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Author: Therese Fizgerald
Publisher:
ISBN:
Category :
Languages : en
Pages : 462
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Book Description
Abstract: This dissertation explores whether family relationship factors are associated with HIV/AIDS risk reduction service utilization among women injection drug users (IDUs). Women IDUs are at high risk of HIV and often in high need of HIV risk reduction services. Prior research demonstrates that women's family relationships are associated with their substance abuse and HIV risky behaviors. Less is known about the relationship between family factors and health services use. Based on the theoretical frameworks developed by Aday & Andersen (1974) and Amara (1995) this dissertation uses quantitative and qualitative methods to explore the association between women IDU's family relationships, with both spouses/sex partners and minor children, and their use of HIV/AIDS risk reduction health services. First, data from a sample of 198 injection drug-using (IDU) women were analyzed using logistic regression techniques. Controlling for key predisposing, enabling, and need factors significant at the bivariate level (age, race/ethnicity, education, homelessness, employment, income, mental health symptoms, and injection drug use), the findings indicated that: (1) living with children was significantly and positively associated with the use of drug treatment, mental health treatment and needle exchange programs (NEPs); (2) living with a partner or spouse was positively and significantly associated with use of (NEP) services and; (3) African American women were less likely to use drug and mental health treatment, psychiatric medications, and NEPs than their white counterparts. Living with children was also significantly associated with overall higher scores on the Magnitude of Health Services Index (MHSI), an exploratory measure specifically developed for this dissertation. Qualitative analysis of interviews conducted with a sub-group of 14 women IDUs selected from the larger sample suggested three different themes. First, women's health services use seemed influenced by trauma legacies that began in childhood and continued into adulthood. Second, the women described role conflicts as they struggled with their motherhood performance while addicted to drugs. Finally, the theme of mandated to treatment revealed how mothers' relationships with their children facilitated treatment. An implication of this study is that family relationships are essential elements in women IDU's use of HIV/AIDS risk reduction services and need to be essential components in future research, policy, and practice HIV prevention efforts for women.
Author: Therese Fizgerald
Publisher:
ISBN:
Category :
Languages : en
Pages : 462
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Book Description
Abstract: This dissertation explores whether family relationship factors are associated with HIV/AIDS risk reduction service utilization among women injection drug users (IDUs). Women IDUs are at high risk of HIV and often in high need of HIV risk reduction services. Prior research demonstrates that women's family relationships are associated with their substance abuse and HIV risky behaviors. Less is known about the relationship between family factors and health services use. Based on the theoretical frameworks developed by Aday & Andersen (1974) and Amara (1995) this dissertation uses quantitative and qualitative methods to explore the association between women IDU's family relationships, with both spouses/sex partners and minor children, and their use of HIV/AIDS risk reduction health services. First, data from a sample of 198 injection drug-using (IDU) women were analyzed using logistic regression techniques. Controlling for key predisposing, enabling, and need factors significant at the bivariate level (age, race/ethnicity, education, homelessness, employment, income, mental health symptoms, and injection drug use), the findings indicated that: (1) living with children was significantly and positively associated with the use of drug treatment, mental health treatment and needle exchange programs (NEPs); (2) living with a partner or spouse was positively and significantly associated with use of (NEP) services and; (3) African American women were less likely to use drug and mental health treatment, psychiatric medications, and NEPs than their white counterparts. Living with children was also significantly associated with overall higher scores on the Magnitude of Health Services Index (MHSI), an exploratory measure specifically developed for this dissertation. Qualitative analysis of interviews conducted with a sub-group of 14 women IDUs selected from the larger sample suggested three different themes. First, women's health services use seemed influenced by trauma legacies that began in childhood and continued into adulthood. Second, the women described role conflicts as they struggled with their motherhood performance while addicted to drugs. Finally, the theme of mandated to treatment revealed how mothers' relationships with their children facilitated treatment. An implication of this study is that family relationships are essential elements in women IDU's use of HIV/AIDS risk reduction services and need to be essential components in future research, policy, and practice HIV prevention efforts for women.
