Sex in the New World: An Empowerment Model for HIV Prevention in Latina Immigrant Women

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.

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Substance Use Disorder, Intravenous Injection, and HIV Infection: A Review

Cell Transplantation ◽

10.1177/0963689719878380 ◽

2019 ◽

Vol 28 (12) ◽

pp. 1465-1471

Author(s):

Shao-Cheng Wang ◽

Brion Maher

Keyword(s):

Substance Use ◽

Hiv Infection ◽

Risk Behaviors ◽

Intravenous Injection ◽

Substance Use Disorder ◽

Hiv Risk ◽

Risk Taking ◽

Hiv Risk Behaviors ◽

Unprotected Sex ◽

Impaired Control

DSM-V-defined substance use disorder comprises four groups of symptoms: impaired control, social impairment, risky use, and pharmacological reactions. Behavioral patterns of impaired control, including impulsivity and risk taking, are associated with HIV risk behaviors. Substance users with stronger craving symptoms are more likely to use drugs via intravenous injection than other routes because of the faster drug effect and the higher bioavailability; thus, they are at high risk of HIV infection. HIV risk behaviors such as unprotected sex and intravenous injection facilitate HIV disease spread. Public health policies such as Needle and Syringe Exchange Programs and medication-assisted treatment are proven to reduce HIV risk behaviors such as the frequency of intravenous injection and even the incidence of HIV infection, but both of them have limitations. While intravenous injection is a frequently discussed issue in public policies and the HIV-related literature, it is a much less frequent topic in the addiction literature. We believed that understanding the mental substrate behind impulsivity/risk taking and the possible biological mechanism of intravenous injection may help in creating more effective strategies to slow down HIV infection.

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Longitudinal analysis of HIV-risk behaviors of participants in a randomized trial of prison-initiated buprenorphine

Addiction Science & Clinical Practice ◽

10.1186/s13722-019-0172-2 ◽

2019 ◽

Vol 14 (1) ◽

Cited By ~ 1

Author(s):

Thomas R. Blue ◽

Michael S. Gordon ◽

Robert P. Schwartz ◽

Kathryn Couvillion ◽

Frank J. Vocci ◽

...

Keyword(s):

Hiv Infection ◽

Risk Behaviors ◽

Hiv Risk ◽

Hiv Risk Behaviors ◽

Community Treatment ◽

Outcome Variable ◽

Future Research ◽

Opioid Use ◽

The Impact ◽

Release From Prison

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

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A Longitudinal Analysis of the Impact of Health Behavior Campaigns on HIV-Risk Behaviors and HIV Incidence in Eswatini

AIDS and Behavior ◽

10.1007/s10461-021-03316-7 ◽

2021 ◽

Author(s):

Ivy Mushamiri ◽

Zandi Mnisi ◽

Muziwethu Nkambule ◽

Jessica Justman

Keyword(s):

Health Behavior ◽

Risk Behaviors ◽

Hiv Risk ◽

Longitudinal Analysis ◽

Hiv Risk Behaviors ◽

Hiv Incidence ◽

The Impact

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Substance Use among Women at Risk for HIV Infection

Journal of Drug Education ◽

10.2190/36bw-gnr7-y55k-2jmj ◽

1992 ◽

Vol 22 (2) ◽

pp. 131-146 ◽

Cited By ~ 4

Author(s):

K. G. Wambach ◽

Joseph B. Byers ◽

Dianne F. Harrison ◽

Philippa Levine ◽

Allen W. Imershein ◽

...

Keyword(s):

At Risk ◽

Substance Use ◽

Hiv Infection ◽

Risk Behaviors ◽

Hiv Risk ◽

Culturally Diverse ◽

Hiv Risk Behaviors ◽

South Florida ◽

Increased Risk

This article reports results from a survey of culturally diverse women at risk for HIV infection in south Florida. Data concerning their substance use and its association with HIV risk behaviors are presented. Results indicate levels of consumption which exceed expectations based on general estimates of female substance use. Further, substance use was associated with specific behaviors and lifestyles which placed the women at increased risk for HIV infection.

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Prevalence of HIV Risk Behaviors among Undocumented Central American Immigrant Women in Houston, Texas

AIDS and Behavior ◽

10.1007/s10461-011-0130-9 ◽

2012 ◽

Vol 16 (6) ◽

pp. 1641-1648 ◽

Cited By ~ 17

Author(s):

Jane R. Montealegre ◽

Jan M. Risser ◽

Beatrice J. Selwyn ◽

Sheryl A. McCurdy ◽

Keith Sabin

Keyword(s):

Risk Behaviors ◽

Hiv Risk ◽

Immigrant Women ◽

Hiv Risk Behaviors ◽

Central American ◽

American Immigrant

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Associations between Leisure Activities and HIV Risk Behaviors among Rural Migrants in Urban China

Californian Journal of Health Promotion ◽

10.32398/cjhp.v7i2.2011 ◽

2009 ◽

Vol 7 (2) ◽

pp. 1-15

Author(s):

Xinguang Chen ◽

Xiaoming Li ◽

Bonita Stanton ◽

Xiaoyi Fang ◽

Danhua Lin ◽

...

Keyword(s):

Risk Behavior ◽

Risk Behaviors ◽

Hiv Risk ◽

Leisure Activities ◽

Hiv Risk Behaviors ◽

Urban China ◽

Hiv Risk Behavior ◽

Influential Factor ◽

Urban Migrants ◽

The Impact

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.

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Men's Sexual Risk Factors for HIV Infection: Racial Differences in Behavior, Knowledge, and Self-Perceptions

The Journal of Men s Studies ◽

10.1177/106082659700600105 ◽

1997 ◽

Vol 6 (1) ◽

pp. 91-102 ◽

Cited By ~ 6

Author(s):

Richard Tewksbury ◽

Darin K. Moore

Keyword(s):

High Risk ◽

Hiv Infection ◽

Racial Differences ◽

Risk Behaviors ◽

Hiv Risk ◽

Perceived Risk ◽

Hiv Transmission ◽

African American Men ◽

Hiv Risk Behaviors ◽

Hiv Prevention Intervention

HIV transmission most often results from individually-induced activities. Previous research into HIV transmission has identified both high-risk groups and high-risk behaviors. This research identifies differences between white and African-American men and their participation in HIV-risk behaviors, HIV-related knowledge, and self-perceived likelihood for HIV infection. Findings show a contradiction between reported HIV-risk behaviors and self-perceived risk of contracting HIV for all male participants. Furthermore, racial differences are significantly related to both the type and number of sexual partners, participation in and frequency of condom use for various sexual activities, and levels of self-perceived knowledge of HIV/AIDS. These findings and implications on current and future HIV prevention/intervention efforts are discussed.

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