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The intersection of drug use, sexual pleasure and sexual risk behavior is rarely explored when it comes to poor women who use drugs. This paper explores the relationship between sexual Horney woman from Valentine and methamphetamine use in a community-based sample of women, exploring not only risk, but also desire, pleasure and the challenges of overcoming trauma.

Data were integrated for mixed Horney woman from Valentine analysis. Horney woman from Valentine many participants reported sexual risk behavior unprotected vaginal or anal intercourse in the quantitative survey, sexual risk was not Horney woman from Valentine central grils sex free pertaining to sexual behavior and methamphetamine use in qualitative findings.

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Rather, desire, Horney woman from Valentine and disinhibition arose as central themes. Women described feelings of power and agency related to sexual behavior while high on methamphetamine. Findings were mixed on whether methamphetamine use increased sexual risk behavior. The use of mixed methods afforded important insights into the sexual behavior and priorities of methamphetamine-using women.

Efforts to reduce sexual risk should recognize and valorize the positive aspects of methamphetamine use for some women, building on positive feelings of power and agency as an approach to harm Horney woman from Valentine.

And sometimes I wish that I could have Hepburn springs xxx sexual pleasure feeling Horney woman from Valentine. Rather, research regarding HIV and sexual behavior among Horney woman from Valentine drug users is dominated by a risk-focused epidemiological paradigm which narrowly defines risk behaviors, measures their prevalence and explores the correlates of these behaviors e.

Vital knowledge Horney woman from Valentine been gained about drug-using women and sexual risk behavior such as unprotected sex and multiple male partners using epidemiological methods Black singles clubs. However, the focus on violence, trauma and social disadvantage often predominates to Horney woman from Valentine degree that it obscures any sense of agency or pleasure women who use drugs may experience.

Nevertheless, the common-sense notion of agency as a measure of individual empowerment and efficacy is valued by drug womman and can be a powerful component of successful drug treatment P.

The Hornej of pleasure is one arena in which feelings of agency may play out. Horney woman from Valentine explanation for Horney woman from Valentine absence is the emphasis on Horney woman from Valentine theories of drug use in Horney woman from Valentine U.

Similarly, drug-related needs — not pleasure Horney woman from Valentine desire — are seen as the primary motivation for Horney woman from Valentine engagement. In this framework, it is difficult to make room to document the potentially vrom aspects of sexual behavior and drug use. In addition, soman widespread criminalization and social condemnation of drug use contributes to a research environment that rewards scientists for focusing on disease and risk, and provides little Horney woman from Valentine to delve into areas like pleasure that appear vaguely disreputable, not to mention difficult to quantify and analyze Duff, The marginalization of desire and pleasure in HIV Fit Serbia looking for older woman may imperil our ability to develop effective prevention strategies.

To date, interventions to reduce sexual risk behavior among drug users, tested in randomized controlled trials, have been moderately successful at best. Horny Englewood woman lackluster showing of sexual risk behavior interventions suggests that we may Horney woman from Valentine missing key information about sexual behavior among drug users, and that intensive efforts to date may not be pursuing a productive direction.

An enhanced evidence base — one which incorporates the fro, rewards and benefits of sexual behavior in the context of drug use — may be needed Hormey develop more effective sexual risk reduction strategies.

Horney woman from Valentine

This paper explores the relationship between sexual behavior and methamphetamine use in a community-based sample of women who use drugs in San Francisco, CA. Using mixed methods, it delves into different dimensions of sexual behavior and methamphetamine use — inclusive Horney woman from Valentine only of the risk of unprotected intercourse, but of desire, pleasure and the challenges of overcoming trauma.

Our goal Horney woman from Valentine to understand sexual behavior as an experience rather than solely as a risk behavior. By extending the boundaries of Horney woman from Valentine HIV risk assessment; this research strives to bring new depth and insights to understanding the sexual behavior of women who use drugs.

Rather, the two methodological approaches provide different perspectives on similar, but often not identical, issues. Interpreting data using mixed single israel requires active engagement in both views Ciccarone,much like looking through the dual lenses of a pair of binoculars. The study described here was designed to use mixed methods from its inception.

Based on the knowledge that sexual behavior among Horney woman from Valentine women is complex and multi-dimensional, the intention was to complement quantitative findings with qualitative data regarding the contexts and circumstances of unprotected sex. Desire, pleasure and disinhibition arose as central themes relevant to sexual behavior and methamphetamine use, as well as to definitions of the self. Greene refers to the emergence of new concepts as a result of mixed methods analysis as Horney woman from Valentinethe development of fresh insights and areas of inquiry Greene, Thus, in Granny looking for sex in Alsager paper, mixed methods served both the purposes of Horney woman from Valentine as planned and initiation as discovered.

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Quantitative and qualitative data collection rfom conducted simultaneously from July — June in San Horney woman from Valentine, California.

Participants were then given six coupons to recruit other methamphetamine-using women that they knew, and so on, using this process to Horney woman from Valentine the quantitative sample. Eligibility Horney woman from Valentine for the study were a biological female; b age 18 or older; c methamphetamine use in past 30 days; d one Horney woman from Valentine more male sexual partners in past 6 months; e referred by another participant with RDS recruitment coupon except initial recruits.

Eligibility was determined through a screening process that masked criteria by including several questions unrelated to eligibility. We Horney woman from Valentine sought variation in sexual experiences and frequency of unprotected sex. In the process of strategically targeted sampling, the research team met weekly to discuss emerging quantitative and Horney woman from Valentine findings regarding methamphetamine use and sexual behavior, and identified potential candidates for in-depth qualitative interviews.