Author: Sally J. Stevens
Publisher: Psychology Press
ISBN: 9780789003515
Category : AIDS (Disease)
Languages : en
Pages : 262
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Book Description
In Women, Drug Use, and HIV Infection, you'll see why AIDS is the fourth leading cause of death among women of childbearing age, and you'll come to understand why it disproportionately affects minority women, many of whom are poor, addicted to drugs, and/or the sexual partners of drug users. You'll gain instantaneous access to the data collected by a national, multi-site Cooperative Agreement funded by the National Institute on Drug Abuse. The quantitative and qualitative studies contained in this publication will familiarize you with the lives of women especially susceptible to HIV infection. You'll also discover descriptions of prevention strategies that will lower the risk of infection in this high-risk population of women. In Women, Drug Use, and HIV Infection, at least two chapters focus on each main topic, giving you a deeper, multilayered look at each issue. Even after a few chapters, you'll find that your understanding of this national societal illness will expand tremendously in these and other areas: cultural contexts of various geographical areas of the United States perceptions of HIV risk among the women who use drugs the difference in risk behaviors of drug-using women in cities of different sizes with different rates of HIV seroprevelance how past and current domestic violence changes the HIV risk behavior of women who are sexual partners of drug users how the trading of sex for drugs and/or money is critical in tracking HIV risk behavior in women Women, Drug Use, and HIV Infection takes its data from a wide variety of U.S. locations and from a wide variety of women and organizes it in a way that you can understand, process, and ultimately turn toward transformative action in your rural or urban area of the country. You'll get the latest in outreach and intervention efforts, and you'll find yourself with more and more recommendations for future prevention.
Author: Dennis Fisher
Publisher: Routledge
ISBN: 1317952774
Category : Health & Fitness
Languages : en
Pages : 244
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Book Description
Delve into the uncharted territory of the “hidden” drug addict--users who are not in treatment, not incarcerated, and not officially accessible for research purposes through traditional means. AIDS and Community-Based Drug Intervention Programs describes short-term interventions used to reduce the odds that these drug users will get infected by the Human Immunodeficiency Virus (HIV). The book explains new methods that are being developed, such as targeted sampling, social network analysis, geomapping, and other amalgams of both quantitative and qualitative approaches, that need to be forged to overcome the challenges of the war against AIDS. The research described in this important book was conducted under the Cooperative Agreement for AIDS Community-Based Outreach/Intervention Research funding mechanism of the National Institute on Drug Abuse (NIDA). Chapters include research on several ethnic groups, including Alaska natives, Puerto Ricans, and Navaho teens. AIDS and Community-Based Drug Treatment Programs, written by experts in the field, is a broad-based treatment of the subject by those who are actually doing the work in the trenches. Authors cover topics such as: the use of goal-oriented counseling and peer support to reduce HIV/AIDS risk quantitative and qualitative methods to assess behavioral change among injection drug users (IDUs) the importance of sampling from hidden populations in research a public health model for reducing AIDS-related risk behavior among IDUs and their sexual partners characteristics of female sexual partners of IDUs strategies used to implement random sampling strategies in the recruitment of out-of-treatment crack and IDUs ethnographic analysis of intravenous drug use analysis of contact tracing strategies employed to combat the AIDS epidemic the use of pile sorts to enhance other tools used by drug prevention programsAIDS and Community-Based Drug Intervention Programs is full of current research and useful information for professionals interested in learning about strategies for conducting HIV/AIDS research among hard-to-reach populations. Substance abuse researchers, treatment professionals, and people involved in AIDS prevention programs, state and county health departments, and criminal justice systems will find much relevant and important information to use in their daily work.
Author: National Research Council and Institute of Medicine
Publisher: National Academies Press
ISBN: 0309176212
Category : Medical
Languages : en
Pages : 352
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Book Description
This volume addresses the interface of two major national problems: the epidemic of HIV-AIDS and the widespread use of illegal injection drugs. Should communities have the option of giving drug users sterile needles or bleach for cleaning needs in order to reduce the spread of HIV? Does needle distribution worsen the drug problem, as opponents of such programs argue? Do they reduce the spread of other serious diseases, such as hepatitis? Do they result in more used needles being carelessly discarded in the community? The panel takes a critical look at the available data on needle exchange and bleach distribution programs, reaches conclusions about their efficacy, and offers concrete recommendations for public policy to reduce the spread of HIV/AIDS. The book includes current knowledge about the epidemiologies of HIV/AIDS and injection drug use; characteristics of needle exchange and bleach distribution programs and views on those programs from diverse community groups; and a discussion of laws designed to control possession of needles, their impact on needle sharing among injection drug users, and their implications for needle exchange programs.
