Sexual behaviour in injecting drug users

A survey of the self-reported sexual behaviors of 1239 intravenous drug users recruited off the streets in Sydney, Australia, highlighted the impact of both sexual orientation and gender on the risk of human immunodeficiency virus (HIV) infection in this population. The sample included 908 men (mean age, 27.9 years) and 331 women (mean age, 26.3 years), the majority of whom were unemployed or receiving social security benefits. Among male respondents, 50 were homosexual, 117 were bisexual, and 719 were heterosexual; for females these numbers were 10, 95, and 220, respectively. Oral and vaginal sex were the most commonly reported practices among heterosexuals, while homosexuals primarily reported manual stimulation and oro-genital contact. The regular sexual partners of male intravenous drug users tended not to be addicts, while female drug users were primarily involved with male partners who also abused drugs. Among male respondents, condom use was highest among homosexuals, followed by bisexuals, and lowest among heterosexuals; there were no significant differences by sexual orientation in female respondents' condom use. Overall, condoms were most likely to be utilized in anal sex and least likely in the case of oral sex. Condom use was about 5% lower when a regular as opposed to casual sexual partner was involved. Most of the 64 HIV-positive respondents were homosexuals, suggesting that sexual orientation rather than drug abuse was the primary risk factor. Given the finding that there is substantial variation in condom use among subgroups of intravenous drug abusers, it is recommended that HIV prevention programs adopt a diversified rather than uniform approach.     

Clients in Treatment for Alcohol Problems: Treatment Experiencesand Outcomes

This report presents an analysis of National Treatment Improvement Evaluation Study data describing the characteristics and treatment experiences of clients entering treatment for alcohol problems. Three client groups were contrasted—those entering treatment for alcohol only, for alcohol plus other drugs, or for other drugs only. Clients using alcohol only were more often white, male, and currently employed. Alcohol only clients were treated predominantly in outpatient settings. Alcohol only clients were frequently referred to treatment by the criminal justice system, and less often self-referred. In all 3 study groups, employment, general health, and mental health outcomes were improved following treatment. Illicit drug use increased marginally for the alcohol only group following treatment. No significant posttreatment reductions in reports of total abstinencefrom alcohol were found for any of the groups. Findings are discussed as they relate to research, treatment practice, and policyareas.     

The Impact of Experience with the Aged upon the Time Perspective of Young Adults

With the use of questionnaire returns from 214 male and 286 female upper-year high school students, a model of adolescent drug use is proposed. The model hypothesizes that the parents' child-rearing practices produce within the child a personality which shapes his attitudes toward the use of drugs, which in turn affect the child's use of marijuana, alcohol, and tobacco. The personality dimension in the model is Authoritarianism. The model proved more successful in predicting illicit than licit drug use. Further, love on the part of the mother and positive control on the part of the father were the most salient dimensions within the model with regard to child-rearing practices.     

The relationship of parental drug use and parents' attitude concerning adolescent drug use to adolescent drug use

The purpose of this study was to examine the relationship of two variables, parental drug use and parental attitude toward adolescent drug use, both as perceived by the adolescent respondent to his or her own use or nonuse of drugs. A sample of 106 drug-using and 96 nondrug-using adolescents was obtained through the use of the anthropological " snowball " technique. All respondents were administered a drug use history profile and a personal data questionnaire. In order to be classed as drug users, respondents had to have been using two or more recreational substances on a regular basis. Nondrug users were those who used no recreational drugs, although individuals who had tried alcohol or tobacco experimentally were included in this group. On the personal data form, respondents were asked to describe their parents' use of alcohol, tobacco, or other substances, and to indicate their parents' attitudes concerning adolescent use of drugs. Parental attitudes were classed as permissive if the respondent indicated that parents were indifferent about drug use, if they accepted a certain range of drugs, or if the decision were left up to the youth. A nonpermissive attitude was defined as one which would not accept drug use by the adolescent. Four 2 x 2 Chi-square analyses were used to determine significance of the relationship between adolescent drug use and parents' use or nonuse of drugs, parents' attitudes about adolescent use or nonuse and actual adolescent use or non-use, and this same attitudinal relationship looking at parent users and nonusers separately.(ABSTRACT TRUNCATED AT 250 WORDS)     

