HIV Risk Reduction Interventions Among Substance-Abusing Reproductive-Age Women: A Systematic Review

Weissman, Jessica; Kanamori, Mariano; Dévieux, Jessy G.; Trepka, Mary Jo; Rosa, Mario De La

doi:10.1521/aeap.2017.29.2.121

Cited by 7 publications

(4 citation statements)

References 44 publications

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“…This overview identified meaningful improvements for the intervention group such as reducing HIV/AIDS risk behaviours, although of low quality of evidence. The reviews identified no significant differences between multi-section psychosocial interventions and standard education in reducing HIV risk behaviours (64,65).…”

Section: Interventions Targeted To Reduce Hiv/aids Risk Behavioursmentioning

confidence: 95%

Psychosocial Interventions for Amphetamine Type Stimulant Use Disorder: An Overview of Systematic Reviews

et al. 2021

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Introduction: Amphetamine-type stimulants (ATS) use is a global concern due to increased usage and the harm to physical, mental, and social well-being. The objective of this overview of systematic reviews is to summarise trial results of psychosocial interventions and describe their efficacy and safety.Methods: We searched seven bibliographic databases to November 2020 for systematic reviews examining ATS misuse treatment by psychosocial interventions. Given the apparent incompleteness of the included reviews, we undertook a supplemental meta-analysis of all eligible primary studies.Results: We included 11 systematic reviews of moderate to high quality and 39 primary studies which assessed the outcomes of psychosocial interventions on people who use ATS. The key findings include: (1) There were conflicting results about the effectiveness of psychosocial interventions among reviews, which may confuse decision-makers in selecting treatment. (2) In the supplemental meta-analysis, relative to usual care (only counselling or self-help materials), membership of a psychological intervention group was associated with an important reduction in drug usage [risk ratio (RR) 0.80, 95% CI: 0.75 to 0.85]. Patients in psychological interventions used injectables substantially less [odds ratio (OR) 0.35, 95% CI: 0.24 to 0.49]. The risk of unsafe sex in the psychosocial intervention group was lower than in the control group (RR 0.49, 95% CI: 0.34 to 0.71). The combination of therapies reduced 1.51 day using drugs in the preceding 30 days (95% CI: −2.36 to −0.67) compared to cognitive behavioural therapy intervention alone. (3) Compared to usual care, cognitive behavioural therapy was less likely to be retained at follow-up (RR 0.89, 95% CI: 0.82 to 0.97; high-quality evidence). However, the additional of contingency management strategy can make an important improvement upon retention (RR 1.42, 95%CI: 1.25 to 1.62).Authors' Conclusions: Integrated models are more effective than a single-treatment strategy. Comprehensive and sustained psychosocial interventions can help to reduce use of ATS and other drugs, risk behaviours and mental disorders, and significantly improve treatment adherence.

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Section: Interventions Targeted To Reduce Hiv/aids Risk Behavioursmentioning

confidence: 95%

Psychosocial Interventions for Amphetamine Type Stimulant Use Disorder: An Overview of Systematic Reviews

et al. 2021

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“…Substance abuse plays a major role in human immunodeficiency virus (HIV) infection transmission; approximately 29% of HIV-infected women contracted the virus through injecting drugs, and another 15% contracted it through sexual contact with an HIV-infected drug user. In 2017, an estimated 47% of new infections occurred among key populations and their partners [4,5]. Despite significant advances in the prevention of HIV/acquired immunodeficiency syndrome (AIDS) and hepatitis, injection drug use continues to contribute to new infections, both directly through the sharing of injection equipment, and indirectly through sexual transmission from injection drug use (IDU) to non-IDU sex partners [6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

“…Despite significant advances in the prevention of HIV/acquired immunodeficiency syndrome (AIDS) and hepatitis, injection drug use continues to contribute to new infections, both directly through the sharing of injection equipment, and indirectly through sexual transmission from injection drug use (IDU) to non-IDU sex partners [6][7][8][9]. The exchange of sex for drugs or money, another risk factor for HIV infection, is common among those who abuse drugs [5]. Risky sexual behaviours (RSBs) are highly prevalent among people with SRDs because being under the influence of a substance can disrupt the judgment of the individual, resulting in involvement in risky behaviours, particularly RSBs [10][11][12], and it often leads to adverse health outcomes [13] such as reduced or no condom use, an increased number of sexual partners -particularly when combined with illicit drugs and alcohol use -and sex with high-risk sexual partners, as well as exchanging sex for drugs or money, resulting in an increased risk of HIV and hepatitis B virus (HBV) infection [5,10,[12][13][14].…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of peer education interventions on HIV- and HBV-preventive behaviours in women with substance-related disorders: a cluster randomised control trial

