Homelessness and drug use -- a narrative systematic review of interventions to promote sexual health.

The objective of this research project was to examine the effectiveness of sexual health promotion interventions in homeless drug using populations. The following databases were searched: Medline (1966 to 2003), EMBASE (1980 to 2003), psycinfo (1985 to 2003), CINAHL (1982 to 2003), web of Science (1...

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Published in:AIDS Care Vol. 18; no. 5; pp. 467 - 479
Main Authors: Wright NMJ, Walker J
Format: research systematic review tables/charts Journal Article
Published: Taylor & Francis Ltd Jul2006
Online Access:View this record in EBSCOhost
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      dt: Jul2006
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09540120500220474
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        atl: Homelessness and drug use -- a narrative systematic review of interventions to promote sexual health.
      aug:
        au:
          Wright NMJ
          Walker J
        affil: Leeds Community Drug Treatment Services, Centre for Research in Primary Care, Leeds, UK.
      sug:
        subj:
          Health Promotion Methods
          Homeless Persons
          Substance Use Disorders Prevention and Control
          Adaptation, Psychological
          Behavior
          CINAHL Database
          Cochrane Library
          Embase
          Medline
          Psycinfo
          PubMed
          Risk Taking Behavior
          Self Concept
          Substance Use Disorders Psychosocial Factors
          Human
      ab: The objective of this research project was to examine the effectiveness of sexual health promotion interventions in homeless drug using populations. The following databases were searched: Medline (1966 to 2003), EMBASE (1980 to 2003), psycinfo (1985 to 2003), CINAHL (1982 to 2003), web of Science (1981 to 2003) and the Cochrane Library (Evidence Based health). Two independent researchers selected studies for inclusion. Inclusion criteria covered longitudinal studies using comparative statistics examining interventions to promote sexual health amongst homeless drug users. Studies excluding drug users from the study sample or where no mention was made of housing status were excluded. A narrative analysis of the papers was adopted to elicit common themes emerging from the studies. Of 99 papers identified, only 6 fulfilled the inclusion criteria. Interventions which seek to effect attitudinal and behavioural change through interactive methods such as role-play, video games and group work led to a self-reported reduction in both risk from drugs and sexual activity. The evidence for maintenance of risk reduction over one year remains unclear. Interventions do not appear to promote risky sexual activity in previously sexually inactive participants.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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