doi.org/10.1007/s11524-020-00435-9
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11524-020-00435-9