Author: Carl G. Leukefeld
Publisher:
ISBN:
Category : AIDS (Disease)
Languages : en
Pages : 324
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Book Description
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309102804
Category : Medical
Languages : en
Pages : 298
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Book Description
Drug dependence is a complex, chronic, relapsing condition that is often accompanied by severe health, psychological, economic, legal, and social consequences. Injecting drug users are particularly vulnerable to HIV and other bloodborne infections (such as hepatitis C) as a result of sharing contaminated injecting equipment. All drug-dependent individuals, including injecting drug users (IDUs), may be at increased risk of HIV infection because of high-risk sexual behaviors. There are an estimated 13.2 million injecting drug users (IDUs) world-wide-78 percent of whom live in developing or transitional countries. The sharing of contaminated injecting equipment has become a major driving force of the global AIDS epidemic and is the primary mode of HIV transmission in many countries. In some cases, epidemics initially fueled by the sharing of contaminated injecting equipment are spreading through sexual transmission from IDUs to non-injecting populations, and through perinatal transmission to newborns. Reversing the rise of HIV infections among IDUs has thus become an urgent global public health challenge-one that remains largely unmet. In response to this challenge, the Institute of Medicine convened a public workshop in Geneva in December 2005 to gather information from experts on IDU-driven HIV epidemics in the most affected regions of the world with an emphasis on countries throughout Eastern Europe, the Commonwealth of Independent States, and significant parts of Asia. Experts from other regions also provided information on their experiences in preventing HIV infection among IDUs. This report provides a summary of the workshop discussions. Preventing HIV Infection among Injecting Drug Users in High Risk Countries describes the evidence on the intermediate outcomes of drug-related risk and sex-related risk prior to examining the impact on HIV transmission. This report focuses on programs that are designed to prevent the transmission of HIV among injecting drug users. These programs range from efforts to curtail non-medical drug use to those that encourage reduction in high-risk behavior among drug users. Although the report focuses on HIV prevention for IDUs in high-risk countries, the Committee considered evidence from countries around the world. The findings and recommendations of this report are also applicable to countries where injecting drug use is not the primary driver, but in which injection drug use is nevertheless associated with significant HIV transmission.
Author: Barry S. Brown
Publisher: Greenwood
ISBN:
Category : Health & Fitness
Languages : en
Pages : 622
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Book Description
Intravenous drug users account for nearly one-third of the current AIDS cases in the United States--second only to gay males--and are responsible for 72 percent of female and 59 percent of pediatric cases of AIDS. Thus the National Institute of Drug Abuse launched a major effort in 1987 to locate hidden users and to see how they function and to evaluate strategies and community-based programs in 50 cities and 60 nearby communities around the country in order to lower risks to IV users and to reduce the dangers that they pose to others in the population. Brown and Beschner present the very latest findings and come to well-tested conclusions about how to change behaviors positively. This handbook is written for use in college, university, and professional libraries and for students, teachers, policymakers, and practitioners in public health service and in public policy at all governmental levels to study carefully. Brown and Beschner open with an introduction showing how injection drug users and their sexual partners are at risk for aids. Part I describes the spread of AIDS in the United States and Puerto Rico. Part II depicts patterns of injection drug and crack use and their effect on sex partners. Part III deals with gender issues. Part IV goes into demographic and background factors. Part V discusses key issues in the use of drug abuse treatment. Part VI analyzes outreach and behavior change strategies. And Part VI looks into how risk can be reduced as a result of outreach and specific intervention strategies. The final chapter comes to some conclusions about the effectiveness of various interventions by the National AIDS Demonstration Research Project. Background readings also add to the importance of this major reference.
Author: DIANE Publishing Company
Publisher: DIANE Publishing
ISBN: 9780788121753
Category :
Languages : en
Pages : 92
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Book Description
Based on data from 28 sites that contributed data on HIV-related risk behavior among 13,475 injection drug users and 1,637 sexual partners of IDUs who were followed for a period of 6 months. Results on: risk behavior assessments of IDUs, risk behavior assessments for sex partners of IDUs, and knowledge of AIDS among IDUs and sexual partners. 32 tables. Extensive references.
Author: Andrew Ball
Publisher: Routledge
ISBN: 1135359547
Category : Health & Fitness
Languages : en
Pages : 313
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Book Description
This is a comparative international study of drug injecting behaviour and HIV infection based on the World Health Organization's study of 13 cities as disparate as Athens, Bangkok, Glasgow and Rio de Janeiro.
Author: Kasia Malinowska-Sempruch
Publisher: IDEA
ISBN: 9780972054171
Category : AIDS (Disease)
Languages : en
Pages : 340
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Book Description
Annotation Drug policies are often categorized in terms of public health and safety: governments forbid the voluntary use of certain substances because such use undermines the good of society as a whole. This book aims to position drug policies in another context - the context of human rights. Articles will examine the rights of drug users, with special attention to the right to adequate medical care, which is often denied to intravenous drug users who are suffering from HIV/AIDS. included will be articles that express a contrary position: that intravenous drug users have voluntarily relinquished their rights by engaging in criminal behavior. Particularly controversial are the rights of drug-using mothers whose children are sometimes put into state custody. The book will also examine the conflict between criminal codes and the human right of individual freedom, emphasizing the human rights abuses that often accompany drug policy enforcement. The texts of basic treaties and accords on human rights will be included.
