Women at Risk pp 175-193 | Cite as

Drug-Using Women and HIV

Risk-Reduction and Prevention Issues
  • Gloria Weissman
  • Vivian Brown
Part of the AIDS Prevention and Mental Health book series (APMH)


While drug-using women have been the group of women most at risk for HIV infection since the beginning of the AIDS epidemic, these women are also those for whom risk reduction to prevent acquisition of infection is most problematic. A number of recent studies strongly suggest that for drug-using women, there are significant educational, cultural, economic, psychological, physical, and social barriers that affect their ability to change risk behaviors and to participate in prevention programs (V. Brown & Weissman, 1993; G. Weissman & the NARC., 1991a, b). This chapter will discuss those barriers, some of the strategies that have been used to overcome them, and areas in which more work is needed. Our chapter in the next volume in this series will discuss issues that affect access to care for drug-using women with HIV disease.


Needle Exchange Partner Notification Drug Treatment Program Heroin Injection Crack User 
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  1. Amaro, H., Fried, L. E., Cabral, H., & Zuckerman, B. (1990). Violence during pregnancy and substance abuse. American Journal of Public Health, 80, 575–579.PubMedCrossRefGoogle Scholar
  2. Andersen, M. (1977). Medical needs of addicted women and men and the implications for treatment, WDR Report No. 4. Ann Arbor: Women’s Drug Research Project, University of Michigan.Google Scholar
  3. Andersen, M. (1980). Health of heroin dependent clients: Focus on women. Women and Health, 5(1), 23–33.CrossRefGoogle Scholar
  4. Aneshensel, C. S., & Huba, G. J. (1984). An integrated causal model of the antecedents and consequences of depression. In J. R. Greenley (Ed.), Research in community and mental health, Vol. 4 (pp. 35–72). Greenwich, CT: JAI.Google Scholar
  5. Brown, B. S., Garvey, S. K., Meyers, M. B., & Stark, S. D. (1971). In their own words: Addicts’ reasons for initiating and withdrawing from heroin. International Journal of Addictions, 6, 635–645.Google Scholar
  6. Brown, V. B. (1992). Drug and alcohol treatment and recovery services for pregnant addicted women. In M. Jessup (Ed.), Drug dependency in pregnancy: Managing withdrawal (pp. 251–267). Sacramento, CA: State of California Department of Health Services.Google Scholar
  7. Brown, V. B., Melchior, L. A., Reback, C. J., & Huba, G. J. (1994). Partner notification of HIV test results: Psychosocial and social issues for women. AIDS and Public Policy Journal, 6, 86–92.Google Scholar
  8. Brown, V. B., Ridgely, M. S., Pepper, B., Levine, I. S., & Ryglewicz, H. (1989). The dual crisis: Mental illness and substance abuse: Present and future directions. American Psychologist, 44, 565–569.PubMedCrossRefGoogle Scholar
  9. Brown, V., & Weissman, G. (1993). Women and men injection drug users: An updated look at gender differences and risk factors. In B. S. Brown & G. M. Beschner (Eds.), Handbook on risk of AIDS: Injection drug users and sexual partners (pp. 173–194). Westport, CT: Greenwood Press.Google Scholar
  10. Centers for Disease Control and Prevention (1992). What we have learned from the AIDS community demonstration projects (June 15, 1992). Atlanta: Centers for Disease Control and Prevention.Google Scholar
  11. Centers for Disease Control and Prevention (1992–1993). Behavioral and Prevention Research Branch summary of MMWR articles, 1992–1993. Atlanta: Centers for Disease Control and Prevention.Google Scholar
  12. Centers for Disease Control and Prevention (1994). Research summaries: Behavioral and Prevention Research grants (January 1994). Atlanta: Centers for Disease Control and Prevention.Google Scholar
  13. Chiasson, M. A., Stoneburner, R. L., Hildebrandt, D. S., Ewing, W. E., Telzak, E. E., & Jaffe, H. W. (1991). Heterosexual transmission of HIV-1 associated with the use of smokable freebase cocaine (crack). AIDS, 5, 1121–1126.PubMedCrossRefGoogle Scholar
  14. Clarkin, J. F., & Kendall, P. C. (1992). Comorbidity and treatment planning: Summary and future directions. Journal of Consulting and Clinical Psychology, 60, 904–908.PubMedCrossRefGoogle Scholar
