Efficacy of a woman-focused intervention to reduce HIV risk and increase self-sufficiency among African American crack abusers

American Journal of Public Health

Volumn 94, Issue 7, 2004, Pages 1165-1173

  Wechsberg, Wendee M ^a   Lam, Wendy K K ^a   Zule, William A ^a   Bobashev, Georgiy ^a  

^a RTI INTERNATIONAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AFRICAN AMERICAN; ARTICLE; COCAINE DEPENDENCE; EMPLOYMENT; FEMALE; HOUSING; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; LINEAR REGRESSION ANALYSIS; LOGISTIC REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; RISK ASSESSMENT; RISK REDUCTION; SEXUAL BEHAVIOR; STANDARD;

EID: 3042773037     PISSN: 00900036     EISSN: None     Source Type: Journal    
DOI: 10.2105/AJPH.94.7.1165     Document Type: Article

References (78)

1. Tortu S, Beardsley M, Deren S, et al. HIV infection and patterns of risk among women drug injectors and crack users in low and high sero-prevalence sites. AIDS Care. 2000;12:65-76.
2. Metsch LR, McCoy CB, McCoy HV, et al. HIV-related risk behaviors and seropositivity among homeless drug-abusing women in Miami, Florida. J Psychoactive Drugs. 1995;27:435-446.
3. Wechsberg WM, Lam WK, Zule WA, Hall G, Middlesteadt R, Edwards J. Violence, homelessness, and HIV risk among crack-using African-American women. Subst Use Misuse. 2003;38:671-701.
4. Logan TK, Leukefeld C. Sexual and drug use behaviors among female crack users: a multi-site sample. Drug Alcohol Depend 2000;58:237-245.
5. Nyamathi AM, Stein JA, Swanson JM. Personal, cognitive, behavioral, and demographic predictors of HIV testing and STDs in homeless women. J Behav Med. 2000;23:123-147.
6. Wechsberg WM, Desmond D, Inciardi JA, Leukefeld C, Cottler LB, Hoffman J. HIV prevention protocols: adaption to evolving trends in drug abuse. J Psychoactive Drugs. 1998;30:291-298.
7. Inciardi JA. Crack, crack house sex, and HIV risk. Arch Sex Behav. 1995;24:249-269.
8. Wingood GM, DiClemente RJ. The influence of psychosocial factors, alcohol, drug use on African-American women's high-risk sexual behavior. Am J Prev Med. 1998;15:54-59.
9. Baseman J, Ross M, Williams M. Sale of sex for drugs and drugs for sex: an economic context of sexual risk behavior for STDs. Sex Transm Dis. 1999;26: 444-449.
10. Tortu S, McCoy HV, Beardsley M, Deren S, McCoy CB. Predictors of HIV infection among women drug users in New York and Miami. Women Health. 1998;27:191-204.
11. Falck RS, Wang J, Carlson RG, Siegal HA. Factors influencing condom use among heterosexual users of injection drugs and crack cocaine. Sex Transm Dis. 1997;24:204-210.
12. Booth RE, Kwiatkowski CF, Chitwood DD. Sex-related HIV risk behaviors: differential risks among injection drug users, crack smokers, and injection drug users who smoke crack. Drug Alcohol Depend. 2000; 58:219-226.
13. Carlson RG, Falck RS, Wang J, Siegal HA, Rahman A. HIV needle risk behaviors and drug use: a comparison of crack-smoking and nonsmoking injection drug users in Ohio. J Psychoactive Drugs. 1999;31: 291-297.
14. Semaan S, Kotranski L, Collier K, Lauby J, Halbert J, Feighan K. Temporal trends in HIV risk behaviors of out-of-treatment injection drug users and injection drug users who smoke crack. J Acquir Immune Defic Syndr Hum Retrovirol. 1998;19:274-281.
15. Jones DL, Irwin KL, Inciardi J, et al. The high-risk sexual practices of crack-smoking sex workers recruited from the streets of three American cities: the Multicenter Crack Cocaine and HIV Infection Study Team. Sex Transm Dis. 1998;25:187-193.
