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Bourgois P, Hart LK. The publisher's final edited version of this article is available at Int J Drug Policy. Commentary on Genberg et al. Rather, there were many perceptions of the role of methamphetamine use on sexual risk. Tashakkori A, Creswell J. Toward a conceptual framework for mixed method evaluation designs. Abstract Background The intersection of drug use, sexual pleasure and sexual risk behavior is rarely explored when it comes to poor women who use drugs.

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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.

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

Another said she feels more sexually attractive when using methamphetamine. 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. One woman described how she relies on her powers of observation and judgment skills to stay safe:. Sexual risk behavior Our overarching measure of sexual risk behavior was unprotected vaginal or anal sex with male partners. Toward a conceptual framework for mixed method evaluation designs. Structural violence and clinical medicine. Thus, there is probably variation in how participants interpreted this term.

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