title: Factors associated with HIV/AIDS high-risk behaviours among female injection drug users.
abstract: This study examined factors associated with reporting engaging in HIV/AIDS high-risk behaviours at two different time points spaced one year apart for a sample of 185 women who were active injection drug users (IDUs). The high-risk behaviours included injecting drugs in the past six months, having shared needles in the past six months and having engaged in unprotected sexual activity in the past thirty days. Through logistic regression modelling it was identified that living with a spouse at year one was significantly and positively associated with high-risk behaviours at both time points. Being prescribed medications for psychological or emotional problems as well as testing positive for the HIV/AIDS virus were significantly and negatively associated with reporting high-risk behaviours at both time points. These results suggest that spousal relationships may play an important role in HIV/AIDS high-risk behaviours of women drug users. An implication of this study is the need to focus on how spousal relationships and issues such as gender and empowerment should be incorporated into the design and implementation of HIV/AIDS prevention and treatment programs. The benefits of comprehensive mental health diagnosis and treatment services as well as HIV testing in reducing harm to female IDUs and their partners are also discussed.
authors.affiliation: Boston University School of Social Work, Boston, MA, USA. rfitzger@bu.edu
authors.forename: T
authors.initials: T
authors.lastname: Fitzgerald
authors.forename: L
authors.initials: L
authors.lastname: Lundgren
authors.forename: D
authors.initials: D
authors.lastname: Chassler
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000635:transmission*; D006801:Humans; D016015:Logistic Models; D017533:Marital Status; D008404:Massachusetts / Q000453:epidemiology; D016485:Needle Sharing / Q000523:psychology; D012307:Risk Factors; D012747:Sexual Partners / Q000523:psychology; D012959:Socioeconomic Factors; D015819:Substance Abuse, Intravenous / Q000150:complications* / Q000453:epidemiology; D047568:Unsafe Sex