Sexual and Physical Victimization as Predictors of HIV Risk Among Felony Drug Offenders

Belenko, Steven; Lin, Jeffrey; O'Connor, Lisa A.; Sung, Hung‐En; Lynch, Kevin G.

doi:10.1007/s10461-005-9005-2

Cited by 13 publications

(20 citation statements)

References 66 publications

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“…These findings are consistent with other reports, which have identified these same risk factors for homelessness (Heffron et al, 1997;Herman et al, 1997;Stein et al, 2002). Given the young ages of these IDUs, it is not clear how or whether early initiation of substance use is related to these childhood life events, but it is possible that these destabilizing life events-particularly physical abuse-may have provoked early substance use behaviors in these participants (Belenko et al, 2005;Kang et al, 2002).…”

Section: Discussionsupporting

confidence: 90%

Housing Status and Associated Differences in HIV Risk Behaviors Among Young Injection Drug Users (IDUs)

et al. 2007

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Using cross-sectional analysis we examined residential status and associated differences in HIV risk behaviors among 3266 young IDUs enrolled in an HIV prevention trial. A three-level outcome (homeless (37%), equivocally housed (17%), housed (46%)) was defined based on responses to two questions assessing subjective and objective criteria for homelessness: "equivocally housed" participants were discordant on these measures. In multivariate analysis, antecedents of homelessness were having lived in an out-of-home placement, been thrown out of the home or in juvenile detention, and experienced childhood abuse; while correlates included receiving income from other and illegal sources, drinking alcohol or using methamphetamine at least daily, using shooting galleries, backloading, and sex work. A subset of these variables was associated with being equivocally housed. HIV risk varies by housing status, with homeless IDUs at highest risk. Programs for IDUs should utilize a more specific definition of residential status to target IDUs needing intervention.

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Section: Discussionsupporting

confidence: 90%

Housing Status and Associated Differences in HIV Risk Behaviors Among Young Injection Drug Users (IDUs)

et al. 2007

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“…Our approach to measuring HIV-risk sexual behavior in terms of one's number of sexual partners is consistent with other investigations (Belenko et al, 2005; Holmes et al, 2005; Kang et al, 2002; Knittel et al, 2013; Mark et al, 2006; Meade et al, 2009; Richter et al, 2013), suggesting that the influence of psychiatric severity is better understood when examining HIV-risk sexual behavior outcomes that are commonly used in research. However, a number of studies have examined the relationship between various psychiatric (symptoms, diagnoses, lifetime/current prevalence), HIV-risk (independent items/summary scores involving drug use behaviors, sexual behaviors, or both), and substance use (diagnoses, alcohol/drug use, questionnaire scores) variables, and there is little consistency in the methods used across studies in terms of instrumentation and time-frames (i.e., the past one, six, and twelve months have all been used) of reported symptoms/indicators (see Meade & Weiss, 2007 for a review).…”

Section: Discussionsupporting

confidence: 77%

“…The RBS has been used in other studies to measure HIV-risk sexual behavior both in terms of the frequency of unprotected sexual behaviors (Hien, Campbell, Killeen, Hu, Hansen, Jiang, et al, 2010) and the number of sexual partners (Meade, Weiss, Fitzmaurice, Poole, Subramaniam, Patkar, et al, 2010). Participants’ reported number of sexual partners was assessed to measure HIV-risk sexual behavior, consistent with previous investigations (Belenko et al, 2005; Holmes et al, 2005; Kang et al, 2002; Knittel et al, 2013; Mark et al, 2006; Meade et al, 2009; Richter, Komarek, Desmond, Celentano, Morin, Sweat, et al, 2013). Participants’ reported frequency of unprotected sexual behaviors (various unprotected penetrative and oral sexual behaviors with men and women) was also assessed, consistent with previous research (Dausey & Desai, 2003; Disney et al, 2006; McHugh et al, 2012) including a psychiatric population (Meade et al, 2008).…”

Section: Methodsmentioning

confidence: 99%

Psychiatric Severity and HIV-Risk Sexual Behaviors Among Persons With Substance Use Disorders