The Effect of Adolescent Sex Offender Abuse History on Counselor Attitudes

Counseling students' judgments of adolescent sex offenders with sexual or physical abuse histories were examined. Sexually abused offenders were more desirable as prospective clients than were nonabused offenders. Sexually abused counselors desired to see physically abused offenders as clients over sexually abused offenders. Implications for counseling are presented.     

The Relation Between Familial Factors and the Future Orientation of Urban, African American Sixth Graders

This study examined the relations between familial and environmental factors and five dimensions of future orientation in a sample of urban, African American early adolescents from low-income families. A new multidimensional interview measure, the Future Orientation Interview, was designed for this study to expand on available measures. Hierarchical multiple regression was used to examine the unique contribution of each familial and environmental factor to each dimension of future orientation. The independent variables significantly predicted three of the five dimensions of future orientation: salience, detail, and control beliefs. The pattern of significance varied for each dimension of future orientation, with mother involvement, kinship social support, and socialization of future orientation emerging as important predictors of various dimensions of future orientation. Results are discussed in terms of theoretical issues related to future orientation and implications for intervention.     

Paradoxical Associations of Masculine Ideology and Casual Sex Among Heterosexual Male Geosocial Networking App Users in China

Momo, the most popular geosocial networking app in China, is used as a common platform to seek casual sex. The present study, which is based on the social constructionist view of gender, examines how the endorsement of masculinity among heterosexual male Momo users is associated with the number of casual sex partners they meet on the app. The study also explores the mediating role of the sex motive for using Momo. Analyses of survey data from 125 heterosexual male Momo users showed that the endorsement of masculinity had an indirect positive relationship with the number of sex partners mediated by the sex motive; at the same time, it had a direct but negative association with the number of sex partners. These paradoxical associations were explained by different patterns across the individual dimensions of masculinity ideology. Specifically, the dimension of the Importance of Sex was responsible for the positive indirect association whereas the dimension of Avoidance of Femininity was responsible for the negative direct association. These findings are discussed in relation to the wen-wu dyad of Chinese masculinity. Because unsafe sex has been found to be associated with the use of geosocial networking apps, my study also calls for integrating the concept of practicing safer sex with the cultural ideal of masculinity.

     

Negativity in psychotherapists' evaluations of clients and personal acquaintances

Forty-seven psychotherapists were studied to determine if they construed their clients more negatively than personal acquaintances. The sample included personal construct therapists, psychoanalytic candidates, and therapists from a community mental health center; they varied in terms of sex, age, years of experience, and clinical discipline. Subjects chose six personal acquaintances and six nonpsychotic individual-therapy clients who were then used as elements in a repertory grid. Constructs were elicited by comparing pairs of elements; all elements were rated on the constructs. Elements were also directly rated on several dimensions, including liking and similarity to self. Results indicated that therapists selectively focused on clients' negative characteristics and acquaintances' positive characteristics. Clients were liked less than acquaintances and were judged to be less like the self. The correlations between valuative variables tended to be higher in the construing of clients than in the construing of acquaintances, whereas expected improvement with therapy was not related to affective evaluation. There were no gender differences in these effects. Although there were no differences in degree of negative construal of clients among the therapist subgroups, the psychoanalytic candidates construed acquaintances less positively than did other therapists. The results suggest that deviancy may be a major dimension distinguishing therapists' construal of clients from their construal of acquaintances. This dimension may result from both therapeutic ideology and the fact that clients selectively present negative aspects of themselves in therapy, producing a bias in the information therapists receive. Possible negative implications for the therapeutic relationship are discussed.     