Ahmadi¹,

Jamshidimanesh²,

Zafarghandi³

et al. 2019

HIV & AIDS Review

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Introduction: Substance-related disorders (SRDs) have become a problematic phenomenon in many countries, including Iran. Risky sexual behaviours are highly prevalent among people with SRDs. This study aimed to evaluate the effectiveness of a peer education program on preventive behaviours related to human immunodeficiency virus (HIV) and hepatitis B virus (HBV) in women with SRDs. Material and methods: One hundred eligible female drug abusers from 10 drop-in centres located in Tehran were entered into the study using convenience sampling. The intervention included six training sessions. Sessions were held in small groups and conducted by peer educators. The primary topics discussed were problem-solving skills, and HIV/HBV disease-related information including testing, transmission, and prevention. All participants completed demographic and sexual function questionnaires prior to, one-, and three-months post-intervention. Results:The results showed a significant decrease in the percentage of drug (96.00%, 75.55%, 73.52%, p = 0.001) and alcohol use (32.00%, 13.33%, 2.90%, p = 0.000) prior to sexual intercourse in the intervention group. Additionally, the number of sex acts under the influence of drugs and alcohol decreased significantly (p < 0.001). The number of sexual partners (p < 0.000) significantly declined, but total drug use indicated no change. We found increases in the percentage of women who reported having had a recent HIV test (p < 0.001) and in condom use (p < 0.001), but the control group showed no significant difference. Conclusions:Based on current results, peer education programs can have a positive effect on high-risk sexual behaviours related to HIV and HBV in women with substance-related disorders. The potential influence of peers in health interventions should be given greater consideration.

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“…To identify a potential scope of existing interventions to curb opioid crisis, an initial search was performed for an overarching research study (Canadian Institutes of Health Research [CIHR] grant #EOC-162067). Among others, this search revealed eighteen SRs [28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45] on OUAIs prevention. The identi ed literature was limited to the HCV and HIV prevention, treatment, or integrated care, and targeted population of persons who inject drugs only.…”

mentioning

confidence: 99%

Effectiveness of Interventions for Prevention of Common Infections in People Who Use Opioids: A Protocol for a Systematic Review of Systematic Reviews

Kudrina

Puzhko

Filion

et al. 2020

Preprint

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Background. The North American opioid crisis is driven by opioid-related mortality and morbidity, including opioid use-associated infections (OUAIs), resulting in a substantial burden for society. Users of legal and illegal opioids are at an increased risk of OUAIs compared to individuals not using opioids. As reported for hepatitis C virus (HCV), human immunodeficiency virus (HIV), bacterial, fungal, and other infections, OUAIs transmission and acquisition risks may be modifiable. Several systematic reviews (SRs) synthetized data regarding interventions to prevent infections in persons using drugs (e.g., opioid substitution therapy, needle and syringes exchange programs, psycho-social interventions); however, their conclusions varied. Therefore, SR of published SRs is needed to synthesize the highest level of evidence on the scope and effectiveness of interventions to prevent OUAIs in people using opioids legally or illegally. Methods. We will comprehensively search for SRs in the PubMed, Embase, PsycINFO, Cochrane Database of Systematic Reviews, Epistemonikos and Google Scholar databases from inception to November 2020. Data selection and extraction for each SR will be performed independently by two researchers, with disagreements resolved by consensus. All SRs regarding interventions with evaluated effectiveness to prevent OUAI in legal and/or illegal opioid users will be eligible. Risk of bias assessment will be performed using the AMSTAR2 tool. The results will be qualitatively synthesized, and a typology of interventions’ effectiveness with a statement on the strength of evidence for each category will be created. Discussion. Our pilot search of PubMed resulted in 379 SRs analyzing the effectiveness of interventions to prevent HCV and HIV in persons who inject different types of drugs, including opioids. Of these 379 SRs, eight evaluated primary studies where participants used opioids and would therefore be eligible for inclusion. The search results thus justify the application of SR of SRs approach. Comprehensive data on the scope and effectiveness of existing interventions to prevent OUAIs will help policy makers to plan and implement preventive interventions and will assist clinicians in the guidance for their patients using opioids. SR registration: Registered in PROSPERO on July 30, 2020 (#195929).

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HIV Risk Reduction Interventions Among Substance-Abusing Reproductive-Age Women: A Systematic Review

Cited by 7 publications

References 44 publications

Psychosocial Interventions for Amphetamine Type Stimulant Use Disorder: An Overview of Systematic Reviews

Psychosocial Interventions for Amphetamine Type Stimulant Use Disorder: An Overview of Systematic Reviews

The effectiveness of peer education interventions on HIV- and HBV-preventive behaviours in women with substance-related disorders: a cluster randomised control trial

Effectiveness of Interventions for Prevention of Common Infections in People Who Use Opioids: A Protocol for a Systematic Review of Systematic Reviews

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