Skip to main content
Erschienen in: AIDS and Behavior 2/2007

01.11.2007 | Original Paper

Safe Living: The Impact of Unstable Housing Conditions on HIV Risk Reduction Among Female Drug Users

verfasst von: Kirk W. Elifson, Claire E. Sterk, Katherine P. Theall

Erschienen in: AIDS and Behavior | Sonderheft 2/2007

Einloggen, um Zugang zu erhalten

Abstract

The objectives of this article are to explore differences in HIV risk behaviors and subsequent risk reduction among female drug users based on their housing conditions. In addition, we investigate psychosocial characteristics as mediators. Data were collected from 336 adult women. Structured interviews were conducted at baseline and at 6-month follow-up. At baseline, women with unstable housing conditions reported higher levels of HIV drug and sex-related HIV risk behavior. In addition, their levels of behavioral change over time were lower. The findings also show the importance of expanding the stable housing condition into two categories thereby distinguishing between a woman’s own and someone else’s place. None of the mediating factors were statistically significant and there was no moderation by intervention condition. The findings suggest that unstable housing conditions form a structural barrier to HIV risk reduction irrespective of the message. Future interventions should consider such conditions and the larger social context of the women’s lives.
Fußnoten
1
Income was difficult to assess in the present analysis. Qualitative data revealed that the women’s income fluctuated greatly and specifying weekly or yearly income was difficult for most respondents. Distinguishing between legal and illegal income (but not legal and illegal forms of employment or work) was also difficult. Overall, income data were unreliable and therefore could not be included in the present analysis.
 
