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Substance abuse

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Articles 1 - 30 of 79

Full-Text Articles in Social Work

Substance Abuse And Family Reunification: Perceptions And Potential Contributing Factors To Family Reunification, Ashley Odam, Tina Macmaster Jun 2020

Substance Abuse And Family Reunification: Perceptions And Potential Contributing Factors To Family Reunification, Ashley Odam, Tina Macmaster

Electronic Theses, Projects, and Dissertations

The purpose of this study was to examine the contributing factors of family reunification (FR) according to social workers and other professionals working in child welfare. Existing research highlights the importance of the social worker’s relationship with the person with substance abuse as a contributing factor to FR; however, there is little research as to what influenced the social worker and other professionals from their perspective.

A quantitative self-administered survey was distributed to social workers and professionals in San Bernardino County and Riverside County that included questions about the participant’s background, experience, possible contributing factors, and influences potentially ...


Drug Overdose Prevention: Promising Practices, Dawne Frain, Rachel Lubischer, Jessica Groeneweg, Lynn Castrianno, Jeanette Harder, Gaylene Armstrong Aug 2019

Drug Overdose Prevention: Promising Practices, Dawne Frain, Rachel Lubischer, Jessica Groeneweg, Lynn Castrianno, Jeanette Harder, Gaylene Armstrong

Jeanette Harder

This report on best practices informs a needs assessment on the capacity of Nebraska systems to respond to surges or clusters of intentional, unintentional, and unknown drug overdoses, especially in high burden areas and with a focus on opioids.


Drug Overdose Prevention: Needs Of Healthcare Professionals And First Responders, Jessica Groeneweg, Lynn Castrianno, Gaylene Armstrong, Jeanette Harder, Rachel Lubischer, Dawne Frain Aug 2019

Drug Overdose Prevention: Needs Of Healthcare Professionals And First Responders, Jessica Groeneweg, Lynn Castrianno, Gaylene Armstrong, Jeanette Harder, Rachel Lubischer, Dawne Frain

Jeanette Harder

Purpose and Background
The Nebraska Department of Health and Human Services (DHHS) partnered with Support and Training for the Evaluation of Programs (STEPs) at the University of Nebraska at Omaha, Grace Abbott School of Social Work, to complete a statewide needs assessment between October 2018 and April 2019. The purpose of this needs assessment was to gauge the capacity of statewide systems in Nebraska to respond to surges or clusters of intentional, unintentional, and unknown drug overdoses, especially in high-burden areas and with a focus on opioids. The hope of the results from this needs assessment is to inform DHHS ...


The Efficacy Of Supportive Services In The Early Stages Of Outpatient Methadone Maintenance Treatment, Zachary M. Holtzman-Conston May 2019

The Efficacy Of Supportive Services In The Early Stages Of Outpatient Methadone Maintenance Treatment, Zachary M. Holtzman-Conston

Doctorate in Social Work (DSW) Dissertations

Background

Over the past 25 years, the United States has experienced an opioid epidemic that has cost hundreds of thousands of lives and which now constitutes as the worst drug overdose epidemic in U.S. history. Increases in opioid use and abuse have been found among men and women, most age groups, and all income levels (CDC, 2017). Methadone Maintenance Treatment (MMT) is one the most effective forms of treatment for opioid addiction, and has been found to reduce substance use, the risk of HIV, overdose, and criminal behaviors (Joseph et al., 2000; Mattick, Breen, Kimber, & Davoli, 2009). Both clinical ...


The Relationship Between Substance Abuse, Intimate Partner Violence And Sexual Assault In College Students, Erin K. Deotte May 2019

The Relationship Between Substance Abuse, Intimate Partner Violence And Sexual Assault In College Students, Erin K. Deotte

Electronic Theses and Dissertations

Numerous studies demonstrate linkages between substance abuse, intimate partner violence (IPV), and/or sexual assault (e.g., Nabors, 2009; Rivera, Phillips, Warshaw, Lyon, Bland, & Kaewken, 2015; Santana, Raj, Decker, & Silverman, 2006). For ages, college students have been associated with substance abuse (e.g., Hingson, Zha, and Weitzman, 2009; O’Malley & Johnston, 2002). Substance abuse has been associated with IPV and sexual assault (Nabors, 2009; Rivera, Phillips, Warshaw, Lyon, Bland, & Kaewken, 2015; Santana, Raj, Decker, & Silverman, 2006). Although much research has been conducted on the relationships between substance abuse and intimate partner violence (including sexual violence), little research has been conducted to examine how big of a problem these variables are on small, religiously affiliated college campuses. In light of the current #MeToo climate, there seems to be a ripe context for exploring this topic. The purpose of ...


