Abstract
While drug-using women have been the group of women most at risk for HIV infection since the beginning of the AIDS epidemic, these women are also those for whom risk reduction to prevent acquisition of infection is most problematic. A number of recent studies strongly suggest that for drug-using women, there are significant educational, cultural, economic, psychological, physical, and social barriers that affect their ability to change risk behaviors and to participate in prevention programs (V. Brown & Weissman, 1993; G. Weissman & the NARC., 1991a, b). This chapter will discuss those barriers, some of the strategies that have been used to overcome them, and areas in which more work is needed. Our chapter in the next volume in this series will discuss issues that affect access to care for drug-using women with HIV disease.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Amaro, H., Fried, L. E., Cabral, H., & Zuckerman, B. (1990). Violence during pregnancy and substance abuse. American Journal of Public Health, 80, 575–579.
Andersen, M. (1977). Medical needs of addicted women and men and the implications for treatment, WDR Report No. 4. Ann Arbor: Women’s Drug Research Project, University of Michigan.
Andersen, M. (1980). Health of heroin dependent clients: Focus on women. Women and Health, 5(1), 23–33.
Aneshensel, C. S., & Huba, G. J. (1984). An integrated causal model of the antecedents and consequences of depression. In J. R. Greenley (Ed.), Research in community and mental health, Vol. 4 (pp. 35–72). Greenwich, CT: JAI.
Brown, B. S., Garvey, S. K., Meyers, M. B., & Stark, S. D. (1971). In their own words: Addicts’ reasons for initiating and withdrawing from heroin. International Journal of Addictions, 6, 635–645.
Brown, V. B. (1992). Drug and alcohol treatment and recovery services for pregnant addicted women. In M. Jessup (Ed.), Drug dependency in pregnancy: Managing withdrawal (pp. 251–267). Sacramento, CA: State of California Department of Health Services.
Brown, V. B., Melchior, L. A., Reback, C. J., & Huba, G. J. (1994). Partner notification of HIV test results: Psychosocial and social issues for women. AIDS and Public Policy Journal, 6, 86–92.
Brown, V. B., Ridgely, M. S., Pepper, B., Levine, I. S., & Ryglewicz, H. (1989). The dual crisis: Mental illness and substance abuse: Present and future directions. American Psychologist, 44, 565–569.
Brown, V., & Weissman, G. (1993). Women and men injection drug users: An updated look at gender differences and risk factors. In B. S. Brown & G. M. Beschner (Eds.), Handbook on risk of AIDS: Injection drug users and sexual partners (pp. 173–194). Westport, CT: Greenwood Press.
Centers for Disease Control and Prevention (1992). What we have learned from the AIDS community demonstration projects (June 15, 1992). Atlanta: Centers for Disease Control and Prevention.
Centers for Disease Control and Prevention (1992–1993). Behavioral and Prevention Research Branch summary of MMWR articles, 1992–1993. Atlanta: Centers for Disease Control and Prevention.
Centers for Disease Control and Prevention (1994). Research summaries: Behavioral and Prevention Research grants (January 1994). Atlanta: Centers for Disease Control and Prevention.
Chiasson, M. A., Stoneburner, R. L., Hildebrandt, D. S., Ewing, W. E., Telzak, E. E., & Jaffe, H. W. (1991). Heterosexual transmission of HIV-1 associated with the use of smokable freebase cocaine (crack). AIDS, 5, 1121–1126.
Clarkin, J. F., & Kendall, P. C. (1992). Comorbidity and treatment planning: Summary and future directions. Journal of Consulting and Clinical Psychology, 60, 904–908.
Cohen, J. B., Hauer, L. B., & Wofsy, C. B. (1989). Women and IV drugs: Parental and heterosexual transmission of human immunodeficiency virus. Special issue: Intravenous drug use and AIDS. Journal of Drug Issues, 19, 39–56.
