'Violence and love and drugs…it all goes hand in hand': A mixed methods analysis of the substance abuse, violence, and HIV/AIDS syndemic among women who use methamphetamine
| Autor: | Lawrence A. Palinkas, Kiyomi Tsuyuki, Jennifer L. Syvertsen, Hitomi D. Hayashi, Meghan D. Morris, Natasha Ludwig-Barron, Jamila K. Stockman |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Substance-Related Disorders 030508 substance abuse Medicine (miscellaneous) Poison control HIV Infections Violence Suicide prevention Article Methamphetamine 03 medical and health sciences 0302 clinical medicine Syndemic Acquired immunodeficiency syndrome (AIDS) Risk Factors Injury prevention Prevalence medicine Humans 030212 general & internal medicine Psychiatry Sexual violence medicine.disease United States Substance abuse Psychiatry and Mental health Sexual Partners Domestic violence Female 0305 other medical science Psychology |
| Zdroj: | Subst Abus |
| ISSN: | 1547-0164 0889-7077 |
| Popis: | Background The synergistic epidemics of substance use, violence, and HIV/AIDS, also known as the SAVA syndemic, disproportionately affects vulnerable women in the United States. Methamphetamine use is closely linked with physical and sexual violence, including intimate partner violence (IPV), which heightens women's vulnerability to HIV. This mixed methods study examined the prevalence and correlates of violence among women who use methamphetamine, ( n = 209) enrolled in an HIV intervention study in San Diego, California. Methods At baseline, 209 women completed an interviewer-administered computer-assisted survey. A sub set of women who reported lifetime IPV ( n = 18) also participated in qualitative interviews to contextualize our understanding of patterns of violence over time. Results In the overall cohort, reports of lifetime (66.0%) and past 2-month (19.6%) IPV were prevalent. Moreover, women reported lifetime physical only (27.3%), sexual only (6.2%), or both forms of violence (50.7%) by multiple perpetrators. Factors independently associated with lifetime IPV were having unprotected sex with a steady partner (odds ratio [OR]: 2.50, 95% confidence interval [CI]: 1.04, 6.00) and being high on methamphetamine during unprotected sex with a steady partner (OR: 2.56, 95% CI: 1.30, 5.09) within the past 2 months. Our qualitative narratives illuminated how IPV in women's steady relationships often reflects a culmination of violent victimization throughout their lifetime which is further exacerbated by methamphetamine use and sexual risk through gendered power dynamics. Conclusions HIV prevention interventions should address the SAVA syndemic in a holistic manner, including the role of methamphetamine use in the context of women's abusive steady relationships. |
| Databáze: | OpenAIRE |
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