Effects of trauma intervention on HIV sexual risk behaviors among women with co‐occurring disorders in substance abuse treatment

Relationship Power and Sexual Risk among Women in Community-Based Substance Abuse Treatment

“…Prior studies have found higher total SRPS scores to be associated with fewer unprotected sexual occasions in a community sample 13 and substance abuse treatment-seeking sample. 14 The current findings support the use of multidimensional domains of power to better understand and disentangle heterosexual power dynamics in the context of sexual risk behavior.…”

“…Further, there is a paucity of research on the influence of relationship power on sexual risk among drug-involved women (see Amaro et al 14 for an exception). Given the established link between drug and alcohol use and increased risk for HIV transmission, 9,15 women with substance use disorders are a particularly vulnerable population.…”

“…Studies conducted in the USA found positive associations between sexual power, as measured by the total SRPS score, and condom use. 13,14 Using data collected from a sample of women with substance abuse disorders, mental health disorders, and a history of trauma (and a part of the larger Substance Abuse and Mental Health Services Administration Women, Co-Occurring Disorders and Violence Study), Amaro and colleagues 14 showed that women with higher relationship power were less likely to have unprotected sex. Several international studies (i.e., Haiti, South Africa) using an adapted 12-item SRPS measure 26 or a subset of SRPS questions 27,28 found mixed results.…”

Does integrated trauma‐informed substance abuse treatment increase treatment retention?

“…Substance abuse and mental health symptoms improve with increased time in treatment in interaction with more severe baseline symptoms. These findings lend support to a growing consensus that for persons with co-occurring disorders, an integrated treatment approach is the most appropriatẽ Amaro et al, 2007a;Amaro et al, 2007b;Barrowclough, et al, 2001;Cocozza et al, 2005;Hellerstein et al, 2001;Morrissey, Jackson et al, 2005;Ouimette et al, 1998;RachBeisel et al, 1999;Ziedonis & Stern, 2001!. …”

“Amar te Duele” (“Love Hurts”): Sexual Relationship Power, Intimate Partner Violence, Depression Symptoms and HIV Risk Among Female Sex Workers Who Use Drugs and Their Non-commercial, Steady Partners in Mexico

“…We applied dyadic modeling techniques based upon the Actor-Partner Interdependence Model (APIM)(42) to assess multiple risk factors for unprotected sex at both the individual and couple level. Based upon previous research with Latina samples (18, 26, 43), we hypothesized that for FSWs who use drugs lower relationship power, higher prevalence of IPV, and more depression symptoms would be associated with increased unprotected sex with their male, non-commercial steady partners. We hypothesized for male partners, higher relationship power, higher prevalence of IPV, and more depression symptoms would be associated with higher rates of unprotected sex with their FSW partners.…”