  15. Cohen, J. B., Hauer, L. B., & Wofsy, C. B. (1989). Women and IV drugs: Parental and heterosexual transmission of human immunodeficiency virus. Special issue: Intravenous drug use and AIDS. Journal of Drug Issues, 19, 39–56.Google Scholar
  16. Comfort, M., Shipley, T. E., White, K., & Griffith, E. M. (1990). Family treatment for homeless alcohol/drug-addicted women and their preschool children. Special issue: Treating alcoholism and drug abuse among homeless men and women: Nine community demonstration grants. Alcoholism Treatment Quarterly, 7, 129–147.CrossRefGoogle Scholar
  17. DiMatteo, T. E., & Cesarini, T. M. (1986). Responding to the treatment needs of chemically dependent women. Journal of Counseling and Development, 64, 452–453.CrossRefGoogle Scholar
  18. Doshan, T., & Bursch, C. (1982). Women and substance abuse: Critical issues in treatment design. Journal of Drug Education, 12, 229–239.CrossRefGoogle Scholar
  19. Faulkner, K. K., Cogan, R., Nolder, M., & Shooter, G. (1991). Characteristics of men and women completing cognitive/behavioral spouse abuse treatment. Journal of Family Violence, 6, 243–254.CrossRefGoogle Scholar
  20. Fiks, K. B., Johnson, H. L., & Rosen, T. S. (1985). Methadone-maintained mothers: 3-Year follow-up of parental functioning. International Journal of the Addictions, 20, 651–660.PubMedGoogle Scholar
  21. Flaherty, E. W., Bencivengo, M., & Olson, K. (1978). The causes of demand reduction: An exploratory study. Philadelphia: Philadelphia Health Management Corp.Google Scholar
  22. Fullilove, R. E., Fullilove, M. T., Bowser, B. P., & Gross, S. A. (1990). Risk of sexually transmitted disease among black adolescent crack users in Oakland and San Francisco, California. JAMA, 263, 851–855.PubMedCrossRefGoogle Scholar
  23. Gross, M., & Brown, V. (1993). Outreach to injection drug-using women. In B. S. Brown & G. M. Beschner (Eds.), Handbook on risk of AIDS: Injection drug users and sexual partners (pp. 173–194). Westport, CT: Greenwood Press.Google Scholar
  24. Jackson, D. N. (1989). Manual for the Basic Personality Inventory. Port Huron, MI: Sigma Assessment Systems.Google Scholar
  25. Hser, Y., Chou, C., & Anglin, M. D. (1990). The criminality of female narcotics addicts: A causal modeling approach. Journal of Quantitative Criminology, 6, 207–228.CrossRefGoogle Scholar
  26. Hurley, D. L. (1991). Women, alcohol and incest: An analytical review. Journal of Studies on Alcohol, 52, 253–268.PubMedGoogle Scholar
  27. Ingram-Fogel, C. (1991). Health problems and needs of incarcerated women. Journal of Prison and Jail Health, 10, 43–57.Google Scholar
  28. Jackson, D. N. (1989). Basic Personality Inventory: BPI manual. Port Huron, MI: Sigma Assessment Systems.Google Scholar
  29. Kaplan, E. H. (1992). Needle exchange or needless exchange? The state of the debate. Infectious Agents and Disease, 1, 92–97.PubMedGoogle Scholar
  30. Kaubin, B. J. (1974). Sexism shades the lives and treatment of female addicts. Contemporary Drug Problems, 3, 471–484.Google Scholar
  31. Levy, S. J., & Broudy, M. (1975). Sex role differences in the therapeutic community: Moving from sexism to androgyny. Journal of Psychedelic Drugs, 7, 291–297.CrossRefGoogle Scholar
  32. Lex, B. W., Teoh, S. K., Lagomasino, I., Mello, N. K., & Mendelson, J. H. (1990). Characteristics of women receiving mandated treatment for alcohol or polysubstance dependence in Massachusetts. Drug and Alcohol Dependence, 25, 13–20.PubMedCrossRefGoogle Scholar
  33. Maglin, A. (1975). Casework with pregnant women on methadone maintenance. Social Casework, 56, 131–137.Google Scholar
  34. Marsh, J. C., & Miller, N. A. (1985). Female clients in substance abuse treatment. International Journal of the Addictions, 20, 995–1019.PubMedGoogle Scholar
  35. McKinney, L. E. (1993). The relationship between violence and female patterns of addiction. Clearinghouse for Drug Exposed Children Newsletter, 4 (Spring).Google Scholar
  36. Melchior, L. A., Brown, V. B., & Huba, G. J. (1995). A typology of mental health problems among women in residential drug treatment (submitted).Google Scholar
