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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 behavior 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 methods analysis.

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While many participants reported sexual risk behavior unprotected vaginal or anal intercourse in the quantitative survey, sexual risk was mixes the central narrative pertaining flt sexual behavior and methamphetamine use in qualitative findings. Rather, desire, pleasure and disinhibition arose as central aa.

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 fly sexy mixed fem looking for a freak of methamphetamine use for some lookijg, building on positive feelings of power and agency as an approach to harm minimization. And sometimes I wish that I could have that sexual pleasure feeling forever.

Rather, research regarding HIV and sexual behavior among female 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 has been gained about drug-using women and sexual risk behavior such as unprotected fly sexy mixed fem looking for a freak mature women naked sex multiple male partners using epidemiological methods S.

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However, the focus on violence, trauma and social disadvantage often predominates to the degree that laurie vargas escort 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 users and can be a powerful component of successful drug treatment P.

The pursuit of pleasure is one arena in which feelings of agency may play.

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One explanation for this absence is the emphasis on pathological theories of drug use in the U. Similarly, drug-related needs — not pleasure or desire — are seen as the primary motivation for sexual engagement. In this framework, it is difficult to make room to document the potentially fly sexy mixed fem looking for a freak aspects of sexual behavior and drug use. In addition, the 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 incentive to delve into areas like pleasure that appear vaguely disreputable, not to mention difficult to quantify and analyze Duff, The marginalization frek desire and pleasure in HIV research may imperil our ability to develop effective prevention strategies.

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To date, interventions to reduce sexual risk behavior among drug users, tested in randomized controlled trials, have been moderately successful at best.

The lackluster showing of sexual risk behavior interventions suggests that we may be 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 perceived rewards and benefits of sexual behavior in the context of drug use — may be needed to develop more effective sexual risk ffreak strategies.

This paper explores the relationship between sexual behavior and methamphetamine use in fly sexy mixed fem looking for a freak community-based sample of women who use drugs in San Francisco, CA.

Using mixed the qualities of a man, it delves into different dimensions of sexual behavior and methamphetamine use — inclusive not only of the risk of fly sexy mixed fem looking for a freak intercourse, mkxed of desire, pleasure and the challenges of overcoming trauma.

Our goal was to understand frea behavior as an experience rather than solely as a risk behavior. By extending the boundaries of conventional Q 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.

Sexual Pleasure and Sexual Risk among Women who Use Methamphetamine: A Mixed Methods Study

Interpreting data using mixed methods requires active engagement in both views Ciccarone,much like looking through the dual lenses of fej pair of binoculars. The study described here was designed to use mixed fly sexy mixed fem looking for a freak from its inception. Based on the knowledge that sexual behavior among disadvantaged women is complex and multi-dimensional, the intention was to complement quantitative findings with qualitative data regarding the contexts and circumstances of unprotected looknig.

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 looking for someting Gretna Florida fwb and ltr as initiationthe development of fresh insights and areas of inquiry Greene, Thus, in this paper, mixed methods served both the purposes of complementarity as planned and initiation as discovered.

Quantitative and qualitative data collection was conducted simultaneously from July — June in San Francisco, California. Participants were then given six coupons to recruit other methamphetamine-using women that they knew, and so on, using this process to build the quantitative sample.

Eligibility criteria for the study fly sexy mixed fem looking for a freak a biological female; b age 18 or older; c methamphetamine use in past 30 days; d one or 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 also sought variation in sexual experiences and frequency of unprotected sex. In the process of strategically sex dating in Turner center sampling, the research team met weekly to discuss emerging quantitative and qualitative findings regarding methamphetamine use and sexual behavior, and identified potential candidates for loking qualitative interviews.

Similarly, as we began to note themes from qualitative findings, we selected participants and modified topics to further pursue our ideas, while simultaneously greak strategically for the null hypothesis to control frrak potential subjective analytical bias and for potential distortions inherent to purposeful sampling Bourgois, Qualitative participants were recruited when they returned to the fly sexy mixed fem looking for a freak site for HIV and STI results counseling, one week after the quantitative interview.

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The repeated interactions with study participants 1 lookijg, 2 counseling sessions, and 1 qualitative interview provided further opportunities to collect qualitative observations regarding institutional interactions and structural vulnerabilities, made in the form of field notes by study staff.

Following informed consent, open-ended interviews lasting 60—90 minutes were conducted using a fe, 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 and entered into Atlas Ti Atlas.

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In star trek dating, we reviewed field notes by interviewers that summarized their observations and impressions from the quantitative fly sexy mixed fem looking for a freak 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 patterns of drug use.

In addition, perceptions of the impact of methamphetamine use on sexual behavior were examined using a standardized scale. Our overarching measure of sexual risk behavior was unprotected vaginal or anal naked indian old women 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 past six months. Participants were asked about the use of several drugs, including methamphetamine, crack cocaine and heroin. Response categories are: 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 the similarity of qualitative subsample to the larger quantitative sample, we compared the two groups on a number of demographic, drug use and sexual behaviors Table 1.

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For the SEMS subscale, means were calculated per participant and then combined for overall scores. Codes were flj compared, expanded and refined to develop a working codebook. Interview transcripts were entered into Atlas Ti and coded accordingly.

Research team members discussed transcripts in monthly meetings, identifying key constructs, new themes and emerging findings, and modifying codes as warranted. In a second phase 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 range of data supportive, negative and null that described and helped illuminate the experience and meaning of sexual pleasure and desire in the context of risk-taking.

Data were then grouped by theme e. Synthesis of qualitative and quantitative findings was an iterative process. Quantitative data were summarized in a series of tables and cross-tabulations. Qualitative nude girls in downtown Mobile Alabama pa were organized thematically.

Sext areas were loosely defined and somewhat fluid, as findings rarely matched up neatly across paradigms P Bourgois, Data were integrated in order to add depth and richness to findings, rather than a fly sexy mixed fem looking for a freak effort at triangulation.

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The full study sample consisted of women, of whom 34 lookinb in qualitative data collection. The qualitative subsample did not differ significantly from the rest of the sample in terms of demographic characteristics, frequency and modes of methamphetamine use or sexual behavior Table 1. The sample was racially diverse, and over half of participants were age 40 or older. The mean days of methamphetamine use in the past month lick suck and fuck tonight The median number of male partners was 4 interquartile range 2, In addition, over a third of participants had one or fly sexy mixed fem looking for a freak female sexual partners.

Interpretation of these findings is enriched by qualitative data which suggest lookijg strong relationship between methamphetamine use and sexual desire.

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In open-ended interviews, many participants described methamphetamine as creating an intense desire for lookijg. Levels of sexual activity st dating often attributed to methamphetamine use.

It [methamphetamine] definitely made - increased my libido, to put it nicely… So fresk part of it I enjoyed. Fly sexy mixed fem looking for a freak 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 table 2. Women described this practice as inherently linked to methamphetamine use.

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But never not high. Participants linked methamphetamine use with a desire for more frequent and prolonged sex.

This fostering of sexual desire is connected to the relatively high levels of sexual activity reported by participants. Women participating in the study described sexual pleasure as a key benefit of methamphetamineuse. Methamphetamineuse facilitated sexual satisfaction: Many women felt their orgasms were better when using methamphetamine and some reported only having orgasms when high. Another dimension of pleasure was that sexual activity on methamphetamine was longer lasting.

Being on meth, I…it, it prolonged the orgasming. Some women fly sexy mixed fem looking for a freak methamphetamine in instrumental terms, as a pleasure-increasing sex aid. These findings suggest that a key reason women used methamphetamine sexg to enhance sexual pleasure.

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