Screening for sexually transmitted infections in substance abuse treatment programs

Liebschutz, Jane M.; Finley, Erin P.; Braslins, Phillip G.; Christiansen, Demian; Horton, Nicholas J.; Samet, Jeffrey H.

doi:10.1016/s0376-8716(02)00361-7

Cited by 19 publications

(19 citation statements)

References 27 publications

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“…Seventy-three percent (37/51) of participants opted to be tested for gonorrhea, chlamydia, and trichomonas. Similar to others who have found a low prevalence of chlamydia and gonorrhea among adult substance users (18), in our study the prevalence of these diseases among those who opted for testing was 5.4% (2/37) and 0% respectively. We also found a low rate of trichomonas at 5.4% (2/37).…”

Section: Discussionsupporting

confidence: 68%

A Model to Provide Comprehensive Testing for HIV, Viral Hepatitis, and Sexually Transmitted Infections at a Short-Term Drug Treatment Center

Lally

MacNevin

Sergie

et al. 2005

AIDS Patient Care and STDs

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Substance users are at high risk for blood borne infections as well as those that are transmitted sexually. Substance abuse treatment centers present an opportunity to offer comprehensive counseling and testing (CCT) for HIV, viral hepatitis, and sexually transmitted infections (STIs) to this high-risk population. We examined the feasibility and acceptability of one model of CCT among substance users. CCT was offered to 145 consecutive inpatients; study participants completed a risk factor questionnaire and selected from a menu of testing options. Thirty-six percent of those approached agreed to participate and accepted at least one biologic test. Sixty-two percent of participants accepted all tests that were offered. While beneficial to those who accept testing, the described model of CCT is feasible in a drug treatment center, but acceptable to only a minority of inpatients.

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Section: Discussionsupporting

confidence: 68%

A Model to Provide Comprehensive Testing for HIV, Viral Hepatitis, and Sexually Transmitted Infections at a Short-Term Drug Treatment Center

Lally

MacNevin

Sergie

et al. 2005

AIDS Patient Care and STDs

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“…Several studies tested for both gonorrhea and chlamydia in drug users (Bachmann et al, 2000;Friedman et al, 2003;Gunn et al, 2005;Hwang et al, 2000;Lally et al, 2002;Latka et al, 2001;Liebschutz et al, 2003;Ross et al, 2002). For gonorrhea, a prevalence rate ranging from 1% to 3% was reported in those studies.…”

Section: Stds Among Drug Usersmentioning

confidence: 99%

Behavior Change and Health-Related Interventions for Heterosexual Risk Reduction Among Drug Users

Semaan

Jarlais

Malow

2006

Substance Use & Misuse

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Prevention of heterosexual transmission of HIV between and from drug users is important for controlling the local and global HIV heterosexual epidemic. Sex risk reduction interventions and health-related interventions are important for reducing the sex risk behaviors of drug users. Sex risk reduction interventions address individual-level, peer-level, and structural-level determinants of risk reduction. Health-related interventions include HIV counseling and testing, prevention and treatment of sexually transmitted diseases, and delivery of highly active antiretroviral therapy. It is important to adapt effective interventions implemented in resource-rich countries to the realities of the resourceconstrained settings and to address relevant contextual factors.RESUMEN-Il est important de prévenir la transmission hétérosexuelle du VIH à partir des usagers de drogue pour contrôler l'épidémie hétérosexuelle locale et mondiale de VIH. Des interventions ciblant à la fois la réduction de risque sexuel et la santé des usagers de drogue sont nécessaires. Les interventions de réduction de risque sexuel prennent en compte le niveau individuel, le niveau des pairs et celui des déterminants structurels de la réduction des risques. Les interventions visant l'amélioration de la santé comprennent le conseil et le dépistage du VIH, la prévention et le traitement des infections sexuellement transmissibles et la prescription d'antirétroviraux. Il est important d'adapter les interventions efficaces mises en place dans les pays riches aux réalités des contextes de pays à ressources limitées et de tenir compte des facteurs contextuels pertinents. Keywords global research; HIV; injection drug use; research interventions; sexual risk HIV Infection and Injection Drug UsersInjection drug use continues to complicate the control of the global HIV epidemic (UNAIDS, 2004). In 2003, 136 countries reported injecting drug use and 93 countries reported HIV infection among injection drug users (IDUs) (World Health Organization, 2003). IDUs are at risk for infection with HIV through both multiperson use ("sharing") of drug injection equipment and through unsafe sex behaviors (Aceijas et al., 2004). Although the scope and effectiveness of interventions aimed at reducing HIV infection through drug injection equipment has been well documented in the literature (Des Jarlais et al., 2005;Quan et This review describes sex risk reduction interventions with drug users and their effectiveness in reducing sexual risk behaviors of IDUs and other drug users. We highlight the needs and opportunities for these interventions, discuss the generalizability of the results to resourceconstrained settings, and outline the implications for global research efforts and public health practice. Although our literature review is not comprehensive, it highlights many areas that affect sexual transmission of HIV to and from drug users in both resource-rich and resourceconstrained settings. Efforts to reduce substance abuse and HIV risk associated with injection behav...

