Condom use and drug consumption in migrants: a systematic review.
Cynthia Lizbeth Ruiz-Bugarin, Ulises López-Sánchez, Jesus Ramon Aranda-Ibarra and 4 others
PMID 37992303WHAT IT FOUND
Migrants who used drugs or alcohol were more likely to report inconsistent condom use.
Ask about substance use when discussing sexual health. This review did not test an intervention.
Key findings
01Migrants who used drugs during sexual relations had a 0.23 times greater probability of using condoms occasionally or never than those who did not use drugs.
02Migrant women who used illicit drugs had a 0.29 greater probability of inconsistent condom use compared with those who did not use drugs.
03In men, alcohol use was associated with a 6.44% greater risk of inconsistent condom use, and ever injecting drugs was associated with a 4.70 higher risk.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The included studies measured condom use in different ways, including always or never, last sexual relationship, consistent use, inconsistent use and resistance, so the prevalence figures are not directly comparable. Drug consumption was measured differently across studies, and some studies did not specify which drugs participants used. The migrant groups were specific, including farm workers, men who have sex with men and sex workers, so the findings may not apply to all migrants. The review included descriptive and correlational studies, so it found associations but did not test whether an intervention changed condom use or drug consumption. The authors state that the instruments were not homogeneous and that many studies analysed the variables separately, which limits the strength of the association findings.
The easy way to misread this
Do not read the association between drug use and inconsistent condom use as proof that treating substance use will improve condom use. The review included descriptive and correlational studies and did not test an intervention.