Comfort, M., Shipley, T. E., White, K., & Griffith, E. M. (1990). Family treatment for homeless alcohol/drug-addicted women and their preschool children. Special issue: Treating alcoholism and drug abuse among homeless men and women: Nine community demonstration grants. Alcoholism Treatment Quarterly, 7, 129–147.
DiMatteo, T. E., & Cesarini, T. M. (1986). Responding to the treatment needs of chemically dependent women. Journal of Counseling and Development, 64, 452–453.
Doshan, T., & Bursch, C. (1982). Women and substance abuse: Critical issues in treatment design. Journal of Drug Education, 12, 229–239.
Faulkner, K. K., Cogan, R., Nolder, M., & Shooter, G. (1991). Characteristics of men and women completing cognitive/behavioral spouse abuse treatment. Journal of Family Violence, 6, 243–254.
Fiks, K. B., Johnson, H. L., & Rosen, T. S. (1985). Methadone-maintained mothers: 3-Year follow-up of parental functioning. International Journal of the Addictions, 20, 651–660.
Flaherty, E. W., Bencivengo, M., & Olson, K. (1978). The causes of demand reduction: An exploratory study. Philadelphia: Philadelphia Health Management Corp.
Fullilove, R. E., Fullilove, M. T., Bowser, B. P., & Gross, S. A. (1990). Risk of sexually transmitted disease among black adolescent crack users in Oakland and San Francisco, California. JAMA, 263, 851–855.
Gross, M., & Brown, V. (1993). Outreach to injection drug-using women. In B. S. Brown & G. M. Beschner (Eds.), Handbook on risk of AIDS: Injection drug users and sexual partners (pp. 173–194). Westport, CT: Greenwood Press.
Jackson, D. N. (1989). Manual for the Basic Personality Inventory. Port Huron, MI: Sigma Assessment Systems.
Hser, Y., Chou, C., & Anglin, M. D. (1990). The criminality of female narcotics addicts: A causal modeling approach. Journal of Quantitative Criminology, 6, 207–228.
Hurley, D. L. (1991). Women, alcohol and incest: An analytical review. Journal of Studies on Alcohol, 52, 253–268.
Ingram-Fogel, C. (1991). Health problems and needs of incarcerated women. Journal of Prison and Jail Health, 10, 43–57.
Jackson, D. N. (1989). Basic Personality Inventory: BPI manual. Port Huron, MI: Sigma Assessment Systems.
Kaplan, E. H. (1992). Needle exchange or needless exchange? The state of the debate. Infectious Agents and Disease, 1, 92–97.
Kaubin, B. J. (1974). Sexism shades the lives and treatment of female addicts. Contemporary Drug Problems, 3, 471–484.
Levy, S. J., & Broudy, M. (1975). Sex role differences in the therapeutic community: Moving from sexism to androgyny. Journal of Psychedelic Drugs, 7, 291–297.
Lex, B. W., Teoh, S. K., Lagomasino, I., Mello, N. K., & Mendelson, J. H. (1990). Characteristics of women receiving mandated treatment for alcohol or polysubstance dependence in Massachusetts. Drug and Alcohol Dependence, 25, 13–20.
Maglin, A. (1975). Casework with pregnant women on methadone maintenance. Social Casework, 56, 131–137.
Marsh, J. C., & Miller, N. A. (1985). Female clients in substance abuse treatment. International Journal of the Addictions, 20, 995–1019.
McKinney, L. E. (1993). The relationship between violence and female patterns of addiction. Clearinghouse for Drug Exposed Children Newsletter, 4 (Spring).
Melchior, L. A., Brown, V. B., & Huba, G. J. (1995). A typology of mental health problems among women in residential drug treatment (submitted).
Mondanaro, J. (1981). Reproductive health concerns for the treatment of drug dependent women. In G. M. Beschner, B. G. Reed, & J. Mondanaro (Eds.), Treatment services for drug dependent women, Vol. I (pp. 258–292). DHHS Publication No. (ADM) 81-1177. Rockville, MD: National Institute on Drug Abuse.