Drug Overdose Prevention: Needs Of Healthcare Professionals And First Responders, Jessica Groeneweg, Lynn Castrianno, Gaylene Armstrong, Jeanette Harder, Rachel Lubischer, Dawne Frain Apr 2019

Drug Overdose Prevention: Needs Of Healthcare Professionals And First Responders, Jessica Groeneweg, Lynn Castrianno, Gaylene Armstrong, Jeanette Harder, Rachel Lubischer, Dawne Frain

Reports

Purpose and Background
The Nebraska Department of Health and Human Services (DHHS) partnered with Support and Training for the Evaluation of Programs (STEPs) at the University of Nebraska at Omaha, Grace Abbott School of Social Work, to complete a statewide needs assessment between October 2018 and April 2019. The purpose of this needs assessment was to gauge the capacity of statewide systems in Nebraska to respond to surges or clusters of intentional, unintentional, and unknown drug overdoses, especially in high-burden areas and with a focus on opioids. The hope of the results from this needs assessment is to inform DHHS ...


Mindful Awareness Training: A Pilot Study Integrating Mindfulness Practices Into A Rural Jail-Based Substance Abuse Program, John Paulson, Veronica Huggins, Douglas A. Gentile Jan 2019

Mindful Awareness Training: A Pilot Study Integrating Mindfulness Practices Into A Rural Jail-Based Substance Abuse Program, John Paulson, Veronica Huggins, Douglas A. Gentile

Contemporary Rural Social Work Journal

Mindfulness practices are now utilized in a variety of behavioral healthcare settings, including the criminal justice system. This article summarizes the findings of a pilot project incorporating mindfulness practices into a jail-based substance abuse program in a rural county jail. Participants that engaged in a psychoeducational mindfulness group that utilized practices adapted from the Mindfulness-Based Relapse Prevention (MBRP) curriculum had improved scores on measures of mindfulness, self-compassion, and quality of life. A mediated path model suggested that the length of time participants were involved in the group and their estimated amount of mindfulness practice outside the group was related to ...


Veterans' Treatment Courts In Kentucky: Examining How Personal Characteristics And During-Program Occurrences Influence Program Completion And Criminal Recidivism, Monica Lynn Himes Jan 2019

Veterans' Treatment Courts In Kentucky: Examining How Personal Characteristics And During-Program Occurrences Influence Program Completion And Criminal Recidivism, Monica Lynn Himes

Theses and Dissertations--Social Work

Military veterans are disproportionately represented in United States (U.S.) jails and prisons, with nearly 10% of current inmates being veterans. Veterans’ criminal justice involvement is often precipitated by underlying mental health and substance abuse that are connected to their military service. Veterans’ treatment courts are the judicial response to a need for more coordinated provision of mental health and substance abuse services to veterans involved in the criminal justice system. Modeled after drug courts and mental health courts, veterans treatment courts are a judicial innovation that aim to honor the service of veterans by providing them an alternative to ...


Drug Overdose Prevention: Promising Practices, Dawne Frain, Rachel Lubischer, Jessica Groeneweg, Lynn Castrianno, Jeanette Harder, Gaylene Armstrong Dec 2018

Drug Overdose Prevention: Promising Practices, Dawne Frain, Rachel Lubischer, Jessica Groeneweg, Lynn Castrianno, Jeanette Harder, Gaylene Armstrong

Reports

This report on best practices informs a needs assessment on the capacity of Nebraska systems to respond to surges or clusters of intentional, unintentional, and unknown drug overdoses, especially in high burden areas and with a focus on opioids.


A Systematic Review Of Rural Veteran Homelessness, Jonathan Fasse May 2018

A Systematic Review Of Rural Veteran Homelessness, Jonathan Fasse

Electronic Theses and Dissertations

This study is a systematic review to examine homeless veterans identified to be most at risk of unsuccessfully completing the VA’s housing program (HUD-VASH), which promotes the use of Housing First (HF) as it’s model for treating homelessness. The literature review identified those who were rural and experiencing comorbid substance use disorders (SUD) and mental health issues to likely be those who were most at risk. There were multiple reasons why this subgroup was most vulnerable including limited access to resources, higher levels of substance use and more serious mental health diagnoses, and chronic health needs. Both the ...