Literatur
Zurück zum Zitat Adair, E. B., Craddock, S. G., Miller, H. G., & Turner, C. F. (1996). Quality of treatment data. Reliability over time of self-reports given by clients in treatment for substance abuse. Journal of Substance Abuse Treatment, 13(2), 145–149.PubMedCrossRef Adair, E. B., Craddock, S. G., Miller, H. G., & Turner, C. F. (1996). Quality of treatment data. Reliability over time of self-reports given by clients in treatment for substance abuse. Journal of Substance Abuse Treatment, 13(2), 145–149.PubMedCrossRef
Zurück zum Zitat Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211.CrossRef Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211.CrossRef
Zurück zum Zitat Ajzen, I., & Madden, T. J. (1986). Prediction of goal-directed behavior: Attitudes, intentions, and perceived behavioral control. Journal of Experimental Social Psychology, 22, 453–474.CrossRef Ajzen, I., & Madden, T. J. (1986). Prediction of goal-directed behavior: Attitudes, intentions, and perceived behavioral control. Journal of Experimental Social Psychology, 22, 453–474.CrossRef
Zurück zum Zitat Arangua, L., Andersen, R., & Gelberg, L. (2005). The health circumstances of homeless women in the United States. International Journal of Mental Health, 34(2), 62–92. Arangua, L., Andersen, R., & Gelberg, L. (2005). The health circumstances of homeless women in the United States. International Journal of Mental Health, 34(2), 62–92.
Zurück zum Zitat Assai, M., Siddiqi, S., & Watts, S. (2006). Tackling social determinants of health through community based initiatives. British Medical Journal, 333, 854–856.PubMedCrossRef Assai, M., Siddiqi, S., & Watts, S. (2006). Tackling social determinants of health through community based initiatives. British Medical Journal, 333, 854–856.PubMedCrossRef
Zurück zum Zitat Bassuk, E., Buckner, J., Perloff, J., & Bassuk, S. (1998). Prevalence of mental health and substance use disorders among homeless and low-income housed mothers. American Journal of Psychiatry, 155(11), 1561–1564.PubMed Bassuk, E., Buckner, J., Perloff, J., & Bassuk, S. (1998). Prevalence of mental health and substance use disorders among homeless and low-income housed mothers. American Journal of Psychiatry, 155(11), 1561–1564.PubMed
Zurück zum Zitat Beck, A., Steer, R., & Garbin, M. (1988). Psychometric properties of the beck depression inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8(1), 77–100.CrossRef Beck, A., Steer, R., & Garbin, M. (1988). Psychometric properties of the beck depression inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8(1), 77–100.CrossRef
Zurück zum Zitat Connell, R. W. (1985). Theorising gender. Sociology, 19(2), 260–272.CrossRef Connell, R. W. (1985). Theorising gender. Sociology, 19(2), 260–272.CrossRef
Zurück zum Zitat Dennis, M. L., Rourke, K. M., Lucas, R. L., Zien, C., Clayton, K. J., Harris, K. M., et al. (1995). Global appraisal of individual needs (gain): Resource manual (nida grant no. R01-da07864). Research Triangle Park, NC: Research Triangle Institute. Dennis, M. L., Rourke, K. M., Lucas, R. L., Zien, C., Clayton, K. J., Harris, K. M., et al. (1995). Global appraisal of individual needs (gain): Resource manual (nida grant no. R01-da07864). Research Triangle Park, NC: Research Triangle Institute.
Zurück zum Zitat Dowling-Guyer, S., Johnson, M. E., Fisher, D. G., & Needle, R. (1994). Reliability of drug users’ self-reported HIV risk behaviors and validity of self-reported recent drug use. Assessment, 1(4), 383–392. Dowling-Guyer, S., Johnson, M. E., Fisher, D. G., & Needle, R. (1994). Reliability of drug users’ self-reported HIV risk behaviors and validity of self-reported recent drug use. Assessment, 1(4), 383–392.
Zurück zum Zitat Elifson, K. W., & Sterk, C. E. (2003). Case study: The health intervention project. In D. Blumenthal & R. DiClemente (Eds.), Community-based research: Issues and methods. New York, NY: Springer. Elifson, K. W., & Sterk, C. E. (2003). Case study: The health intervention project. In D. Blumenthal & R. DiClemente (Eds.), Community-based research: Issues and methods. New York, NY: Springer.
Zurück zum Zitat Elliott, M., Golinelli, D., Hambarsoomian, K., Perlman, J., & Wenzel, S. (2006). Sampling with field burden constraints: An application to sheltered homeless and low-income housed women. Field Methods, 18(1), 43–58.CrossRef Elliott, M., Golinelli, D., Hambarsoomian, K., Perlman, J., & Wenzel, S. (2006). Sampling with field burden constraints: An application to sheltered homeless and low-income housed women. Field Methods, 18(1), 43–58.CrossRef
