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Substance Abuse and Addiction

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HIV/AIDS

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Full-Text Articles in Medicine and Health Sciences

Substance Abuse Treatment Utilization Among Adults Living With Hiv/Aids And Alcohol Or Drug Problems, John Orwat, Richard Saitz, Christopher Tompkins, Debbie Cheng, Michael Dentato, Jeffrey Samet Apr 2011

Substance Abuse Treatment Utilization Among Adults Living With Hiv/Aids And Alcohol Or Drug Problems, John Orwat, Richard Saitz, Christopher Tompkins, Debbie Cheng, Michael Dentato, Jeffrey Samet

Michael P. Dentato, PhD, MSW

This is a prospective cohort study to identify factors associated with receipt of substance abuse treatment (SAT) among adults with alcohol problems and HIV/AIDS. Data from the HIV Longitudinal Interrelationships of Viruses and Ethanol study were analyzed. Generalized estimating equation logistic regression models were fit to identify factors associated with any service utilization. An alcohol dependence diagnosis had a negative association with SAT (adjusted odds ratio [AOR] = 0.36, 95% confidence interval [95% CI] = 0.19–0.67), as did identifying sexual orientation other than heterosexual (AOR = 0.46, CI = 0.29–0.72) and having social supports that use alcohol/drugs (AOR = 0.62, …


Factors Associated With Attendance In 12-Step Groups (Alcoholics Anonymous/Narcotics Anonymous) Among Adults With Alcohol Problems Living With Hiv/Aids, John Orwat, Jeffrey Samet, Christopher Tompkins, Debbie Cheng, Michael Dentato, Richard Saitz Sep 2010

Factors Associated With Attendance In 12-Step Groups (Alcoholics Anonymous/Narcotics Anonymous) Among Adults With Alcohol Problems Living With Hiv/Aids, John Orwat, Jeffrey Samet, Christopher Tompkins, Debbie Cheng, Michael Dentato, Richard Saitz

Michael P. Dentato, PhD, MSW

Background: Despite the value of 12-step meetings, few studies have examined factors associated with attendance among those living with HIV/AIDS, such as the impact of HIV disease severity and demographics. Objective: This study examines predisposing characteristics, enabling resources and need on attendance at Alcoholic Anonymous (AA) and Narcotics Anonymous (NA) meetings among those living with HIV/AIDS and alcohol problems. Methods: Secondary analysis of prospective data from the HIV-Longitudinal Interrelationships of Viruses And Ethanol study, a cohort of 400 adults living with HIV/AIDS and alcohol problems. Factors associated with AA/NA attendance were identified using the Anderson model for vulnerable populations. Generalized …


Factors Behind Hiv Testing Practices Among Canadian Aboriginal Peoples Living Off-Reserve, Treena Orchard, C. Mcinnes, K. Fernandes, M. Clement, M. Gilbert, V. Lima, J. Montaner, R. Hogg Dec 2009

Factors Behind Hiv Testing Practices Among Canadian Aboriginal Peoples Living Off-Reserve, Treena Orchard, C. Mcinnes, K. Fernandes, M. Clement, M. Gilbert, V. Lima, J. Montaner, R. Hogg

Dr. Treena Orchard

The objective of this study was to examine factors associated with HIV testing among Aboriginal peoples in Canada who live off-reserve. Data were drawn for individuals aged 15–44 from the Aboriginal Peoples Survey (2001), which represents a weighed sample of 520,493 Aboriginal men and women living off-reserve. Bivariable analysis and logistic regression were used to identify factors associated with individuals who had received an HIV test within the past year. In adjusted multivariable analysis, female gender, younger age, unemployment, contact with a family doctor or traditional healer within the past year, and “good” or “fair/poor” self-rated health increased the odds …


Girl, Woman, Lover, Mother: Towards A New Understanding Of Child Prostitution Among Young Devadasi Sex Workers In Rural Karnataka, India, Treena Orchard Dec 2006

Girl, Woman, Lover, Mother: Towards A New Understanding Of Child Prostitution Among Young Devadasi Sex Workers In Rural Karnataka, India, Treena Orchard

Dr. Treena Orchard

The emotive issue of child prostitution is at the heart of international debates over ‘trafficking’ in women and girls, the “new slave trade”, and how these phenomena are linked with globalization, sex tourism, and expanding transnational economies. However, young sex workers, particularly those in the ‘third world’, are often represented through tropes of victimization, poverty, and “backwards” cultural traditions, constructions that rarely capture the complexity of the girls’ experiences and the role that prostitution plays in their lives. Based on ethnographic fieldwork with girls and young women who are part of the Devadasi (servant/slave of the God) system of sex …


Dhandha, Dharma And Disease: Traditional Sex Work And Hiv/Aids In Rural India, J. O'Neil, Treena Orchard, J. Swarankar, J. Blanchard, K. Gurav, B. Barlaya, R. Patil, C. Hussain Khan, S. Moses Dec 2003

Dhandha, Dharma And Disease: Traditional Sex Work And Hiv/Aids In Rural India, J. O'Neil, Treena Orchard, J. Swarankar, J. Blanchard, K. Gurav, B. Barlaya, R. Patil, C. Hussain Khan, S. Moses

Dr. Treena Orchard

This paper discusses the results of two ethnographic studies with female sex workers in rural areas of Karnataka and Rajasthan, India. In particular, we focus on women whose socio-economic status, and religious and occupational practices, are part of sex work systems that have historical precedents such that they can be termed “traditional” sex workers. The approach taken in the ethnographic work was informed by current critical approaches in medical anthropology and public health. The paper argues that in the context of an expanding HIV/AIDS epidemic in rural areas of India, understanding the historical and structural factors that operate to perpetuate …