TY - JOUR
T1 - Gender-Specific HIV prevention interventions for women who use alcohol and other drugs
T2 - The evolution of the science and future directions
AU - Wechsberg, Wendee M.
AU - Deren, Sherry
AU - Myers, Bronwyn
AU - Kirtadze, Irma
AU - Zule, William A.
AU - Howard, Brittni
AU - El-Bassel, Nabila
N1 - Publisher Copyright:
Copyright © 201 Wolters Kluwer Health, Inc.
PY - 2015
Y1 - 2015
N2 - The use of alcohol and other drugs (AODs) is an important driver of gender disparities in HIV prevalence. Consequently, there is a need for women-specific HIV interventions that are conceptualized to address (1) women's risk behavior, their roles in sexual relationships, and gender power dynamics and (2) other issues commonly faced by women who use AODs, such as gender-based violence and victimization. This article presents the evolution of HIV prevention intervention research with women who use AODs. It looks at 3 generations of women-focused HIV research interventions, including firstgeneration projects that started in the 1990s, second-generation efforts where projects expanded in scope and included adaptions of evidence-based interventions for global relevance, and finally third-generation projects currently underway that combine biobehavioral methods and are being implemented in real-world settings. Because women who use AODs continue to report risk behaviors related to HIV, emphasis should be placed on training scientists to conduct gender-specific studies, increasing funding for new studies, and advocating to ensure that stigma-free services are available for these at-risk women.
AB - The use of alcohol and other drugs (AODs) is an important driver of gender disparities in HIV prevalence. Consequently, there is a need for women-specific HIV interventions that are conceptualized to address (1) women's risk behavior, their roles in sexual relationships, and gender power dynamics and (2) other issues commonly faced by women who use AODs, such as gender-based violence and victimization. This article presents the evolution of HIV prevention intervention research with women who use AODs. It looks at 3 generations of women-focused HIV research interventions, including firstgeneration projects that started in the 1990s, second-generation efforts where projects expanded in scope and included adaptions of evidence-based interventions for global relevance, and finally third-generation projects currently underway that combine biobehavioral methods and are being implemented in real-world settings. Because women who use AODs continue to report risk behaviors related to HIV, emphasis should be placed on training scientists to conduct gender-specific studies, increasing funding for new studies, and advocating to ensure that stigma-free services are available for these at-risk women.
KW - Alcohol and other drug use
KW - Gender disparity
KW - Sex risk
KW - Women-focused HIV prevention
KW - Women-specific HIV interventions
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U2 - 10.1097/QAI.0000000000000627
DO - 10.1097/QAI.0000000000000627
M3 - Article
C2 - 25978479
AN - SCOPUS:84988969062
SN - 1525-4135
VL - 69
SP - S128-S139
JO - Journal of Acquired Immune Deficiency Syndromes
JF - Journal of Acquired Immune Deficiency Syndromes
ER -