Zurück zum Zitat Fishbein, M., & Middlestadt, S. E. (1989). Using the theory of reasoned action as a framework for understanding and changing aids-related behaviors. In J. N. Wasserheit (Ed.), Primary prevention of aids: Psychological approaches. Thousand Oaks, CA: Sage Publications. Fishbein, M., & Middlestadt, S. E. (1989). Using the theory of reasoned action as a framework for understanding and changing aids-related behaviors. In J. N. Wasserheit (Ed.), Primary prevention of aids: Psychological approaches. Thousand Oaks, CA: Sage Publications.
Zurück zum Zitat Fisher, J. D., & Fisher, W. A. (2000). Theoretical approaches to individual-level change in HIV risk behavior. In: J. L. Peterson & R. J. DiClemente (Eds.), Handbook of HIV prevention: AIDS prevention and mental health (pp. 3–55). New York: Kluwer Academic/Plenum Publishers. Fisher, J. D., & Fisher, W. A. (2000). Theoretical approaches to individual-level change in HIV risk behavior. In: J. L. Peterson & R. J. DiClemente (Eds.), Handbook of HIV prevention: AIDS prevention and mental health (pp. 3–55). New York: Kluwer Academic/Plenum Publishers.
Zurück zum Zitat Galaif, E. R., Nyamathi, A. M., & Stein, J. A. (1999). Psychosocial predictors of current drug use, drug problems, and physical drug dependence in homeless women. Addictive Behaviors, 24(6), 801.PubMedCrossRef Galaif, E. R., Nyamathi, A. M., & Stein, J. A. (1999). Psychosocial predictors of current drug use, drug problems, and physical drug dependence in homeless women. Addictive Behaviors, 24(6), 801.PubMedCrossRef
Zurück zum Zitat Gentry, Q., Elifson, K., & Sterk, C. (2005). Aiming for more relevant HIV risk reduction: A black feminist perspective for enhancing HIV intervention for low-income African American women. AIDS Education and Prevention, 17(3), 238–252.PubMedCrossRef Gentry, Q., Elifson, K., & Sterk, C. (2005). Aiming for more relevant HIV risk reduction: A black feminist perspective for enhancing HIV intervention for low-income African American women. AIDS Education and Prevention, 17(3), 238–252.PubMedCrossRef
Zurück zum Zitat Gottfredson, M. R., & Hirschi, T. (1990). A general theory of crime. Stanford, CA: Stanford University Press. Gottfredson, M. R., & Hirschi, T. (1990). A general theory of crime. Stanford, CA: Stanford University Press.
Zurück zum Zitat Huba, G., Newcomb, M., & Bentler, P. (1981). Comparison of canonical correlation and interbattery factor analysis on sensation seeking and drug use domains. Applied Psychological Measurement, 5, 291–306.CrossRef Huba, G., Newcomb, M., & Bentler, P. (1981). Comparison of canonical correlation and interbattery factor analysis on sensation seeking and drug use domains. Applied Psychological Measurement, 5, 291–306.CrossRef
Zurück zum Zitat Hurst, D. F., Boswell, D. L., Boogaard, S. E., & Watson, M. W. (1997). The relationship of self-esteem to the health-related behaviors of the patients of a primary care clinic. Archives of Family Medicine, 6, 67–70.PubMedCrossRef Hurst, D. F., Boswell, D. L., Boogaard, S. E., & Watson, M. W. (1997). The relationship of self-esteem to the health-related behaviors of the patients of a primary care clinic. Archives of Family Medicine, 6, 67–70.PubMedCrossRef
Zurück zum Zitat MacKinnon, D. P., & Dwyer, J. H. (1993). Estimating mediated effects in prevention studies. Evaluation Review, 17, 144–158.CrossRef MacKinnon, D. P., & Dwyer, J. H. (1993). Estimating mediated effects in prevention studies. Evaluation Review, 17, 144–158.CrossRef
Zurück zum Zitat Maman, S., Campbell, J., Sweat, M. D., & Gielen, A. C. (2000). The intersections of HIV and violence: Directions for future research and interventions. Social Science & Medicine, 50(4), 459–478.CrossRef Maman, S., Campbell, J., Sweat, M. D., & Gielen, A. C. (2000). The intersections of HIV and violence: Directions for future research and interventions. Social Science & Medicine, 50(4), 459–478.CrossRef
Zurück zum Zitat McLellan, A. T., Luborsky, L., Cacciola, J., Griffin, J., Evans, F., Barr, H. L., et al. (1985). New data from the addiction severity index: Reliability and validity in three centers. Journal of Nervous and Mental Diseases, 173, 412–423.CrossRef McLellan, A. T., Luborsky, L., Cacciola, J., Griffin, J., Evans, F., Barr, H. L., et al. (1985). New data from the addiction severity index: Reliability and validity in three centers. Journal of Nervous and Mental Diseases, 173, 412–423.CrossRef