Relationships Between Future Orientation, Impulsive Sensation Seeking, and Risk Behavior Among Adjudicated Adolescents

Because of high levels of risk behavior, adjudicated adolescents are at high risk for negative health outcomes such as nicotine and drug addiction and sexually transmitted diseases. The goal of this article is to examine relationships between future orientation and impulsive-sensation-seeking personality constructs to risk behaviors among 300 adjudicated adolescents. Significant relationships between impulsive sensation seeking and future orientation were found for several risk behaviors. Individuals with more positive future orientation were less likely to use marijuana, hard drugs, alcohol during sex, had fewer alcohol problems, had lower levels of alcohol frequency and quantity of use, and perceived greater risks associated with such behaviors. Higher impulsivity reliably predicted alcohol problems, alcohol use, condom use, and cigarette smoking.     

A case-control analysis of felony convictions among recreational drug users

This study applied an epidemiologic case-control design to the identification of variables predicting which subjects in a population of recreational drug users were likely to have a felony conviction. A sample of 158 self-identified drug users responded to the web-based DRUGNET survey from February, 1997 through June, 1998. In this sample of 704 U.S. citizens who reported using illicit drugs, 79 (11.2%) reported having a drug-related felony conviction. A further 52 (7.4%) subjects reported felony convictions not related to drugs. Control subjects were drawn from the same sample and matched to cases on sex, age, and ethnicity. Subjects with drug-related convictions differed significantly from controls on 13 variables and those with nondrug-related convictions differed on 11 variables out of the 82 used in this study. Although there are major limitations given the self-selection of the sample, the differences between the groups indicates that we should be wary in generalizing from the minority of drug users who are arrested or incarcerated to the population of drug users in general.     

Alcohol drinking parties and consumption of alcohol and other drugs in youth

The main aim of this paper is to analyze the relationships of involvement in the "botellon" (meetings of youth in public places to drink, chat, etc.) with alcohol/other drug abuse and vandalism in young people. A school survey was performed in centres of Compulsory Secondary School (E.S.O.), high school, professional training and University education in Lugo, NW Spain. The sample (aged 12 to 30) was split into three groups according to alcohol use and botellon involvement; drug abuse, drug-related problems and vandalism were assessed in each group. Results indicate that regular botellon attendants display more problems with alcohol and other drugs, as well as higher involvement in vandalism; this relationship is stronger among young students. The increase in adolescent risk associated with the practice of the botellon is explained by peer group pressure to use drugs and the greater accessibility of alcohol/other drugs in these contexts.     

Relationships among alcohol consumption, drug use, and goal orientation among college students in the southeastern USA

Students attending 2 different universities completed a Goals Inventory as well as a self-report survey designed to address their use of alcohol and other drugs. University 1 was a large, public state-supported school that did not restrict alcohol use. From this university were 30 male and 77 female students who ranged in age from 18-25 years (M = 20 yr.). University 2 was a small, private church-affiliated school that enforced a no-alcohol-on-campus policy. This sample included 41 male and 50 female students, whose ages ranged from 18-24 years (M = 19 yr.). More than half of the sample at each school had consumed alcohol at some time. While men drank more than women at University 1, the sex-ratio at University 2 was not different. Students at University 2 had higher learning and performance goal scores, alcohol-use scores, and drug-abuse scores than those at University 1. Students at University 2 had higher alcohol-abuse scores. Learning goal orientation was inversely related to alcohol-abuse behaviors but only at University 1. General alcohol use was inversely related to learning goal orientation at University 2. Students at both universities reported drinking to relieve tension. Those with a learning goal orientation were reportedly not drinking excessive amounts of alcohol. However, the relationship between alcohol use and abuse and performance is unclear because students had high performance scores at both universities along with high alcohol-use scores.     

A profile of young adolescents attending a teen family planning clinic.

