Methamphetamine ("tik") use and its association with condom use among out-of-school females in Cape Town, South Africa

Wendee M. Wechsberg, Hendree E. Jones, William A. Zule, Bronwyn J. Myers, Felicia A. Browne, Michelle R. Kaufman, Winnie Luseno, Alan J. Flisher, Charles D.H. Parry

Research output: Contribution to journalArticlepeer-review

42 Scopus citations


Background : Little is known about the association between methamphetamine use and sexual risk behaviors among young South African women between 13 and 20 years of age. Objective: To examine the association between methamphetamine use and condom use among out-of-school SouthAfrican female adolescents. Methods: Black and Coloured female adolescents were interviewed and categorized into methamphetamine user (n = 261) or non-user (n = 188) groups. Results: Methamphetamine use was reported by 58% of the total sample. Higher methamphetamine rates were found among young Coloured females (87%) than among young Black females (11%). In a multiple logistic regression analysis that adjusted for relevant confounders and included an interaction term for race and methamphetamine use, Coloured female methamphetamine users were over six times more likely than other participants to report not using a condom the last time they had sex (OR = 6.21; 95% CI = 1.21, 31.94). Conclusions and Scientific Significance: Efforts are needed to reduce methamphetamine use and related sexual risk among adolescent females in Coloured communities and to prevent the spread of methamphetamine use in Black African communities.

Original languageEnglish (US)
Pages (from-to)208-213
Number of pages6
JournalAmerican Journal of Drug and Alcohol Abuse
Issue number4
StatePublished - Jul 2010
Externally publishedYes


  • Adolescent females
  • Methamphetamine use
  • Sexual risk behavior
  • South Africa

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health


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