Sexual risk behaviors and predictors of inconsistent condom use among crack cocaine users in the French overseas territories in the Americas

Marie-Claire Parriault 1 Astrid Van-Melle 1 Célia Basurko 2 Larissa Valmy 3 Bruno Hoen 4 André Cabié 5 Marie-Thérèse Goerger-Sow 6 Mathieu Nacher 7
1 CIC - Antilles Guyane - Centre d'Investigation Clinique Antilles-Guyane
2 Centre Hospitalier Andrée Rosemon
3 LAMIA - Laboratoire de Mathématiques Informatique et Applications
4 Dermatologie et Maladies infectieuses [Pointe-à-Pitre]
5 Service de Maladies Infectieuses et Tropicales [Fort-de-France, Martinique]
6 COREVIH - Coordination Régionale de la lutte contre le Virus de L'Immunodéficience Humaine [Guadeloupe]
7 Service des maladies infectieuses et tropicales [CHU Pitié-Salpêtrière]
Abstract : The French overseas territories in the Americas are the French territories most affected by HIV. Crack cocaine users are particularly impacted. The objective of this study was to describe sexual risk behaviors and inconsistent condom use among crack cocaine users. A total of 640 crack cocaine users were interviewed. The sampling method was non-probabilistic. An anonymous standardized questionnaire of 110 questions was used. Over a third of persons did not use condoms systematically with casual sex partners (36.2%) or commercial sex partners (32.3%), and 64% did not use condoms systematically with regular sex partners. In a context of multiple sexual partnerships, frequent forced sex, and insufficient HIV testing, the lack of systematic condom use may favor the spread of HIV. Different predictive factors of inconsistent condom use were identified, depending on the type of partner, with a log binomial regression. However, among the predictor variables identified, two predictive factors frequently occur among the different type of sex partners: high perceived risk of HIV and self-perceived capacity to persuade a sex partner to use condom. These results pointed towards interventions improving access to rights and raising perceived self-efficacy.
Keywords : sexual risk behaviors condom use Crack cocaine users French overseas territories HIV
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Journal articles
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https://hal.archives-ouvertes.fr/hal-01717929
Contributor : Larissa Valmy <>
Submitted on : Monday, February 26, 2018 - 8:12:51 PM
Last modification on : Tuesday, February 26, 2019 - 10:12:31 AM

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Marie-Claire Parriault, Astrid Van-Melle, Célia Basurko, Larissa Valmy, Bruno Hoen, et al.. Sexual risk behaviors and predictors of inconsistent condom use among crack cocaine users in the French overseas territories in the Americas. International Journal of STD and AIDS, SAGE Publications, 2017, 28 (13), pp.1266 - 1274. 〈10.1177/0956462417696432〉. 〈hal-01717929〉

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