Abstract
The researchers sought to explore and describe the demographic, cognitive, psychosocial, and behavioral factors associated with the continued risky behavior of a convenience sample of homeless and drug-addicted women two to four weeks after they had completed an AIDS education program. The sample included 942 crack users and 767 women who had multiple sex partners. Analyses revealed that impoverished women who maintained multiple sexual partners were less likely to be in drug recovery programs than in homeless shelters. They were more likely to share needles and be involved sexually with male injection drug users compared with impoverished women who did not maintain multiple sexual partners. Persistent crack users were older than those who reported cessation of crack use, were more often African American, and were more likely to have sex partners who were injecting drug users. Women who demonstrated less improvement in depression and distress scores, concerns, use of affective coping, appraisal of threat, and social support were more likely to maintain crack use and multiple partners. The study's implications for the design of intervention programs aimed at risk reduction based on ethnicity are discussed.
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- Adib S. M., Joseph J. G., Ostrow D. G., James S. A. Predictors of relapse in sexual practices among homosexual men. AIDS Educ Prev. 1991 Winter;3(4):293–304. [PubMed] [Google Scholar]
- Beckman L. J., Amaro H. Personal and social difficulties faced by women and men entering alcoholism treatment. J Stud Alcohol. 1986 Mar;47(2):135–145. doi: 10.15288/jsa.1986.47.135. [DOI] [PubMed] [Google Scholar]
- Flaskerud J. H., Nyamathi A. M. Black and Latina womens' AIDS related knowledge, attitudes, and practices. Res Nurs Health. 1989 Dec;12(6):339–346. doi: 10.1002/nur.4770120603. [DOI] [PubMed] [Google Scholar]
- Flaskerud J. H., Nyamathi A. M. Black and Latina womens' AIDS related knowledge, attitudes, and practices. Res Nurs Health. 1989 Dec;12(6):339–346. doi: 10.1002/nur.4770120603. [DOI] [PubMed] [Google Scholar]
- Forney M. A., Inciardi J. A., Lockwood D. Exchanging sex for crack-cocaine: a comparison of women from rural and urban communities. J Community Health. 1992 Apr;17(2):73–85. doi: 10.1007/BF01321576. [DOI] [PubMed] [Google Scholar]
- Fullilove R. E., Fullilove M. T., Bowser B. P., Gross S. A. Risk of sexually transmitted disease among black adolescent crack users in Oakland and San Francisco, Calif. JAMA. 1990 Feb 9;263(6):851–855. [PubMed] [Google Scholar]
- Goldsmith M. F. Sex tied to drugs = STD spread. JAMA. 1988 Oct 14;260(14):2009–2009. [PubMed] [Google Scholar]
- Griffin M. L., Weiss R. D., Mirin S. M., Lange U. A comparison of male and female cocaine abusers. Arch Gen Psychiatry. 1989 Feb;46(2):122–126. doi: 10.1001/archpsyc.1989.01810020024005. [DOI] [PubMed] [Google Scholar]
- Hser Y. I., Anglin M. D., McGlothlin W. Sex differences in addict careers. 1. Initiation of use. Am J Drug Alcohol Abuse. 1987;13(1-2):33–57. doi: 10.3109/00952998709001499. [DOI] [PubMed] [Google Scholar]
- Jalowiec A., Powers M. J. Stress and coping in hypertensive and emergency room patients. Nurs Res. 1981 Jan-Feb;30(1):10–15. doi: 10.1097/00006199-198101000-00003. [DOI] [PubMed] [Google Scholar]
- Joseph J. G., Adib S. M., Koopman J. S., Ostrow D. G. Behavioral change in longitudinal studies: adoption of condom use by homosexual/bisexual men. Am J Public Health. 1990 Dec;80(12):1513–1514. doi: 10.2105/ajph.80.12.1513. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Keith L. G., MacGregor S., Friedell S., Rosner M., Chasnoff I. J., Sciarra J. J. Substance abuse in pregnant women: recent experience at the Perinatal Center for Chemical Dependence of Northwestern Memorial Hospital. Obstet Gynecol. 1989 May;73(5 Pt 1):715–720. [PubMed] [Google Scholar]
- Kline A., Kline E., Oken E. Minority women and sexual choice in the age of AIDS. Soc Sci Med. 1992 Feb;34(4):447–457. doi: 10.1016/0277-9536(92)90305-a. [DOI] [PubMed] [Google Scholar]
- Mondanaro J. Strategies for AIDS prevention: motivating health behavior in drug dependent women. J Psychoactive Drugs. 1987 Apr-Jun;19(2):143–149. doi: 10.1080/02791072.1987.10472398. [DOI] [PubMed] [Google Scholar]
- Nyamathi A. M., Flaskerud J. A community-based Inventory of Current Concerns of impoverished homeless and drug-addicted minority women. Res Nurs Health. 1992 Apr;15(2):121–129. doi: 10.1002/nur.4770150206. [DOI] [PubMed] [Google Scholar]
- Nyamathi A. M., 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 Feb;16(1):11–21. doi: 10.1002/nur.4770160104. [DOI] [PubMed] [Google Scholar]
- Nyamathi A., Bennett C., Leake B., Lewis C., Flaskerud J. AIDS-related knowledge, perceptions, and behaviors among impoverished minority women. Am J Public Health. 1993 Jan;83(1):65–71. doi: 10.2105/ajph.83.1.65. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nyamathi A. Comparative study of factors relating to HIV risk level of black homeless women. J Acquir Immune Defic Syndr. 1992;5(3):222–228. [PubMed] [Google Scholar]
- Stone A. J., Morisky D., Detels R., Braxton H. Designing interventions to prevent HIV-1 infection by promoting use of condoms and spermicides among intravenous drug abusers and their sexual partners. AIDS Educ Prev. 1989 Fall;1(3):171–183. [PubMed] [Google Scholar]
- Valdiserri R. O., Lyter D. W., Kingsley L. A., Leviton L. C., Schofield J. W., Huggins J., Ho M., Rinaldo C. R. The effect of group education on improving attitudes about AIDS risk reduction. N Y State J Med. 1987 May;87(5):272–278. [PubMed] [Google Scholar]
- Wallace R. Social disintegration and the spread of AIDS: thresholds for propagation along 'sociogeographic' networks. Soc Sci Med. 1991;33(10):1155–1162. doi: 10.1016/0277-9536(91)90231-z. [DOI] [PubMed] [Google Scholar]
- Williams A. B. Women at risk: an AIDS educational needs assessment. Image J Nurs Sch. 1991 Winter;23(4):208–213. doi: 10.1111/j.1547-5069.1991.tb00673.x. [DOI] [PubMed] [Google Scholar]