16. Ross MW, Hwang LY, Leonard L, Teng M, Duncan L. Sexual behaviour, STDs and drug use in a crack house population. Int J STD AIDS. 1999;10:224-230.
17. el-Bassel N, Gilbert L, Schilling RF, Ivanoff A, Borne D, Safyer SF. Correlates of crack abuse among drug-using incarcerated women: psychological trauma, social support, and coping behavior: Am J Drug Alcohol Abuse. 1996;22:41-56.
18. Roberts AC, Wechsberg WM, Zule W, Burroughs AR. Contextual factors and other correlates of sexual risk of HIV among African-American crack-abusing women. Addict Behav. 2003;28:523-536.
19. Marsh KL, Simpson DD. Sex differences in opioid addiction careers. Am J Drug Alcohol Abuse. 1986;12: 309-329.
20. Brunswick AF, Flory MJ. Changing HIV infection retes and risk in an African-American community cohort. AIDS Care. 1998;10:267-281.
21. Edlin BR, Irwin KL, Ludwig DD, et al. High-risk sex behavior among young street-recruited crack cocaine smokers in three American cities: an interim report. The Multicenter Crack Cocaine and HIV Infection Study Team. J Psychoactive Drugs. 1992;24: 363-371.
22. Wechsberg WM, Cavanaugh ER. Differences found between women in and out of treatment: implications for interventions. In: Stevens SJ, Wexler HK, eds. Women and Substance Abuse. Binghamton, NY: Haworth Press; 1998:65-82.
23. McCoy HV, Inciardi JA. Women and AIDS: social determinants of sex-related activities. Women Health. 1993;20:69-86.
24. Moore J, Hamburger ME, Vlahov D, Schoenbaum EE, Schuman P, Mayer K. Longitudinal study of condom use patterns among women with or at risk for HIV. AIDS Behav. 2001;5:263-273
25. Ladwig GB, Andersen MD. Substance abuse in women: relationship between chemical dependency of women and past reports of physical and/or sexual abuse. Int J Addict. 1989;24:739-754.
26. Boyd CJ. The antecedents of women's crack cocaine abuse: family substance abuse, sexual abuse, depression and illicit drug use. J Substance Abuse Treat. 1993;10:433-438.
27. Liebschutz JM, Mulvey KP, Samet JH. Victimization among substance-abusing women: worse health outcomes. Arch Intern Med. 1997;157:1093-1097.
28. Rohsenow DJ, Corbett R, Devine D. Molested as children: a hidden contribution to substance abuse? J Substance Abuse Treat. 1988;5:13-18.
29. Wallen J. A comparison of male and female clients in substance abuse treatment. J Substance Abuse Treat. 1992;9:243-248.
30. Roberts A, Jackson MS, Carlton-LaNey I. Revisiting the need for feminism and Afrocentric theory when treating African American female substance abusers. J Drug Issues. 2000;30:901-918.
31. Zule WA, Flannery BA, Wechsberg WM, Lam WK. Alcohol use among out-of-treatment crack using African-American women. Am J Drug Alcohol Abuse, 2002:28: 525-544.
32. Griffin ML, Weiss RD, Mirin SM, Lange U. A comparison of male and female cocaine abusers. Arch Gen Psychiatry. 1989;46:122-126.
33. Nyamathi A, Keenan C, Bayley L. Differences in personal, cognitive, psychological, and social factors associated with drug and alcohol use and nonuse by homeless women. Res Nurs Health. 1998;21:525-532.
34. Cottler LB, Compton WM III, Mager D, Spitznagel EL, Janca A. Posttraumatic stress disorder among substance users from the general population. Am J Psychiatry. 1992;149:664-670.
35. Walton MA, Blow FC, Booth BM. Diversity in relapse prevention needs: gender and race comparisons among substance abuse treatment patients. Am J Drug Alcohol Abuse. 2001;27:225-240.
