HIV infection and patterns of risk among women drug injectors and crack users in low and high sero-prevalence sites.

As AIDS cases among US women continue to increase, a better understanding of women's behavioural risk patterns is needed to inform intervention efforts. Data were from 2,945 women drug injectors and crack users. Statistical analyses compared sociodemographic variables, lifetime behavioural risk patt...

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Publicado en:AIDS Care Vol. 12; no. 1; pp. 65 - 77
Autores principales: Tortu S, Beardsley M, Deren S, Williams M, McCoy HV, Stark M, Estrada A, Goldstein M
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Feb2000
Acceso en línea:Ver este registro en EBSCOhost
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        atl: HIV infection and patterns of risk among women drug injectors and crack users in low and high sero-prevalence sites.
      aug:
        au:
          Tortu S
          Beardsley M
          Deren S
          Williams M
          McCoy HV
          Stark M
          Estrada A
          Goldstein M
        affil: National Development and Research Institutes, Inc., Two World Trade Centre-16th Floor, New York, NY 10048; email stephanie.tortu@ndri.org
      sug:
        subj:
          HIV Seropositivity Epidemiology
          HIV Infections Complications
          Crack Cocaine
          Substance Abuse, Intravenous Complications
          Comparative Studies
          HIV Infections Epidemiology
          HIV Infections Psychosocial Factors
          Questionnaires
          Seroprevalence Studies
          Risk Taking Behavior
          Funding Source
          United States
          P-Value
          Descriptive Statistics
          Confidence Intervals
          Odds Ratio
          T-Tests
          Chi Square Test
          Behavior Rating Scales
          Adolescence
          Adult
          Middle Age
          Aged
          Female
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
      ab: As AIDS cases among US women continue to increase, a better understanding of women's behavioural risk patterns is needed to inform intervention efforts. Data were from 2,945 women drug injectors and crack users. Statistical analyses compared sociodemographic variables, lifetime behavioural risk patterns, HIV sero-prevalence and history of sexually transmitted diseases, and determined predictors of HIV infection separately in 16 low and four high sero-prevalence sites. Based on risk patterns, four behaviourally-defined sub-groups were constructed, and rates of HIV sero-prevalence were compared. In comparisons between low and high sero-prevalence sites, there were significant differences on most variables examined, and in the relative importance of the sociodemographic characteristics and risk patterns predicting HIV. Drug injection and sex exchange were each independent, significant, behavioural predictors of infection, with no significant difference between the odds ratios attributed to each predictor. HIV sero-prevalence was significantly different among four sub-groups. Interventions must be tailored to address observed differences among women in low and high sero-prevalence sites. Injection drug use and exchanging sex each play a major role in the transmission of HIV infection to US women. Prevention efforts targeted at women should address differences in behavioural risk patterns. Aggressive and innovative interventions are needed for women who exchange sex. AIDS research must investigate how socioeconomic factors impact women's risk for HIV infection.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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