Program Evaluation Of A Transitional Age Youth Program : A Project Based Upon An Investigation At Servicenet, Northampton, Massachusetts, Andrea Carnegie Chester Jan 2018

Program Evaluation Of A Transitional Age Youth Program : A Project Based Upon An Investigation At Servicenet, Northampton, Massachusetts, Andrea Carnegie Chester

Theses, Dissertations, and Projects

This study was designed to survey participants of ServiceNet’s Transitional Age Youth (TAY) program to solicit feedback regarding program effectiveness in meeting their needs. Surveys were designed with ServiceNet staff to solicit participant perspectives on the importance of program goals, and satisfaction with program services in meeting those goals. Surveys included quantitative and qualitative questions, and were distributed to all active TAY program participants. Respondents placed the greatest emphasis on TAY program goals regarding living independently and housing. Subjects were somewhat less satisfied with program services geared towards employment services. Overall, subjects were very positive about TAY staff, particularly ...


Eastern Nebraska Community Action Partnership (Encap), Community Needs Assessment: Douglas And Sarpy Counties, Jeanette Harder, Tova Hettinger, Keyonna King, Jerry Deichert Aug 2017

Eastern Nebraska Community Action Partnership (Encap), Community Needs Assessment: Douglas And Sarpy Counties, Jeanette Harder, Tova Hettinger, Keyonna King, Jerry Deichert

Reports

The mission of ENCAP is “to eliminate the causes of poverty by strengthening individuals, families, and communities through self-sufficiency initiatives in Douglas and Sarpy counties.”

As shown in the logic model below, ENCAP currently provides behavioral health, nutrition, family development, and transportation services. The logic model shows outputs and short-term outcomes as expected results of providing these services, as well as the resources needed to accomplish these outcomes. Serving people at 125% of the poverty line and below, ENCAP’s long-term outcomes are to assist individuals and families in achieving economic security, having improved mental health, increased access to food ...


2017 Final Evaluation Report For Better Together, Jeanette Harder, Heather Bird, Jodi Mcquillen, Jieru Bai, Pamela Ashley, Joseph Forrest, Natalie Scarpa Jun 2017

2017 Final Evaluation Report For Better Together, Jeanette Harder, Heather Bird, Jodi Mcquillen, Jieru Bai, Pamela Ashley, Joseph Forrest, Natalie Scarpa

Reports

Program Description
Heartland Family Service (HFS) partnered with Nebraska Families Collaborative (NFC) and the Nebraska Department of Health and Human Services (NDHHS) to begin Better Together, a comprehensive support service program for families affected by substance abuse in Omaha, Nebraska. Better Together seeks to prevent infant abandonment by increasing wellbeing, improving permanency, and enhancing the safety of infants and young children who have been exposed to dangerous drugs.

Utilizing a community-based treatment setting, Better Together provides intensive outpatient and outpatient substance abuse treatment to families impacted by substance abuse. NDHHS and NFC identify families as being at risk for out-of-home ...


Beliefs About Substance Abusing Parents Among California State University Master Of Social Work Students, Angela R. Golden Jun 2017

Beliefs About Substance Abusing Parents Among California State University Master Of Social Work Students, Angela R. Golden

Electronic Theses, Projects, and Dissertations

The purpose of this study was to examine the beetles about substance abusing parents from California State University San Bernardino (CSUSB) NEW students. The biases that human device professionals hold toward substance abusers have the potential to negatively impact clients' health, well- being, and access to services. Understanding future social workers ' biases towards substance abusing parents is key as these future professionals are likely to serve families impacted by substance abuse in their future roles. This quantitative study used a self-administered, online survey to assess the beliefs of foundation and advanced-year MSW students from CSUSB. In general, the findings suggested ...


A Study Of The Attitude, Academic Preparation, And Practice Competence Of Social Workers In Relation To Substance Use Disorders In The State Of Georgia, Kay L. Gresham May 2017

A Study Of The Attitude, Academic Preparation, And Practice Competence Of Social Workers In Relation To Substance Use Disorders In The State Of Georgia, Kay L. Gresham

Electronic Theses & Dissertations Collection for Atlanta University & Clark Atlanta University

This study examined the attitude, academic preparation, and practice competence of social workers in relation to substance use disorder in the state of Georgia. Three hundred and one (301) survey participants responded to the study for which they were selected, utilizing non probability convenience sampling. The survey participants were composed of bachelor-, master-, and doctoral-level students and professionals who currently live in the state of Georgia. The survey questionnaire titled A Study of Social Workers in Relation to Substance Use Disorders consisted of 35 closed-ended questions. The findings of the study indicated that although there was a statistically significant difference ...