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“…Among a variety of populations studied, individuals who report lifetime histories of interpersonal violence are more likely to report a number of associated findings compared to those who do not report such histories. These findings include: increased somatic symptoms, increased medical illnesses, worse self-rated health status, more sexually transmitted diseases, more substance use and abuse, increased mental illness, increased health care utilization (ED visits and hospitalizations) and more subsequent violence (Bergman et al, 1992;Coker et al, 2000Coker et al, , 2002Eisenman et al, 2003;Felitti et al, 1998;Frayne et al, 1999;Johnsen & Harlow, 1996;Kilpatrick et al, 1997;Koss et al, 1991;Liebschutz et al, 2002;Liebschutz et al, 1997Liebschutz et al, , 2000Liebschutz et al, , 2003Windle, 1994). Although most of these studies focused on female victims of interpersonal violence, a few extended these findings to men (Clark et al, 2001;Eisenman et al, 2003;Liebschutz et al, 2002).…”

Section: Introductionmentioning

confidence: 98%

Physical and sexual violence and health care utilization in HIV-infected persons with alcohol problems

et al. 2005

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We examined interpersonal violence and its association with health care utilization and substance use severity among a cohort of 349 HIV-infected men and women with histories of alcohol problems assessed biannually up to 36 months. Data included demographics, lifetime interpersonal violence histories, age at first violence exposure, recent violence (prior six months), substance use severity and health care utilization (ambulatory visits, Emergency Department (ED) visits, hospitalizations) and adherence to HIV medication. Kaplan-Meier survival curves estimated the proportion of subjects experiencing recent violence. Generalized estimating equation regression models evaluated the relationship between recent violence, utilization and substance use severity over time, controlling for demographics, CD4 counts and depressive symptoms. Subject characteristics included: 79% male; mean age 41 years; 44% black, 33% white and 23% other. Eighty percent of subjects reported lifetime interpersonal violence: 40% physical violence alone, and 40% sexual violence with or without physical violence. First violence occurred prior to age 13 in 46%. Twenty-four (41%) of subjects reported recent violence by 24 and 36 months, respectively. In multivariate analyses, recent violence was associated with more ambulatory visits, ED visits and hospitalizations and worse substance use severity, but not medication adherence. Due to the high incidence and associated increased health care services utilization, violence prevention interventions should be considered for HIV-infected patients with a history of alcohol problems.

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Screening for sexually transmitted infections in substance abuse treatment programs

Cited by 19 publications

References 27 publications

A Model to Provide Comprehensive Testing for HIV, Viral Hepatitis, and Sexually Transmitted Infections at a Short-Term Drug Treatment Center

A Model to Provide Comprehensive Testing for HIV, Viral Hepatitis, and Sexually Transmitted Infections at a Short-Term Drug Treatment Center

Behavior Change and Health-Related Interventions for Heterosexual Risk Reduction Among Drug Users

Physical and sexual violence and health care utilization in HIV-infected persons with alcohol problems

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