Journal ArticleDOI
Psychological dysfunction and HIV/AIDS risk behavior.
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TLDR
The relationship between psychological problems and human immunodeficiency virus HIV/AIDS risk-taking behaviors was examined among 834 daily opioid users entering methadone treatment programs and a composite measure of psychological dysfunction was found to be significantly related to needle risk.Abstract:
The relationship between psychological problems and human immunodeficiency virus HIV/AIDS risk-taking behaviors was examined among 834 daily opioid users entering methadone treatment programs. A composite measure of psychological dysfunction was created using depression, anxiety, and hostility scales. This measure was found to be significantly related to needle risk in terms of injecting with used equipment, sharing of drug paraphernalia, and sharing with strangers. Psychological dysfunction was also related to sexual risk taking in terms of number of partners, unprotected sex with other injection drug users, and trading sex. Use of cocaine was significantly related to all measures of injection and sex-related risk taking; use of speedball (heroin and cocaine) was significantly related to use of dirty equipment and sharing of paraphernalia. The implications of study findings for AIDS prevention programming are discussed.read more
Citations
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Journal ArticleDOI
Depression and HIV risk behavior among Seattle-area injection drug users and young men who have sex with men.
TL;DR: It is suggested that psychological depression may influence certain HIV risk behavior in young MSM and IDUs, and that interventions addressing depression may be indicated.
Journal ArticleDOI
HIV and intimate partner violence among methadone-maintained women in New York City.
TL;DR: Examination of the temporal relationships between sexual and/or physical partner violence and sexual risk of HIV/STI transmission in a longitudinal study with a random sample of 416 women enrolled in methadone maintenance treatment programs in New York City suggests that women who reported always using condoms at wave 2 were significantly less likely than women who report inconsistent or no condom use to experience subsequent IPV.
Journal ArticleDOI
A model to explain the relationship between sexual abuse and HIV risk among women.
TL;DR: A final pathway is explored which suggests that specific social network characteristics (e.g. network membership type, social support, and social isolation) influence HIV risk exposure opportunities among women with sexual abuse histories.
Journal ArticleDOI
Social determinants predict needle-sharing behaviour among injection drug users in Vancouver, Canada
Steffanie A. Strathdee,David M. Patrick,David M. Patrick,Chris P. Archibald,Marianna Ofner,Peter G. A. Cornelisse,Michael L. Rekart,Michael L. Rekart,Martin T. Schechter,Martin T. Schechter,Michael V. O'Shaughnessy,Michael V. O'Shaughnessy +11 more
TL;DR: Social determinants, particularly a history of sexual abuse, are among the most significant predictors of needle borrowing among Vancouver's IDUs and early identification of these factors should be a component of HIV prevention programmes.
Journal ArticleDOI
Mental disorders and drug abuse in persons living with HIV/AIDS
TL;DR: Most individuals with co-occurring disorders report some involvement with outpatient primary medical care, although ancillary services such as mental health and substance abuse treatment, transportation assistance, and case management improve involvement in medical care.
References
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Journal ArticleDOI
Predicting Response to Alcohol and Drug Abuse Treatments: Role of Psychiatric Severity
TL;DR: Findings support the effectiveness and specificity of different substance abuse treatments, suggest methodologic reasons for the lack of similar findings in previous studies, and demonstrate the importance of psychiatric factors in substance abuse treatment.
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Cocaine use and HIV infection in intravenous drug users in San Francisco.
Richard E. Chaisson,Peter Bacchetti,Dennis Osmond,Barbara Brodie,Merle A. Sande,Andrew R. Moss +5 more
TL;DR: By multivariate analysis, black race, daily cocaine injection by blacks and Hispanics, all other cocaine injection, heavy use prior to entry into methadone treatment by blacks, and use of drugs in shooting galleries were independent predictors of HIV infection.
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Risk factors for human immunodeficiency virus infection in intravenous drug users.
Ellie E. Schoenbaum,Diana Hartel,Peter A. Selwyn,Robert S. Klein,Katherine Davenny,Martha F. Rogers,Martha F. Rogers,Cheryl Feiner,Gerald Friedland +8 more
TL;DR: Differences in both the social setting of drug use and behavior related to injection carry different risks for infection with HIV and may explain, in part, the higher seroprevalence of HIV among blacks and Hispanics.
Journal ArticleDOI
Reducing the risk of AIDS through methadone maintenance treatment.
TL;DR: In a three-year field study of methadone maintenance programs in New York City, Philadelphia, and Baltimore, treatment was found to be effective in reducing IV drug use and needle sharing among most heroin addicts.
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A 2.5-Year Follow-up of Cocaine Use Among Treated Opioid Addicts: Have Our Treatments Helped?
TL;DR: Among methadone- and drug-free-treated subjects, depression appeared to be a risk factor for escalating cocaine abuse; this risk factor may benefit from specific interventions.