• DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: (737) 255-4300

    Email the HIV/STD Program

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Epi Profile Section 9 - Sex and Substance Use in PLWH


The Texas Medical Monitoring Project (MMP) uses interviews and medical record abstractions of a representative sample of Texans living with diagnosed HIV to better understand the experiences of PLWH. More information on the project is in the data sources and notes. This section provides information on condomless sex and on drug use among PLWH in Texas.



MSM Living with HIV


Nearly two-thirds of the sexually active MSM living with HIV in the sample reported having condomless anal sex with a male partner in the past 12 months (Table 23). However, more than 6 out of 10 of these men only had condomless sex with partners who were also living with HIV. Of the men who had condomless sex with partners who were not PLWH, almost 8 out of 10 had suppressed viral load.

More than a third of MSM living with HIV reported using non-injection or injection drugs in the past 12 months. Drug use decreases with age. Only a quarter of the MSM over the age of 55 years reported using injection or non-injection drugs compared to about half of those between the ages of 18-34 years. White and Black men were twice as likely to report drug use than were Hispanic men. 



Men and Women Living with Heterosexually Acquired HIV


The patterns of condomless sex and substance use reported by heterosexual men and women were different. Almost half of this group reported condomless sex with a partner of the opposite sex in the previous 12 months, but around 7 out of 10 people who had condomless sex reported that they had condomless sex with only other PLWH. Two-thirds of the men and women who had condomless sex with partners who were not PLWH had suppressed viral load.

The proportion of people in the sample who reported injection or non-injection drug use increased with age, and White men and women were three times more likely to report using drugs than were Black and Hispanic men and women.

Table 23: Sexual activity and substance use in MSM living with HIV in Texas, MMP 2017-2018

Sexually Active MSM

Average
number of
male sex partners
in past
12 months

Had condomless anal sex with a male partner in the past 12 months

Had condomless anal sex with a male partner whose HIV status was discordant or unknown in the past 12 months

Used injection or non-injection drugs in the past 12 months

Number

Number

Number

%*

Number

%*

Number

%*

Race/Ethnicity
White

35

8

28

82%

12

36%

16

48%

Black

41

3

22

54%

14

31%

14

40%

Hispanic

45

6

27

60%

17

44%

11

24%

Total

121

6

77

64%

43

37%

41

37%

Age group (years)

18-34

43

8

26

63%

17

39%

16

49%

35-44

30

4

20

69%

14

50%

11

27%

45-54

22

5

15

62%

6

27%

8

37%

55+

26

4

16

63%

6

26%

6

23%

Total

121

6

77

64%

43

37%

41

37%

* Percentages are weighted
Cell sizes less than 10 may produce unstable estimates


Table 24: Sexual activity and substance use in heterosexuals living with HIV in Texas, MMP 2017-2018

Sexually Active Men and Women Who Engaged in Heterosexual Contact

Average number
of sex partners
of the opposite sex
in the past
12 months

Had condomless vaginal or anal sex with a partner of the opposite sex in the past 12 months

Had condomless vaginal or anal sex with a partner whose HIV status was discordant or unknown in past 12 months

Used injection or non-injection drugs in the past 12 months

Number

Number

Number

%*

Number

%*

Number

%*

Race/Ethnicity
White

7

1

6

84%

**

**

4

50%

Black

54

1

19

40%

14

31%

8

13%

Hispanic

16

2

7

50%

5

41%

3

16%

Total

77

1

32

48%

19

29%

15

18%

Age group (years)

18-34

15

2

7

58%

5

44%

4

19%

35-44

31

1

12

35%

7

16%

7

24%

45-54

16

1

8

70%

5

51%

**

**

55+

15

1

5

41%

**

**

3

25%

Total

77

1

32

48%

17

26%

14

18%

* Percentages are weighted
** Cell suppressed for numbers less than 3
Cell sizes less than 10 may produce unstable estimates



Epi Profile

Table of Contents | 1. Executive Summary | 2. Texans Living with HIV in 2018 | 3. Texans with New HIV Diagnoses | 4. New Diagnoses in MSM | 5. Texans with Newly Acquired HIV | 6. Deaths in Texans Living with HIV | 7. Comorbidities in Texans Living with HIV | 8. HIV Testing in Programs Funded by DSHS | 9. Sex and Substance Use in PLWH | 10. Sex and Substance Use in People at Increased Risk for HIV in Dallas, Texas | 11. Texas Treatment Cascade for 2018 | Data Sources and Notes


Last updated May 27, 2020