Factors Contributing To Success In Treatment For Individuals With A Dual Diagnosis, Logan Evenson May 2017

Factors Contributing To Success In Treatment For Individuals With A Dual Diagnosis, Logan Evenson

Master of Social Work Clinical Research Papers

This clinical research project investigates factors that contribute to success in substance abuse treatment for individuals with a dual diagnosis through the perspective of licensed social workers in the State of Minnesota. This research looked at possible associations between different individual client factors, respondent’s demographic background, and treatment model effectiveness as they relate to clients success in treatment. A quantitative study was conducted by administering a survey to a randomly generated email list in which 146 respondents completed the survey. The respondents were all licensed social workers in the state of Minnesota and identified themselves as having experience working ...


Demographic Differences In Drug Dependency: Implications For Policy, Practice, And Research, Charles D. Baker May 2017

Demographic Differences In Drug Dependency: Implications For Policy, Practice, And Research, Charles D. Baker

Honors Theses

The purpose of this research study was to examine whether there are differences in drug dependency based on demographic characteristics. The four most commonly used or abused drugs were included in this analysis (i.e., nicotine, alcohol, pain relievers, and marijuana). The secondary purpose is to explore whether there were demographic differences in mental health and drug treatment among those with a substance use disorder. Substance dependence is a state in which someone can only function normally with the presence of a drug. Past research has examined this topic to some degree; however, trends often change over time. This study ...


The Surgeon General's Facing Addiction Report: An Historic Document For Healthcare, S. Levy, J. P. Seale, Victoria A. Osborne, K. L. Kraemer, D. P. Alford, J. Baxter, D. S. Finnell, H. Kunins, A. Y. Walley, D. C. Lewis, D. Maclane-Baeder, A. J. Gordon Apr 2017

The Surgeon General's Facing Addiction Report: An Historic Document For Healthcare, S. Levy, J. P. Seale, Victoria A. Osborne, K. L. Kraemer, D. P. Alford, J. Baxter, D. S. Finnell, H. Kunins, A. Y. Walley, D. C. Lewis, D. Maclane-Baeder, A. J. Gordon

School of Social Work Faculty Publications

The publication of Facing Addiction in America: The Surgeon General's Report on Alcohol, Drugs, and Health presents an historic moment not only for the field of addiction medicine, but also for the United States as a nation. The Board of Directors of the Association for Medical Education and Research in Substance Abuse (AMERSA), on behalf of our organization, would like to express our appreciation of the efforts of Dr. Vivek Murthy and the Surgeon General's Office to publish the first surgeon general's report covering substance misuse and substance use disorders.


Factors Contributing To Success In Treatment For Individuals With A Dual Diagnosis, Logan Evenson Jan 2017

Factors Contributing To Success In Treatment For Individuals With A Dual Diagnosis, Logan Evenson

Social Work Master’s Clinical Research Papers

This clinical research project investigates factors that contribute to success in substance abuse treatment for individuals with a dual diagnosis through the perspective of licensed social workers in the State of Minnesota. This research looked at possible associations between different individual client factors, respondent’s demographic background, and treatment model effectiveness as they relate to clients success in treatment. A quantitative study was conducted by administering a survey to a randomly generated email list in which 146 respondents completed the survey. The respondents were all licensed social workers in the state of Minnesota and identified themselves as having experience working ...


"You're Doing Fine, Right?": Adolescent Siblings Of Substance Abusers, Cynthia E. Clarfield Jan 2017

"You're Doing Fine, Right?": Adolescent Siblings Of Substance Abusers, Cynthia E. Clarfield

Dissertations & Theses

There has been a rising interest in addiction medicine and addiction treatment in both the medical and behavioral health science fields. Research suggests having a family member with a substance abuse problem has negative impacts on both physical and mental health (Orford, Copello, Velleman, & Templeton, 2010a). Despite advances toward understanding the experiences of family members affected by a loved one's addiction, the siblings of substance abusers have been largely excluded from scientific research and literature. As a result, little is known about how siblings experience the impacts of a brother or sister's addiction; even less is known about the experiences of adolescent siblings sharing a home with a substance-abusing sibling.