36. Mize SJ, Robinson BE, Bockting WO, Scheltema KE. Meta-analysis of the effectiveness of HIV prevention interventions for women. AIDS Care. 2002;14: 163-180.
37. Exner TM, Seal DW, Ehrhardt AA. A review of HIV interventions for at-risk women. AIDS Behav. 1997;1:93-124.
38. Wingood GM, DiClemente RJ. HIV sexual risk reduction interventions for women: a review. Am J Prev Med. 1996;12:209-217.
39. Rotheram-Borus MJ. Annotation: HIV prevention challenges-realistic strategies and early detection programs. Am J Public Health. 1997;87:544-546.
40. St Lawrence JS, Wilson TE, Eldridge GD, Brasfield TL, O'Bannon RE III. Community-based interventions to reduce low-income, African American women's risk of sexually transmitted diseases: a randomized controlled trial of three theoretical models. Am J Community Psychol. 2001;29:937-964.
41. Wechsberg WM, Zule W, Roberts A, Perritt R, Middlesteadt R, Hall G. Efficacy of a woman-focused Afrocentric intervention on reducing crack use and sexual risk among crack-using African-American women. Paper presented at: 129th Meeting of the American Public Health Association, October 21-25, 2001; Atlanta, GA.
42. DiClemente RJ, Wingood GM. A randomized controlled trial of an HIV sexual risk-reduction intervention for young African-American women. JAMA. 1995; 274:1271-1276.
43. Nyamathi AM, Leake B, Flaskerud J, Lewis C, Bennett C. Outcomes of specialized and traditional AIDS counseling programs for impoverished women of color. Res Nurs Health. 1993;16:11-21.
44. Kelly JA, Murphy DA, Washington CD, et al. The effects of HIV/AIDS intervention groups for high-risk women in urban clinics. Am J Public Health. 1994;84: 1918-1922.
45. Cottler LB, Compton WM, Ben Abdallah A, et al. Peer-delivered interventions reduce HIV risk behaviors among out-of-treatment drug abusers. Public Health Rep. 1998;113(suppl 1):31-41.
46. Saul J, Noris FH, Bartolow KK, Dixon D, Peters M, Moore J. Heterosexual risk for HIV among Puerto Rican women: does power influence self-protective behavior? AIDS Behav. 2000;4:361-371.
47. Amaro H. Love, sex, and power: considering women's realities in HIV prevention. Am Psychol. 1995;50:437-447.
48. Amaro H, Raj A. On the margin: power and women's HIV risk reduction strategies. Sex Roles. 2000;42:723-749.
49. Blanc AK. The effect of power in sexual relationships on sexual and reproductive health: an examination of the evidence. Stud Fam Plann. 2001;32: 189-213.
50. Highsmith CS. HIV and women using empowerment as a prevention tool. N H C Perspect Community. 1997;18:6-9.
51. Pulerwitz J, Gortmaker SL, Dejong W. Measuring sexual relationship power in HIV/STD research. Sex Roles. 2000;42:637-660.
52. Wingood GM, DiClemente RJ. Application of the theory of gender and power to examine HIV-related exposures, risk factors, and effective interventions for women. Health Educ Behav. 2000;27:539-565.
53. MacKenzie JE, Hobfoll SE, Ennis N, Kay J, Jackson A, Lavin J. Reducing AIDS risk among inner-city women: a review of the Collectivist Empowerment AIDS Prevention (CE-AP) Program. J Eur Acad Dermatol Venereol. 1999;13:166-174.
54. Wingood GM, DiClemente RJ. The effects of an abusive primary partner on the condom use and sexual negotiation practices of African-American women. Am J Public Health. 1997;87:1016-1018.
55. Connell R. Gender and Power. Stanford, Calif: Stanford University Press; 1987.
56. Sanders-Phillips K. Factors influencing HIV/AIDS in women of color. Public Health Rep. 2002;117(suppl 1): S151-S156.