The purpose of this study was to assess the client records of adolescents attending a teen family planning clinic to determine the reported episodes of sexually transmitted diseases, sexual abuse, alcohol and drug use, and other dysfunctional situations in the family. In addition, information about the initiation of sexual activity and sexual partners was assessed in the record review. Data were obtained from a county health department located in a metropolitan area of a southeastern state. A review of the records of 183 adolescents 15 years of age or younger provided information on ethnicity, grade in school, and assessment data from the clinic interviews and exams. Twenty-five clients said they were not sexually active when they came to the family planning clinic for the first time, and were brought to the clinic by a parent (usually the mother). Those clients who came without parents said they were sexually active. Forty-one percent had their first sexual experience between 12 and 13 years of age, 18% between the ages of 14 and 15, and the remainder before the age of 12. While over 7% specifically stated that they had been sexually abused or raped, an additional 19% described situations in the home or exhibited symptoms associated with a history of sexual abuse. Eleven percent had a history of two to three different sexually transmitted diseases, and 26% had three or more diseases. Seventy-two percent indicated that there was conflict in the home; several had left home because of abuse. Fourteen percent admitted using drugs, mostly cocaine or marijuana, and 17% reported that they used alcohol at least occasionally.     

Sexual behavior and drug abuse in homosexuals,prostitutes and prisoners in Tijuana,Mexico

Results are presented of a sociodemographic and epidemiologic survey conducted between July-October 1988 in Tijuana, Mexico, among 3 subgroups believed to be at high risk of HIV infection. 383 female and 32 male prostitutes recruited at the Municipal Medical Services clinic in Tijuana, 376 male and 34 female prisoners recruited ate the State Penitentiary, 233 male homosexuals and bisexuals recruited in bars and other meeting places, and 11 drug addicts treated at a detoxification program were successfully interviewed. Although only 11 iv drug addicts were located and agreed to participate, 5 prostitutes, 85 prisoners, and 5 homosexual/bisexual reported histories of iv drug use. The homosexual/bisexual group was relatively younger and better educated,and had higher incomes than the other groups. The average age was 25.6 for homosexual/bisexuals, 29.5 for prostitutes, and 29 for prisoners. 82.7% of homosexual/bisexuals, 46.3% of prostitutes, and 44.4% of prisoners were single. Among prostitutes and prisoners, respectively, 6.5 and 25.9% were married and 22.2 and 18/5% were in consensual unions. The average number of years of schooling were 10.3 for homosexual/bisexuals, 5.6 for prostitutes, and 6.3 for prisoners. Male prostitutes reported the highest average number of sexual partners in the past year (261 +or- 341), prisoners reported the greatest frequency of iv drug users as sexual partners, and homosexual/bisexuals reported the highest frequency of receptive anal intercourse. 35% of respondents reported a history of sexually transmitted diseases. 36% of female prostitutes and 4% of prisoners reported using condoms regularly during vaginal intercourse. 25% of homosexual/bisexuals reported using condom regularly during anal intercourse. 31% of respondents reported having been tested previously for HIV antibodies,but only 41% of those knew the results. 72 homosexual/bisexuals, 56 prostitutes, and 126 prisoners reported having had sexual relations in the US. 80% of respondents reported consuming alcohol, 64% cigarettes, and 28% illegal drugs. The most frequently used illegal drug was marijuana. 68% of the 106 identified iv drug users continued to use drugs. The rest reported having used them since 1978. The introduction of HIV into these subpopulations has been slow but steady. Infection rates in this sample were .5% for prostitutes, 1.2% for prisoners, 11.6% for homosexual/bisexuals, and 1.9% for the 106 iv drug users.     