The purpose of this study was to explore the experiences of and meanings made by adolescents living with the phenomenon of a sibling's addiction. Five adolescents participated in a semi-structured interview exploring the question: What is it like ...


Foster Parents' Perceptions Of Barriers To Accessing Substance Abuse Treatment For Foster Youth, Tiffany Sabrina Harrington Jun 2016

Foster Parents' Perceptions Of Barriers To Accessing Substance Abuse Treatment For Foster Youth, Tiffany Sabrina Harrington

Electronic Theses, Projects, and Dissertations

As Counties continue to grow and the need for foster parent’s increases, resources become scarce. In San Bernardino County, Juvenile drug court is no longer offered, which has led to fewer resources for foster parents in need of substance abuse treatment services. Without access to juvenile drug court, foster youth are often in need of substance abuse treatment services after they have been placed, as part of rehabilitation and success.

Substance abuse issues are often found at the initial interaction of children and family services, and foster youth agencies; however, for ongoing treatment, there are few resources. The purpose ...


Substance Abuse Cycle Intervention And Prevention For Children Of Substance Abusers, Charleena Sharon Chagoya Jun 2016

Substance Abuse Cycle Intervention And Prevention For Children Of Substance Abusers, Charleena Sharon Chagoya

Electronic Theses, Projects, and Dissertations

This research project addresses the substance abuse cycle intervention and prevention strategies used amongst individuals who are a part of generational substance abuse. Participants were recruited from an inpatient drug rehabilitation center in Southern California. Qualitative interviews were conducted in order to gain additional knowledge on this topic. The interviews were audio recorded, transcribed, and then analyzed by the researcher. Participants’ first hand experiences contributed to a better understanding of effective ways to address this cycle. The results consisted of the following themes: childhood substance abuse, environmental influence, Child Protective Services involvement, problem recognition, structure, counseling, relationships, higher power, positive ...


Professionals’ Perspectives On Substance Abuse And Pregnancy, Saydie Long May 2016

Professionals’ Perspectives On Substance Abuse And Pregnancy, Saydie Long

Master of Social Work Clinical Research Papers

Drug use has become an increasing issue in society, affecting a wide variety of populations. Specifically, the use of substances has increasingly been entering the lives of women during pregnancy. As the number of women that use drugs and alcohol during pregnancy increases, more and more children are born experiencing the negative physical and psychological effects of prenatal exposure to drugs and alcohol, both short and long term. This study was designed to explore from the perspective of professionals, what challenges are faced by women who use substances during pregnancy and what types of services and interventions are most effective ...


The Effects Of Caregiver Substance Abuse On School Performance: A Systematic Review, Kelsey Knutson May 2016

The Effects Of Caregiver Substance Abuse On School Performance: A Systematic Review, Kelsey Knutson

Master of Social Work Clinical Research Papers

The purpose of this systematic review was to identify how a school-aged child’s school performance is affected by having a primary caregiver who abuses substances. It is important for social workers to understand what behaviors indicate concerns about substance abuse in the child’s home because social workers can work on interventions to best support the child. Ten studies met inclusion criteria for the systematic review. The findings demonstrated that children living with a caregiver who abuses substances tend to be more often truant, have an increase in externalized behaviors in the classroom, and lower academic performance. The findings ...


Minority Stress Theory: An Examination Of Factors Surrounding Sexual Risk Behavior Among Gay And Bisexual Men Who Use Club Drugs, Michael Dentato, Perry Halkitis, John Orwat Jan 2016

Minority Stress Theory: An Examination Of Factors Surrounding Sexual Risk Behavior Among Gay And Bisexual Men Who Use Club Drugs, Michael Dentato, Perry Halkitis, John Orwat

John Orwat

Background: Few studies have examined the impact of minority stress theory (MST) upon sexual risk behavior among gay and bisexual men using club drugs. Similar studies have focused on ethnic minorities and women; however, gay and bisexual men demonstrate greater likelihood for risk behaviors leading to HIV/AIDS. Objective: This study examines sexual risk behavior from the perspective of minority stress theory upon substance-using gay and bisexual men and their partners. Methods: Multivariable logistic regression analysis examined minority stress associations with participant sexual risk behaviors, drug use, and partner type, controlling for demographics. Results: 396 gay and 54 bisexual respondents ...