Zurück zum Zitat Munoz, M., Vazquez, C., Koegel, P., Sanz, J., & Burnam, M. A. (1998). Differential patterns of mental disorders among the homeless in Madrid (Spain) and Los Angeles (USA). Social psychiatry and psychiatric epidemiology, 33(10), 514–520.PubMedCrossRef Munoz, M., Vazquez, C., Koegel, P., Sanz, J., & Burnam, M. A. (1998). Differential patterns of mental disorders among the homeless in Madrid (Spain) and Los Angeles (USA). Social psychiatry and psychiatric epidemiology, 33(10), 514–520.PubMedCrossRef
Zurück zum Zitat National Institute on Drug Abuse, N. (1992, January 9–10). The standard intervention of the cooperative agreement program for aids community-based outreach/intervention research. National Institute on Drug Abuse, N. (1992, January 9–10). The standard intervention of the cooperative agreement program for aids community-based outreach/intervention research.
Zurück zum Zitat Needle, R., Fisher, D. G., Weatherby, N., Chitwood, D., Brown, B., Cesari, H., et al. (1995). Reliability of self-reported HIV risk behaviors of drug users. Psychology of Addictive Behaviors, 9(4), 242–250.CrossRef Needle, R., Fisher, D. G., Weatherby, N., Chitwood, D., Brown, B., Cesari, H., et al. (1995). Reliability of self-reported HIV risk behaviors of drug users. Psychology of Addictive Behaviors, 9(4), 242–250.CrossRef
Zurück zum Zitat Nyamathi, A., Stein, J. A., & Brecht, M.-L. (1995). Psychosocial predictors of aids risk behavior and drug use behavior in homeless and drug addicted women of color. Health Psychology, 14(3), 265.PubMedCrossRef Nyamathi, A., Stein, J. A., & Brecht, M.-L. (1995). Psychosocial predictors of aids risk behavior and drug use behavior in homeless and drug addicted women of color. Health Psychology, 14(3), 265.PubMedCrossRef
Zurück zum Zitat Prochaska, J., & DiClemente, C. (1983). Stages and processes of self-change of smoking. Journal of Consulting and Clinical Psychology, 51, 390–395.PubMedCrossRef Prochaska, J., & DiClemente, C. (1983). Stages and processes of self-change of smoking. Journal of Consulting and Clinical Psychology, 51, 390–395.PubMedCrossRef
Zurück zum Zitat Robertson, M. J., Clark, R. A., Charlebois, E. D., Tulsky, J., Long, H. L., Bangsberg, D. R., et al. (2004). HIV seroprevalence among homeless and marginally housed adults in San Francisco. Am J Public Health, 94(7), 1207–1217.PubMedCrossRef Robertson, M. J., Clark, R. A., Charlebois, E. D., Tulsky, J., Long, H. L., Bangsberg, D. R., et al. (2004). HIV seroprevalence among homeless and marginally housed adults in San Francisco. Am J Public Health, 94(7), 1207–1217.PubMedCrossRef
Zurück zum Zitat Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
Zurück zum Zitat Sobel, M. E. (1986). Some new results on indirect effects and their standard errors in covariance structure models. In N. Tuma (Ed.), Sociological methodology (pp. 159–186). Washington, DC: American Sociological Association. Sobel, M. E. (1986). Some new results on indirect effects and their standard errors in covariance structure models. In N. Tuma (Ed.), Sociological methodology (pp. 159–186). Washington, DC: American Sociological Association.
Zurück zum Zitat Somlai, A. M., Kelly, J. A., Heckman, T. G., Hackl, K., Runge, L., & Wright, C. (2000). Life optimism, substance use, and AIDS-specific attitudes associated with HIV risk behavior among disadvantaged innercity women. Journal of Womens Health and Gender-BasedMedicine, 9, 1101–1111.CrossRef Somlai, A. M., Kelly, J. A., Heckman, T. G., Hackl, K., Runge, L., & Wright, C. (2000). Life optimism, substance use, and AIDS-specific attitudes associated with HIV risk behavior among disadvantaged innercity women. Journal of Womens Health and Gender-BasedMedicine, 9, 1101–1111.CrossRef
Zurück zum Zitat Stein, J. A., & Nyamathi, A. (1999). Gender differences in relationships among stress, coping, and health risk behaviors in impoverished, minority populations. Personality and Individual Differences, 26, 141–157.CrossRef Stein, J. A., & Nyamathi, A. (1999). Gender differences in relationships among stress, coping, and health risk behaviors in impoverished, minority populations. Personality and Individual Differences, 26, 141–157.CrossRef
Zurück zum Zitat Sterk, C. (1999). Fast lives: Women who use crack cocaine. Philadelphia, PA: Temple University Press. Sterk, C. (1999). Fast lives: Women who use crack cocaine. Philadelphia, PA: Temple University Press.
