ArticleSubstance abuse treatment, prevention, and policy2021
The relationship between severity of drug problems and perceived interdependence of drug use and sexual intercourse among adult males in drug addiction rehabilitation centers in Japan.
Article in Substance abuse treatment, prevention, and policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 8 citations in OpenAlex.
- Co‑occurring mental and substance use disorders among residents of Drug Addiction Rehabilitation Centers (DARCs) in Japan: Characterizing dual‑diagnosis profiles.PCN reports : psychiatry and clinical neurosciences · 2025Article
- Spirituality and Continued Abstinence Among Methamphetamine Users in a 12-Step Program in Japan: Data From a Cohort Study of Residential Substance Use Treatment.Neuropsychopharmacology reports · 2025Article
- Characteristics linked to mortality risk among individuals with drug use disorders enrolled in drug rehabilitation facilities in Japan.PCN reports : psychiatry and clinical neurosciences · 2025Article
- Situational factors affecting abstinence from drugs: Panel data analysis of patients with drug use disorders in residential drug use treatment.PCN reports : psychiatry and clinical neurosciences · 2024Article
- Validity and reliability of the Japanese version of the Substance Use Stigma Mechanism Scale.PloS one · 2024Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundConsuming drugs in conjunction with sexual intercourse may shape the perceived interdependence of drug use and sexual intercourse (PIDS). Additionally, the severity of drug problems may have a significant impact on PIDS. However, this relationship remains unverified. Therefore, this study investigates whether the severity of drug problems is associated with PIDS among adult males in drug addiction rehabilitation centers (DARC) in Japan.
methodsThis study was a secondary analysis of the "DARC Follow-Up Study in Japan" conducted by the National Center of Neurology and Psychiatry in 2016, in which participants from 46 facilities completed a self-report questionnaire. A total of 440 males with drug dependence were included in the analysis. We analyzed participants' demographic characteristics, history of sexually transmitted disease diagnoses, and responses to questions related to drug use (e.g., primary drug use and PIDS). Additionally, we measured the severity of drug problems using the Japanese version of the Drug Abuse Screening Test-20 (DAST-20).
resultsThe median age of the participants was 42 years. The median DAST-20 score was 14.0, the primary drug was methamphetamine (61.4%) and new psychoactive substances (NPS: 13.6%). Multivariate analysis indicated that participants' experiences with unprotected sexual intercourse ("mostly a non-condom user": adjusted odds ratio (AOR) = 4.410), methamphetamine use (AOR = 3.220), new psychoactive substances use (AOR = 2.744), and the DAST-20 score (AOR = 1.093) were associated with PIDS.
conclusionsThis study indicated that the frequency of unprotected sexual intercourse under the influence of drugs, methamphetamine and NPS use were strongly associated with PIDS. The severity of drug problems was also significantly associated with PIDS. It is necessary to develop culturally appropriate treatment programs adapted to the needs of patients who experience strong PIDS.
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