Minority Stress Theory: An Examination Of Factors Surrounding Sexual Risk Behavior Among Gay And Bisexual Men Who Use Club Drugs, Michael P. Dentato, Perry N. Halkitis, John Orwat Jan 2016

Minority Stress Theory: An Examination Of Factors Surrounding Sexual Risk Behavior Among Gay And Bisexual Men Who Use Club Drugs, Michael P. Dentato, Perry N. Halkitis, John Orwat

Michael P. Dentato

Background: Few studies have examined the impact of minority stress theory (MST) upon sexual risk behavior among gay and bisexual men using club drugs. Similar studies have focused on ethnic minorities and women; however, gay and bisexual men demonstrate greater likelihood for risk behaviors leading to HIV/AIDS. Objective: This study examines sexual risk behavior from the perspective of minority stress theory upon substance-using gay and bisexual men and their partners. Methods: Multivariable logistic regression analysis examined minority stress associations with participant sexual risk behaviors, drug use, and partner type, controlling for demographics. Results: 396 gay and 54 bisexual respondents ...


The Effects Of Caregiver Substance Abuse On School Performance: A Systematic Review, Kelsey Knutson Jan 2016

The Effects Of Caregiver Substance Abuse On School Performance: A Systematic Review, Kelsey Knutson

Social Work Master’s Clinical Research Papers

The purpose of this systematic review was to identify how a school-aged child's school performance is affected by having a primary caregiver who abuses substances. It is important for social workers to understand what behaviors indicate concerns about substance abuse in the child's home because social workers can work on interventions to best support the child. Ten studies met inclusion criteria for the systematic review. The findings demonstrated that children living with a caregiver who abuses substances tend to be more often truant, have an increase in externalized behaviors in the classroom, and lower academic performance. The findings ...


Professionals' Perspectives On Substance Abuse And Pregnancy, Saydie Long Jan 2016

Professionals' Perspectives On Substance Abuse And Pregnancy, Saydie Long

Social Work Master’s Clinical Research Papers

Drug use has become an increasing issue in society, affecting a wide variety of populations. Specifically, the use of substances has increasingly been entering the lives of women during pregnancy. As the number of women that use drugs and alcohol during pregnancy increases, more and more children are born experiencing the negative physical and psychological effects of prenatal exposure to drugs and alcohol, both short and long term. This study was designed to explore from the perspective of professionals, what challenges are faced by women who use substances during pregnancy and what types of services and interventions are most effective ...


Clinician Perceptions Of Harm Reduction, Psychotherapy And The Role Of Traditional Abstinence Models, Abigail R. Vayda Jan 2016

Clinician Perceptions Of Harm Reduction, Psychotherapy And The Role Of Traditional Abstinence Models, Abigail R. Vayda

Theses, Dissertations, and Projects

This study sought to better understand clinicians’ perceptions of harm reduction, psychotherapy, and the role of traditional abstinence models when working with actively using clients. This study analyzed the results from a survey completed by 52 practicing clinicians in the United States. The survey contained demographic questions and Likert scale questions measuring attitudes toward harm reduction, abstinence, and psychotherapy with actively using clients. In addition to rating questions, there was also one open-ended question allowing participants to express their understandings of the development of a substance use disorder. The overall response to this survey was a positive attitude toward harm ...


Minority Stress Theory: An Examination Of Factors Surrounding Sexual Risk Behavior Among Gay And Bisexual Men Who Use Club Drugs, Michael Dentato, Perry Halkitis, John Orwat Dec 2015

Minority Stress Theory: An Examination Of Factors Surrounding Sexual Risk Behavior Among Gay And Bisexual Men Who Use Club Drugs, Michael Dentato, Perry Halkitis, John Orwat

John Orwat

Background: Few studies have examined the impact of minority stress theory (MST) upon sexual risk behavior among gay and bisexual men using club drugs. Similar studies have focused on ethnic minorities and women; however, gay and bisexual men demonstrate greater likelihood for risk behaviors leading to HIV/AIDS. Objective: This study examines sexual risk behavior from the perspective of minority stress theory upon substance-using gay and bisexual men and their partners. Methods: Multivariable logistic regression analysis examined minority stress associations with participant sexual risk behaviors, drug use, and partner type, controlling for demographics. Results: 396 gay and 54 bisexual respondents ...