Zurück zum Zitat Sterk, C., Theall, K., Elifson, K., & Kidder, D. (2003a). HIV risk reduction among African American women who inject drugs: A randomized controlled trial. AIDS and Behavior, 7(1), 73–86.PubMedCrossRef Sterk, C., Theall, K., Elifson, K., & Kidder, D. (2003a). HIV risk reduction among African American women who inject drugs: A randomized controlled trial. AIDS and Behavior, 7(1), 73–86.PubMedCrossRef
Zurück zum Zitat Sterk, C., Theall, K., & Elifson, K. (2003b). Effectiveness of a risk reduction intervention among African American women who use crack cocaine. AIDS Education and Prevention, 15(1), 15–32.PubMedCrossRef Sterk, C., Theall, K., & Elifson, K. (2003b). Effectiveness of a risk reduction intervention among African American women who use crack cocaine. AIDS Education and Prevention, 15(1), 15–32.PubMedCrossRef
Zurück zum Zitat Sterk, C., Theall, K., & Elifson, K. (2005). African American female drug users and HIV risk reduction: Challenges with criminal involvement. Journal of Health Care for the Poor and Underserved, 16(4), 89–107.PubMedCrossRef Sterk, C., Theall, K., & Elifson, K. (2005). African American female drug users and HIV risk reduction: Challenges with criminal involvement. Journal of Health Care for the Poor and Underserved, 16(4), 89–107.PubMedCrossRef
Zurück zum Zitat Strauss, S. M., Rindskopf, D. M., Deren, S., & Falkin, G. P. (2001). Concurrence of drug users’ self-report of current HIV status and serotest results. Journal of Acquired Immune Deficiency Syndromes & Human Retrovirology, 27(3), 301–307. Strauss, S. M., Rindskopf, D. M., Deren, S., & Falkin, G. P. (2001). Concurrence of drug users’ self-report of current HIV status and serotest results. Journal of Acquired Immune Deficiency Syndromes & Human Retrovirology, 27(3), 301–307.
Zurück zum Zitat Tashima, N., Crain, C., O’Reilly, K., & Sterk-Elifson, C. (1996). The community identification process: A discovery model. Qualitative Health Research, 6, 23–48.CrossRef Tashima, N., Crain, C., O’Reilly, K., & Sterk-Elifson, C. (1996). The community identification process: A discovery model. Qualitative Health Research, 6, 23–48.CrossRef
Zurück zum Zitat Theall, K., Elifson, K., & Sterk, C. E. (2004). Past and new victimization experiences among African American female drug users who participated in an HIV risk reduction intervention. Journal of Sex Research, 41, 400–407.PubMedCrossRef Theall, K., Elifson, K., & Sterk, C. E. (2004). Past and new victimization experiences among African American female drug users who participated in an HIV risk reduction intervention. Journal of Sex Research, 41, 400–407.PubMedCrossRef
Zurück zum Zitat Tuten, M., Jones, H. E., & Svikis, D. S. (2003). Comparing homeless and domiciled pregnant substance dependent women on psychosocial characteristics and treatment outcomes. Drug & Alcohol Dependence, 69, 95–99.CrossRef Tuten, M., Jones, H. E., & Svikis, D. S. (2003). Comparing homeless and domiciled pregnant substance dependent women on psychosocial characteristics and treatment outcomes. Drug & Alcohol Dependence, 69, 95–99.CrossRef
Zurück zum Zitat Vissing, Y. M. (1996). Out of sight, out of mind: Homeless women and families in small-town America. Lexington, KY: University of Kentucky. Vissing, Y. M. (1996). Out of sight, out of mind: Homeless women and families in small-town America. Lexington, KY: University of Kentucky.
Zurück zum Zitat Watters, J., & Biernacki, P. (1989). Targeted sampling: Options for the study of hidden populations. Social Problems, 36(4), 416–430.CrossRef Watters, J., & Biernacki, P. (1989). Targeted sampling: Options for the study of hidden populations. Social Problems, 36(4), 416–430.CrossRef
Zurück zum Zitat Weatherby, N. L., Needle, R., Cesari, H., Booth, R. E., et al. (1994). Validity of self-reported drug use among injection drug users and crack cocaine users recruited through street outreach. Evaluation & Program Planning, 17(4), 347–355.CrossRef Weatherby, N. L., Needle, R., Cesari, H., Booth, R. E., et al. (1994). Validity of self-reported drug use among injection drug users and crack cocaine users recruited through street outreach. Evaluation & Program Planning, 17(4), 347–355.CrossRef
Zurück zum Zitat Wechsberg, W. M., & Cavanaugh, E. R. (1998). Differences found between women injectors in and out of treatment: Implications for interventions. Drugs & Society, 13(1–2), 63–79.CrossRef Wechsberg, W. M., & Cavanaugh, E. R. (1998). Differences found between women injectors in and out of treatment: Implications for interventions. Drugs & Society, 13(1–2), 63–79.CrossRef