Pearlman, P., West, M., & Dalton, J. (1982). Mothers and children together: Parenting in a substance abuse program. In B. G. Reed, G. M. Beschner, & J. Mondanaro (Eds.), Treatment services for drug dependent women, Vol. II (pp. 532–571). DHHS Publication No. (ADM) 82-1219. Rockville, MD: National Institute on Drug Abuse.
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.
Reed, B. G. (1985). Drug misuse and dependency in women: The meaning and implications of being considered a special population or minority group. Special issue: Intervening with special populations. International Journal of the Addictions, 20, 13–62.
Reed, B. G. (1987). Developing women sensitive drug dependence treatment services: Why so difficult? Journal of Psychoactive Drugs, 19, 151–164.
Rosenshine, N., Sowder B., Weissman G., & Young, P. L. (1990). AIDS prevention model: Reaching women at risk. Bethesda, MD: NOVA Research.
Roskies, E., Iida-Miranda, M. L., & Strobel, M. G. (1975). The application of the life events approach to the problems of immigration. Journal of Psychosomatic Research, 19, 235–240.
Rothenberg, K. H., & North, R. L. (1991). The duty to warn “dilemma” and women with AIDS: Redefining the “forseeable victim.” Courts, Health Science, & the Law, 2, 90–98.
Sterk, C. (1988) Cocaine and HIV seropositivity (letter). Lancet, 2, 1052–1053.
Tiblier, K. B., Walker, G., & Rolland, J. S. (1989). Therapeutic issues when working with families of persons with AIDS. Marriage and Family Review, 13, 81–128.
Tucker, M. B. (1979). A descriptive and comparative analysis of the social support structure of heroin addicted women. In Addicted women: Family dynamics, self perceptions, and support systems. NIDA Services Research Monograph Series, Department of Health, Education and Welfare Publication No. ADM-80-762. Washington, DC: U.S. Government Printing Office.
Uhlenhuth, E. H., Lipman, R. S., Baiter, M. B., & Stern, M. (1974). Symptom intensity and life stress in the city. Archives of General Psychiatry, 31, 759–763.
University of California (1993). Institute for Health Policy Studies. The public health impact of needle exchange programs in the United States and abroad, Vols. I and II. San Francisco: University of California.
Weissman, G., & the National AIDS Research Consortium (NARC) (1991a). AIDS prevention for women at risk: Experience from a national demonstration research program. Journal of Primary Prevention, 12(1), 49–63.
Weissman, G., & the National AIDS Research Consortium (NARC) (1991b). Working with pregnant women at high risk for HIV infection: Outreach and intervention, May-June 1991. Bulletin of the New York Academy of Medicine, 67, 291–300.
Weissman, G., & Brown, V. B. (1991). Drug use and sexual behaviors among sex partners of injecting-drug users—United States 1988–1990. Morbidity and Mortality Weekly Report, 40, 855–860.
Weissman, G., Sowder, B., Young, P. L., & the National AIDS Research Consortium (NARC) (1991). The relationship between crack cocaine use and other risk factors among women in a national AIDS prevention program. Proceedings of the Sixth International AIDS Conference (San Francisco, June 20-24, 1990), Vol. 3 (p. 126) (abstract).
Weissman, M. M., Sholomskas, D., Pottenger, M., Prusoff, B. A., & Locke, B. Z. (1977). Assessing depressive symptoms in five psychiatric populations: A validation study. American Journal of Epidemiology, 106, 203–214.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1995 Springer Science+Business Media New York
About this chapter
Cite this chapter
Weissman, G., Brown, V. (1995). Drug-Using Women and HIV. In: O’Leary, A., Jemmott, L.S. (eds) Women at Risk. AIDS Prevention and Mental Health. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1057-8_8
Download citation
DOI: https://doi.org/10.1007/978-1-4899-1057-8_8
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4899-1059-2
Online ISBN: 978-1-4899-1057-8
eBook Packages: Springer Book Archive