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. 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. Results While many participants reported sexual risk behavior unprotected vaginal or anal intercourse in the quantitative survey, sexual risk was not the central narrative pertaining to sexual behavior and methamphetamine use in qualitative findings. Rather, desire, pleasure and disinhibition arose as central themes. Findings were mixed on whether methamphetamine use increased sexual risk behavior. Conclusion 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 minimization. And sometimes I wish that I could have that sexual pleasure feeling forever.
This category was the largest and represented over half of male and about two-fifths of female participants. In this group as in the others, we observed important within-category variation. There were both stylistic and substantive differences all the rage the ways young people conformed. The conforming group was split almost calmly between unquestioning and conflicted conformity; akin proportions of men and women were represented in each subgroup. Their accord was unquestioning. You shouldn't have en route for have sex, or do anything. The right of all persons to sexual autonomy is inarguable. Rondell described body at a club with a arrange of male friends and having a contest to see which of them could acquire the most phone numbers from women. He eventually got all together with one of these women, after that they had sex, but her consequent interest in a continuing relationship bowed him off: Like after that, she just got kind of clingy, akin to way too clingy for me