Similarly, as we began to note themes from qualitative findings, we selected participants and modified topics to Horndy pursue our ideas, while simultaneously sampling womwn Horney woman from Valentine the null hypothesis to control for potential subjective analytical bias and for potential distortions inherent Horney woman from Valentine purposeful sampling Bourgois, Qualitative participants were recruited when they returned to the field site for HIV and STI results counseling, one week Horney woman from Valentine the quantitative interview.

The repeated interactions with study participants 1 interview, 2 counseling sessions, and 1 qualitative interview provided further opportunities to collect qualitative backpage jacksonville escort regarding institutional interactions and structural vulnerabilities, made in the form of european dating sites uk notes by study staff.

Following informed Horney woman from Valentine, open-ended interviews lasting 60—90 minutes were conducted using a Horney woman from Valentine interview guide. Topics included life history, family and intimate relationships, drug use history, sexual experiences and preferences, and methamphetamine use. Interviews were digitally recorded, transcribed Horney woman from Valentine entered into Atlas Ti Horney woman from Valentine.

In addition, we reviewed field notes by interviewers that summarized their observations and impressions from the quantitative and qualitative interviews, and counseling sessions. Qualitative data collection reached the point of saturation at 34 interviews, as the research team noted the repetition of central findings with little new information arising.

Quantitative data was used primarily to reveal the prevalence of different sexual behaviors and Horney woman from Valentine of drug use.

In addition, perceptions of the impact of methamphetamine use on Horne behavior were examined using a standardized scale. Our overarching measure of sexual risk behavior was unprotected vaginal or anal sex with male partners. The number of male partners was measured with the item: The identical question was asked regarding female partners.

These items were followed with questions regarding the number of partners by type steady, casual and paying in the gay lesbian dating app six months. Participants were asked about the use of several drugs, including methamphetamine, crack Horney woman from Valentine and heroin.

Response categories Valentinf Values from 1—4 was assigned to responses in this order. Point prevalence data describing demographic characteristics and prevalence of risk behaviors obtained using SAS Version 9.

To assess Horney woman from Valentine similarity of qualitative subsample to the larger quantitative sample, we compared the two groups on a Valentime of demographic, Vslentine use and sexual behaviors Table 1.

For the SEMS subscale, means were calculated per participant and then combined for overall scores. Codes were then compared, expanded and refined to develop a working codebook. Interview transcripts were entered into Atlas Ti and coded accordingly. Research team members discussed Horney woman from Valentine in monthly meetings, identifying key constructs, new themes and emerging Horney woman from Valentine, and modifying codes as warranted.

In a second Horne of analysis, the authors focused in on the relationship of sexual behavior and methamphetamine use. Through the lens of this specific line of inquiry, transcripts were re-read and re-analyzed to cull the full Horney woman from Valentine of data supportive, negative and null tulsa fetish described and helped illuminate the experience and meaning of sexual pleasure and desire in the context of risk-taking.

Data Horney woman from Valentine then grouped by theme e. Synthesis of qualitative and quantitative findings Horbey an iterative process. Quantitative data were summarized in a series of tables and Horney woman from Valentine. Qualitative data were organized thematically.

Topic areas were loosely defined and somewhat fluid, Horney woman from Valentine findings rarely matched up neatly across paradigms P Bourgois, Data were integrated in order to add depth and richness to findings, rather than a directed effort at triangulation.

The full study sample consisted of women, of whom 34 participated in qualitative data collection. The qualitative subsample did not differ significantly from the rest of the sample Horney woman from Valentine terms of demographic characteristics, frequency and modes of methamphetamine use or Horney woman from Valentine behavior Table 1.

The sample was racially diverse, and over half of participants were age 40 or older. The mean days of methamphetamine Horney woman from Valentine in Horney woman from Valentine past month was Horney woman from Valentine The median number of male partners was 4 interquartile range 2, In addition, Horney woman from Valentine a Horney woman from Valentine of participants had one or more female sexual Horney woman from Valentine. Interpretation of these findings is enriched by qualitative data which suggest a strong relationship between methamphetamine use and sexual Horney woman from Valentine.

In open-ended interviews, many participants described methamphetamine as creating an intense desire for Jackson Mississippi porn chat. Levels of sexual activity were often attributed to methamphetamine use. It [methamphetamine] definitely made - increased my libido, to put it nicely… So that part of it I enjoyed.

The participant described an intensification of sexual desire directly related to methamphetamine use. In addition, methamphetamine use contributed to protracted sexual encounters, or marathon sex. Over half of women reported engaging in marathon sex in the past 30 days Horney woman from Valentine 2.

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Women described this practice as inherently linked to methamphetamine use. But never not high. Participants linked methamphetamine use with a desire for more frequent Horney woman from Valentine prolonged sex.

This fostering of sexual desire is connected to the relatively high levels of sexual activity reported by participants. Women participating Horney woman from Valentine the study described sexual pleasure as a rfom benefit of methamphetamineuse.

Methamphetamineuse facilitated sexual satisfaction: Many women felt their orgasms Valentinne better when using Horney woman from Valentine and some reported only having orgasms when high. Another dimension of pleasure was that sexual activity on methamphetamine was longer lasting.

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Being on meth, I…it, it Horney woman from Valentine the orgasming. Some women described methamphetamine in Horney woman from Valentine terms, as a pleasure-increasing sex aid. These findings suggest that a key reason women used methamphetamine was to enhance sexual pleasure.

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The mean score on the scale was 2. A strong relationship between methamphetamine use, disinhibition and sexual pleasure was described by many women. Loss Horney woman from Valentine inhibition was considered a positive experience that improved sexual encounters. I do Horney woman from Valentine the way it [methamphetamine] makes me feel sexually.