  37. Mondanaro, J. (1981). Reproductive health concerns for the treatment of drug dependent women. In G. M. Beschner, B. G. Reed, & J. Mondanaro (Eds.), Treatment services for drug dependent women, Vol. I (pp. 258–292). DHHS Publication No. (ADM) 81-1177. Rockville, MD: National Institute on Drug Abuse.Google Scholar
  38. Pearlman, P., West, M., & Dalton, J. (1982). Mothers and children together: Parenting in a substance abuse program. In B. G. Reed, G. M. Beschner, & J. Mondanaro (Eds.), Treatment services for drug dependent women, Vol. II (pp. 532–571). DHHS Publication No. (ADM) 82-1219. Rockville, MD: National Institute on Drug Abuse.Google Scholar
  39. Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRefGoogle Scholar
  40. Reed, B. G. (1985). Drug misuse and dependency in women: The meaning and implications of being considered a special population or minority group. Special issue: Intervening with special populations. International Journal of the Addictions, 20, 13–62.PubMedGoogle Scholar
  41. Reed, B. G. (1987). Developing women sensitive drug dependence treatment services: Why so difficult? Journal of Psychoactive Drugs, 19, 151–164.PubMedCrossRefGoogle Scholar
  42. Rosenshine, N., Sowder B., Weissman G., & Young, P. L. (1990). AIDS prevention model: Reaching women at risk. Bethesda, MD: NOVA Research.Google Scholar
  43. Roskies, E., Iida-Miranda, M. L., & Strobel, M. G. (1975). The application of the life events approach to the problems of immigration. Journal of Psychosomatic Research, 19, 235–240.PubMedCrossRefGoogle Scholar
  44. Rothenberg, K. H., & North, R. L. (1991). The duty to warn “dilemma” and women with AIDS: Redefining the “forseeable victim.” Courts, Health Science, & the Law, 2, 90–98.Google Scholar
  45. Sterk, C. (1988) Cocaine and HIV seropositivity (letter). Lancet, 2, 1052–1053.CrossRefGoogle Scholar
  46. Tiblier, K. B., Walker, G., & Rolland, J. S. (1989). Therapeutic issues when working with families of persons with AIDS. Marriage and Family Review, 13, 81–128.CrossRefGoogle Scholar
  47. Tucker, M. B. (1979). A descriptive and comparative analysis of the social support structure of heroin addicted women. In Addicted women: Family dynamics, self perceptions, and support systems. NIDA Services Research Monograph Series, Department of Health, Education and Welfare Publication No. ADM-80-762. Washington, DC: U.S. Government Printing Office.Google Scholar
  48. Uhlenhuth, E. H., Lipman, R. S., Baiter, M. B., & Stern, M. (1974). Symptom intensity and life stress in the city. Archives of General Psychiatry, 31, 759–763.PubMedCrossRefGoogle Scholar
  49. University of California (1993). Institute for Health Policy Studies. The public health impact of needle exchange programs in the United States and abroad, Vols. I and II. San Francisco: University of California.Google Scholar
  50. Weissman, G., & the National AIDS Research Consortium (NARC) (1991a). AIDS prevention for women at risk: Experience from a national demonstration research program. Journal of Primary Prevention, 12(1), 49–63.CrossRefGoogle Scholar
  51. Weissman, G., & the National AIDS Research Consortium (NARC) (1991b). Working with pregnant women at high risk for HIV infection: Outreach and intervention, May-June 1991. Bulletin of the New York Academy of Medicine, 67, 291–300.PubMedGoogle Scholar
  52. Weissman, G., & Brown, V. B. (1991). Drug use and sexual behaviors among sex partners of injecting-drug users—United States 1988–1990. Morbidity and Mortality Weekly Report, 40, 855–860.Google Scholar
  53. Weissman, G., Sowder, B., Young, P. L., & the National AIDS Research Consortium (NARC) (1991). The relationship between crack cocaine use and other risk factors among women in a national AIDS prevention program. Proceedings of the Sixth International AIDS Conference (San Francisco, June 20-24, 1990), Vol. 3 (p. 126) (abstract).Google Scholar
  54. Weissman, M. M., Sholomskas, D., Pottenger, M., Prusoff, B. A., & Locke, B. Z. (1977). Assessing depressive symptoms in five psychiatric populations: A validation study. American Journal of Epidemiology, 106, 203–214.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1995

Authors and Affiliations

  • Gloria Weissman
    • 1
  • Vivian Brown
    • 2
  1. 1.Health Resources and Services AdministrationRockvilleUSA
  2. 2.PROTOTYPESCulver CityUSA

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