Universal dimensions of social cognition: warmth and competence

Like all perception, social perception reflects evolutionary pressures. In encounters with conspecifics, social animals must determine, immediately, whether the "other" is friend or foe (i.e. intends good or ill) and, then, whether the "other" has the ability to enact those intentions. New data confirm these two universal dimensions of social cognition: warmth and competence. Promoting survival, these dimensions provide fundamental social structural answers about competition and status. People perceived as warm and competent elicit uniformly positive emotions and behavior, whereas those perceived as lacking warmth and competence elicit uniform negativity. People classified as high on one dimension and low on the other elicit predictable, ambivalent affective and behavioral reactions. These universal dimensions explain both interpersonal and intergroup social cognition.     

The association between heroin use and anxiety sensitivity among inner-city individuals in residential drug use treatment

The current study represents an initial investigation of the association between heroin use and anxiety sensitivity (AS). Within a sample of 172 inner-city treatment seeking drug users, AS was compared across past year (1) heroin users with no crack/cocaine use (n=12); (2) crack/cocaine users with no heroin use (n=66); (3) users of both heroin and crack/cocaine (n=45); and (4) individuals with no use of heroin or crack/cocaine (n=49). Consistent with expectations, primary heroin users evidenced higher levels of AS than all other groups, with these differences also evidenced for the physical and social subscales. Differences in AS total score and physical subscale score persisted after controlling for demographic variables, depressive symptoms, and primary use of drugs other than heroin and crack/cocaine including alcohol, nicotine, marijuana, and hallucinogens. Findings suggest a unique relationship between AS and heroin, and set the stage for future work explicating the direction of the observed association.     

Evidence for executive deficits among users of MDMA (Ecstasy)

Random letter generation and computation span are tasks known to load on executive, prefrontal resources. Previous research suggests that Ecstasy users are impaired on random letter generation. The current study, employing a larger sample (44 current Ecstasy users, and 59 non‐Ecstasy users), together with more effective statistical controls for other drug use, failed to replicate previous findings. Ecstasy users were unimpaired on all measures of random generation performance. A significant difference was obtained on the computation span measure, with Ecstasy users scoring significantly lower than non‐Ecstasy users. This difference remained statistically significant following control for various indicators of the use of other drugs including cannabis. The results are discussed in terms of the potential effects that Ecstasy might have on different component executive processes.     

A Study of Some Factors Involved in Place Learning

Through the technique of Goodman's log linear method, longitudinal data are analyzed to clarify the relationship between depressive mood and illicit drug use among youths. A representative sample of adolescents (N = 8206) from New York State secondary schools was followed over one academic year. At one point in time, users of illicit drugs other than marihuana (multiple drug users) were significantly more depressed than either nonusers or users of marihuana only. Differing interactive relationships were found over time depending upon the drugs involved. Depressive mood was related to the onset of marihuana use among nonusers and to the termination of marihuana use among users. Depressive mood also predicted the use of other illicit drugs by marihuana users. While the beginning use of illicit drugs other than marihuana was positively associated with increased depressive mood, continued multiple drug use was related to reduced depressive mood.     

Effects of different substance misuse in genital reflexes of paradoxical sleep deprived male rats

As psychostimulants are widely abused, their neurochemical and behavioral effects have been extensively studied for many years. Our previous data demonstrate that paradoxical sleep deprivation (PSD) enhances drug-induced penile erection and ejaculation. PSD in association to drugs of abuse like cocaine potentiated genital reflexes in male rats. In this sense, the present study investigated if three substances abused by young people--such as Delta(9)-tetrahydrocannabinol (Delta(9)THC), alcohol and caffeine--had any significant effect on the genital reflexes in PSD rats. The results indicated that PSD induced erection in 50% of the rats and 20% ejaculated. In addition, there was no significant alteration in the number of animals exhibiting genital reflexes neither on the frequency of these behaviors when challenged with Delta(9)-THC or alcohol or caffeine after 96 h of PSD. These findings show that Delta(9)THC, alcohol and caffeine when administrated isolated did not produce alterations in genital reflexes in the PSD male rats.