Zurück zum Zitat Wechsberg, W. M., Lam, W. K. K., Zule, W., Hall, G., Middlesteadt, R. L., & Edwards, R. (2003). Violence, homelessness, and HIV risk among crack-using African-American women. Substance use & misuse, 38, 669–700.CrossRef Wechsberg, W. M., Lam, W. K. K., Zule, W., Hall, G., Middlesteadt, R. L., & Edwards, R. (2003). Violence, homelessness, and HIV risk among crack-using African-American women. Substance use & misuse, 38, 669–700.CrossRef
Zurück zum Zitat Wenzel, S., Burnam, M., Koegel, P., Morton, S., Miu, A., Jinnett, K., & Sullivan, G. (2001). Access to inpatient or residential substance abuse treatment among homeless adults with alcohol or other drug use disorders. Medical Care, 39(11), 1158–1169.PubMedCrossRef Wenzel, S., Burnam, M., Koegel, P., Morton, S., Miu, A., Jinnett, K., & Sullivan, G. (2001). Access to inpatient or residential substance abuse treatment among homeless adults with alcohol or other drug use disorders. Medical Care, 39(11), 1158–1169.PubMedCrossRef
Zurück zum Zitat Wenzel, S. L., Koegel, P., & Gelberg, L. (2000). Antecedents of physical and sexual victimization among homeless women: A comparison to homeless men. American Journal of Community Psychology, 28, 367–390.PubMedCrossRef Wenzel, S. L., Koegel, P., & Gelberg, L. (2000). Antecedents of physical and sexual victimization among homeless women: A comparison to homeless men. American Journal of Community Psychology, 28, 367–390.PubMedCrossRef
Zurück zum Zitat Wenzel, S. L., Tucker, J. S., Elliott, M. N., Hambarsoomians, K., Perlman, J., Becker, K., Kollross, C., & Golinelli, D. (2004). Prevalence and co-occurrence of violence, substance use and disorder, and HIV risk behavior: A comparison of sheltered and low-income housed women in Los Angeles County. Preventive Medicine: An International Journal Devoted to Practice and Theory, 39(3), 617–624. Wenzel, S. L., Tucker, J. S., Elliott, M. N., Hambarsoomians, K., Perlman, J., Becker, K., Kollross, C., & Golinelli, D. (2004). Prevalence and co-occurrence of violence, substance use and disorder, and HIV risk behavior: A comparison of sheltered and low-income housed women in Los Angeles County. Preventive Medicine: An International Journal Devoted to Practice and Theory, 39(3), 617–624.
Zurück zum Zitat Zeiger, S. L., & Liang, K. Y. (1986). Longitudinal data analysis for discrete and continuous outcomes. Biometrics, 42, 121–130.CrossRef Zeiger, S. L., & Liang, K. Y. (1986). Longitudinal data analysis for discrete and continuous outcomes. Biometrics, 42, 121–130.CrossRef
Zurück zum Zitat Zolopa, A. R., Hahn, J. A., Gorter, R., Miranda, J., Wlodarczyk, D., Peterson, J., et al. (1994). HIV and tuberculosis infection in San Francisco’s homeless adults. Prevalence and risk factors in a representative sample. JAMA, 272(6), 455–461.PubMedCrossRef Zolopa, A. R., Hahn, J. A., Gorter, R., Miranda, J., Wlodarczyk, D., Peterson, J., et al. (1994). HIV and tuberculosis infection in San Francisco’s homeless adults. Prevalence and risk factors in a representative sample. JAMA, 272(6), 455–461.PubMedCrossRef
Zurück zum Zitat Zuckerman, M., Kuhlman, D. M., Joireman, J., Teta, P., & Kraft, M. (1993). A comparison of three structural models for personality: The big three, the big five, and the alternative five. Journal of Personality and Social Psychology, 65, 757–768.CrossRef Zuckerman, M., Kuhlman, D. M., Joireman, J., Teta, P., & Kraft, M. (1993). A comparison of three structural models for personality: The big three, the big five, and the alternative five. Journal of Personality and Social Psychology, 65, 757–768.CrossRef
Metadaten
Titel
Safe Living: The Impact of Unstable Housing Conditions on HIV Risk Reduction Among Female Drug Users
verfasst von
Kirk W. Elifson
Claire E. Sterk
Katherine P. Theall
Publikationsdatum
01.11.2007
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe Sonderheft 2/2007
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-007-9306-8

Weitere Artikel der Sonderheft 2/2007

AIDS and Behavior 2/2007 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Reizdarmsyndrom: Diäten wirksamer als Medikamente

29.04.2024 Reizdarmsyndrom Nachrichten

Bei Reizdarmsyndrom scheinen Diäten, wie etwa die FODMAP-arme oder die kohlenhydratreduzierte Ernährung, effektiver als eine medikamentöse Therapie zu sein. Das hat eine Studie aus Schweden ergeben, die die drei Therapieoptionen im direkten Vergleich analysierte.

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.