Majer

Komer

Jason

2014

Journal of Dual Diagnosis

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Objective The relationship between mental illness and human-immunodeficiency virus (HIV)-risk sexual behavior among persons with substance use disorders is not well established because of differences in assessing psychiatric factors (types, symptoms, severity), substance use (diagnosis, survey responses, past substance use) and HIV-risk sexual behaviors (individual measures, combination of sex/drug use risk behaviors) across studies. This study utilized a more global and dimensional aspect of psychiatric issues (problem severity), to examine the relationship with HIV-risk sexual behaviors and substance use among persons with substance use disorders. Methods Participants included 224 men and 46 women, with a mean age of 40.4 years (SD = 9.5). The most common substances were heroin/opiates, with 41.4% reporting use of these substances (n = 110, 110/266), while 27.8% reported using cocaine (n = 74, 74/266) and 12.8% reported using alcohol (n = 34, 34/266). Of all participants, 39 (14.4%) were identified as having high psychiatric severity (defined using the psychiatric severity score from the Addiction Severity Index), which was used as an indication of probable comorbid psychiatric and substance use disorders. Among these participants likely to have comorbid disorders, hierarchical linear regression was conducted to examine HIV-risk sexual behaviors (number of partners and unprotected sexual behaviors in the past 30 days) in relation to psychiatric severity, substance use, and gender. Results Gender (women) and psychiatric severity (higher) were significantly related to greater HIV-risk sexual behaviors. After entering gender and substance use into the regression model, psychiatric severity accounted for another 21.9% of the variance in number of partners and 14.1% of the variance in unprotected sexual behaviors. Overall, the models accounted for 55.5% and 15.6% of the variance, respectively. A significant interaction was found for number of partners (but not frequency of unprotected behavior), such that those higher in psychiatric severity and higher in substance use had a greater number of sexual partners. The model including this interaction term accounted for 63.4% of the variance in number of partners. Conclusions Findings suggest psychiatric severity is an underlying risk factor for HIV-risk sexual behavior among persons with substance use disorders who have various psychiatric comorbidities.

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“…A growing number of researchers, along with a policy report from the World Health Organization (1997), have emphasized the need for HIV prevention interventions to incorporate IPV prevention, particularly for drug-involved women (Belenko, Lin, O'Connor, Sung, & Lynch, 2005;El-Bassel et al, 2005a;Gilbert, El-Bassel, Schilling, et al, 2000;Kalichman et al, 1998;Maman et al, 2000;Raj et al, 2004;Wingood & DiClemente, 1997;Wu et al, 2003). The disproportionately high prevalence rates of IPV among drug-involved women underscore the need to develop HIV prevention intervention models that synergistically address the multiple contexts that drive the co-occurring problems of HIV, IPV, and substance abuse.…”

Section: Implications For Hiv Prevention That Address the Co-occurrinmentioning

confidence: 99%

Intimate Partner Violence and HIV Among Drug-Involved Women: Contexts Linking These Two Epidemics—Challenges and Implications for Prevention and Treatment

El‐Bassel

Gilbert

Witte

et al. 2011

Substance Use & Misuse

133

141

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Intimate partner violence (IPV) and HIV are two serious overlapping public health epidemics that disproportionately affect drug-involved women. This article reviews research that has identified a number of contexts that may explain the links between IPV and HIV transmission risks. These contexts include sexual coercion, fear of violence, negotiation of condom use, extradyadic relationships, disclosure of sexually transmitted infections or HIV seropositivity to intimate partners, drug involvement of women and their male partners, low social status of drug-involved women, relationship dependencies, and sex ratio imbalances. The article focuses on how the bidirectional relationship between IPV and HIV risks may be mediated by a history of childhood sexual abuse and post-traumatic stress disorder. Also addressed are the challenges that substance user treatment programs face in dealing with female clients who experience IPV and the implications for HIV prevention.

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Sexual and Physical Victimization as Predictors of HIV Risk Among Felony Drug Offenders

Cited by 13 publications

References 66 publications

Housing Status and Associated Differences in HIV Risk Behaviors Among Young Injection Drug Users (IDUs)

Housing Status and Associated Differences in HIV Risk Behaviors Among Young Injection Drug Users (IDUs)

Psychiatric Severity and HIV-Risk Sexual Behaviors Among Persons With Substance Use Disorders

Intimate Partner Violence and HIV Among Drug-Involved Women: Contexts Linking These Two Epidemics—Challenges and Implications for Prevention and Treatment

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