title: Psychiatric, behavioural and social risk factors for HIV infection among female drug users.
abstract: Female drug users report greater psychopathology and risk behaviours than male drug users, putting them at greater risk for HIV. This mixed-methods study determined psychiatric, behavioural and social risk factors for HIV among 118 female drug users (27% (32/118) were HIV seropositive) in Barcelona. DSM-IV disorders were assessed using the Spanish Psychiatric Research Interview for Substance and Mental Disorders. 30 participants were interviewed in-depth. In stepwise multiple backward logistic regression, ever injected with a used syringe, antisocial personality disorder, had an HIV seropositive sexual partner and substance-induced major depressive disorder were associated with HIV seropositivity. Qualitative findings illustrate the complex ways in which psychiatric disorders and male drug-using partners interact with these risk factors. Interventions should address all aspects of female drug users' lives to reduce HIV.
authors: Substance Use Disorders Research Group, IMIM-Hospital del Mar, Parc de Salut Mar de Barcelona, Spain. G.Gilchrist@greenwich.ac.uk
authors: Gail
authors: G
authors: Gilchrist
authors: Alicia
authors: A
authors: Blazquez
authors: Marta
authors: M
authors: Torrens
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D003865:Major Depressive Disorder / Q000523:psychology; D055030:Drug Users / Q000523:psychology*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control / Q000523:psychology / Q000635:transmission*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D016485:Needle Sharing / Q000009:adverse effects / Q000523:psychology; D010552:Personality Assessment; D011569:Psychiatric Status Rating Scales; D036301:Qualitative Research; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology*; D012747:Sexual Partners / Q000523:psychology; D013030:Spain; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology; D015819:Substance Abuse, Intravenous / Q000150:complications / Q000523:psychology*; D055815:Young Adult