Psychiatric, behavioural and social risk factors for HIV infection among female drug users |
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Authors: | Gilchrist Gail Blazquez Alicia Torrens Marta |
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Institution: | (1) Substance Use Disorders Research Group, IMIM-Hospital del Mar, Parc de Salut Mar de Barcelona, Barcelona, Spain;(2) Centre for Applied Social Research, School of Health and Social Care, The University of Greenwich, Avery Hill Campus, London, SE9 2UG, UK;(3) Institute of Neuropsychiatry and Addictions, Parc de Salut Mar de Barcelona, Barcelona, Spain;(4) Department of Psychiatry, Universidad Aut?noma de Barcelona, Barcelona, Spain |
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Abstract: | Female drug users report greater psychopathology and risk behaviours than male drug users, putting them at greater risk for
HIV. This mixed-methods study determined psychiatric, behavioural and social risk factors for HIV among 118 female drug users
(27% (32/118) were HIV seropositive) in Barcelona. DSM-IV disorders were assessed using the Spanish Psychiatric Research Interview
for Substance and Mental Disorders. 30 participants were interviewed in-depth. In stepwise multiple backward logistic regression,
ever injected with a used syringe, antisocial personality disorder, had an HIV seropositive sexual partner and substance-induced
major depressive disorder were associated with HIV seropositivity. Qualitative findings illustrate the complex ways in which
psychiatric disorders and male drug-using partners interact with these risk factors. Interventions should address all aspects
of female drug users’ lives to reduce HIV. |
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Keywords: | |
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