scholarly journals The impact of buprenorphine/naloxone treatment on HIV risk behaviors among HIV-infected, opioid-dependent patients

2014 ◽  
Vol 139 ◽  
pp. 79-85 ◽  
Author(s):  
E. Jennifer Edelman ◽  
Tongtan Chantarat ◽  
Sarah Caffrey ◽  
Amina Chaudhry ◽  
Patrick G. O’Connor ◽  
...  
1999 ◽  
Vol 26 (2) ◽  
pp. 200-212 ◽  
Author(s):  
Cynthia A. Gómez ◽  
Mónica Hernández ◽  
Bonnie Faigeles

In 1996, nearly 60% of U.S. AIDS cases among Latinas were attributed to unprotected sex with men. Economic disadvantage, language barriers, and strong cultural gender norms regarding sex exacerbate the risk for HIV infection among Latina immigrant women. Through a collaboration among scientists and providers, this study was designed to evaluate the impact of a multifaceted empowerment program for Latina immigrant women on HIV risk behaviors. Women ( N = 74) were followed for the first 6 months of their participation and attended up to nine distinct types of activities (e.g., information meetings, friendship circles, and workshops). Although the program was not developed to specifically target HIV risk behaviors, women showed significant increases in sexual communication comfort, were less likely to maintain traditional sexual gender norms, and reported changes in decision-making power. Targeting broader sociocultural issues may increase the necessary skills for Latina women to prevent HIV infection from their sexual partners. Successful collaborations between scientists and providers are critical in developing effective, community-relevant interventions.


2009 ◽  
Vol 7 (2) ◽  
pp. 1-15
Author(s):  
Xinguang Chen ◽  
Xiaoming Li ◽  
Bonita Stanton ◽  
Xiaoyi Fang ◽  
Danhua Lin ◽  
...  

Although much has been documented on factors affecting HIV risk behavior among rural-to-urban migrants in China, data are lacking on the impact of leisure activities. In this study, we examined the association between leisure activities and HIV risk behavior among a sample of rural-to-urban migrants from two large cities (Beijing and Nanjing) in China. Cross-sectional data were analyzed for a sample of 4,085 participants aged 18 to 30 years (40.5% females). Findings from the analysis indicated that although the migrants worked long hours, they engaged in a number of activities when they did not work, including watching television (60.2%), reading (59.1%), sleeping (55.6%), and chatting with friends and co-workers (45.0%). Multiple regression analysis indicated that reading, doing chores (females only), listening to radio programs/audio CDs (male only) were associated with reduced likelihood of HIV risk behavior while playing cards in groups, visiting entertaining installments, watching videos (including Xrated, males only), and wondering around (females only) were associated with increased likelihood of HIV risk behavior. Findings of this study suggest that constructive and individualized activities (e.g., reading, listening to radios, and doing chores) may prevent migrants from engage in HIV risk behaviors while group and entertaining activities related to drugs and sex may increase the odds for migrants to engage in HIV risk behaviors. Prevention research should consider leisure activities as both an influential factor (including time trends and gender differences) for program development and an important venue for program delivery.


2001 ◽  
Vol 13 (4) ◽  
pp. 377-389 ◽  
Author(s):  
Diane E. Elze ◽  
Wendy Auslander ◽  
Curtis McMillen ◽  
Tonya Edmond ◽  
Ron Thompson

Author(s):  
Thomas R. Blue ◽  
Michael S. Gordon ◽  
Robert P. Schwartz ◽  
Kathryn Couvillion ◽  
Frank J. Vocci ◽  
...  

Abstract Background It has been estimated that approximately 15% of people who are incarcerated in the US have histories of opioid use disorder. Relapse to opioid use after release from prison poses a serious risk of HIV infection. Prison-initiated buprenorphine may help to reduce HIV infection given the association between opioid use and HIV-risk behaviors. Methods The present study is a secondary analysis of longitudinal data gathered from a randomized controlled trial of buprenorphine-naloxone for people who were incarcerated (N = 211) between 2008 and 2012. It compares the impact of assignment to initiate buprenorphine in prison (N = 106 randomized, N = 104 analyzed) versus in the community (N = 107 randomized, N = 107 analyzed) and whether or not participants entered community treatment on the frequency of HIV-risk behaviors in the 12 months following release from prison. Data were analyzed hierarchically and for each outcome variable, a multilevel, over-dispersed Poisson model was fit to the data. Outcome variables were the number of times the following behaviors occurred in the last 30 days: (1) having sex without a condom (2) injecting drugs (3) using unsterilized needles, and (4) sharing injection paraphernalia. Results Participants assigned to begin buprenorphine in the community experienced a greater decrease in injection drug use over time compared to participants assigned to begin buprenorphine in prison. There were no significant associations between treatment assignment or community treatment entry and instances of having sex without a condom, sharing injection paraphernalia, or using unsterilized needles. Conclusions Overall, the present study did not find support for the initiation of buprenorphine in prison (as opposed to the community) as a means to reduce incidences of HIV-risk behaviors. Avenues for future research in the nexus of HIV-risk reduction, criminal justice, and pharmacotherapy are discussed. Trial registration This study was supported by the National Institute on Drug Abuse (NIDA), Buprenorphine for Prisoners (PI: Kinlock; R01DA021579). ClinicalTrials.gov identifier: NCT 00574067


1994 ◽  
Author(s):  
R. M. Cunningham ◽  
◽  
A. R. Stiffman ◽  
P. Dore ◽  
F. Earls

2008 ◽  
Author(s):  
Gemima R. Louis ◽  
Gisselene Beauplant ◽  
Nicole Beliard ◽  
Rose-Marie De Oray

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