57. Sterk CE. The Health Intervention Project: HIV risk reduction among African American women drug users. Public Health Rep. 2002;117(suppl 1):S88-S95.
58. Wechsberg WM. Facilitating empowerment for women substance abusers at risk for HIV. Pharmacol Biochem Behav. 1998;61:158.
59. Latkin CA, Forman VL, Knowlton A, Sherman S. Norms, social networks, and HIV-related risk behaviors among urban disadvantaged drug users. Soc Sci Med. 2003;56:465-476.
60. Dixon DA, Antoni M, Peters M, Saul J. Employment, social support, and HIV sexual-risk behavior in Puerto Rican women. AIDS Behav. 2001;5:331-342.
61. Cunningham-Williams RM, Cottler LB, Compton WM, et al. Reaching and enrolling drug users for HIV prevention: a multi-site analysis. Drug Alcohol Depend. 1999;54:1-10.
62. Watters JK, Biernacki P. Targeted sampling: options for the study of hidden populations. Soc Probl. 1989;36:416-430.
63. Carlson RG, Wang J, Siegal HA, Falck RS, Guo J. An ethnographic approach to targeted sampling: problems and solutions in AIDS prevention research among injection drug and crack-cocaine users. Hum Organ. 1994;53:279-286.
64. Wechsberg WM, Smith FJ, Harris-Adeeyo T. AIDS education and outreach to injecting drug users and the community in public housing. Psychol Addict Behav. 1992;6:107-113.
65. Wechsberg WM, Inciardi JA, Leukefeld CG. Cottler LB, Hoffman J, Desmond D. HIV prevention protocols: adaptation to evolving trends in drug abuse. J Psychoactive Drugs. 1998;30:291-298.
66. Griffith J, Logan S, Nucatola D, Joe GW. TCU/DATAR Forms: Description of Composite Variables. Fort Worth, TX: Texas Christian University: Institute of Behavioral Research; 1997.
67. Dennis M. Global Appraisal of Individual Needs (GAINS) Administration Manual. Bloomington, Ill: Chestnut Health Systems; 1998.
68. Dowling-Guyer S, Johnson ME, Fisher DG, et al. Reliability of drug users' self-reported HIV risk behaviors and validity of self-reported recent drug use. Assessment. 1994;1:383-392.
69. Needle R, Fisher D, Weatherby N, et al. The reliability of self-reported HIV risk behaviors of drug users. Psychol Addict Behav. 1995;9:242-250.
70. Weatherby NL, Needle R, Cesari H, Booth RE. Validity of self-reported drug use among injection drug users and crack cocaine users recruited through street outreach. Eval Program Plann. 1994;17:347-355.
71. Wechsberg WM. Revised Risk Behavior Assessment, Part I and Part II. Research Triangle Park, NC: Research Triangle Institute; 1998.
72. Royse D, Leukefeld C, Logan TK, et al. Homelessness and gender in out-of-treatment drug users. Am J Drug Alcohol Abuse. 2000;26:283-296.
73. Wechsberg WM, Dennis ML, Stevens SJ. Cluster analysis of HIV intervention outcomes among substance-abusing women. Am J Drug Alcohol Abuse. 1998;24: 239-257.
74. Anson O, Anson J. Women's health and labour force status: an enquiry using a multi-point measure of labour force participation. Soc Sci Med. 1987;25: 57-63.
75. Arber S. Class, paid employment and family roles: making sense of structural disadvantage, gender and health status. Soc Sci Med 1991;32:425-436.
76. Elliott BJ, Huppert FA. In sickness and in health: associations between physical and mental well-being, employment and parental status in a British nationwide sample of married women. Psychol Med. 1991;21: 515-524.
77. Hibbard JH, Pope CR. Employment status, employment characteristics, and women's health. Women Health. 1985;10:59-77.
78. Reviere R, Eberstein IW. Work, marital status, and heart disease. Health Care Women Int. 1992;13: 393-399.