| Titre : | Networks, resources and risk among women who use drugs. (2001) |
| Auteurs : | Maureen MILLER ; Alan NEAIGUS ; Center for Drug Use and Hiv Research. National Development and Research Institutes Inc. Two World Trade Center. New York. NY. USA |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 52, n° 6, 2001) |
| Pagination : | 967-978 |
| Langues: | Anglais |
| Mots-clés : | Toxicomane ; Homme ; Femme ; Toxicomanie ; Facteur risque ; Comportement ; Prévention santé ; Sida ; Virose ; Infection ; Relation sociale ; Immunopathologie |
| Résumé : | [BDSP. Notice produite par INIST IPLMhR0x. Diffusion soumise à autorisation]. The public health tradition of intervening at the environmental level has not been fully exploited in terms of HIV prevention efforts among drug users. Women who use drugs are at particularly high risk of acquiring HIV and other blood borne and sexually transmitted infections, such as hepatitis B (HBV) and hepatitis C (HCV), and could potentially benefit from environmental level interventions. In a review of the existing literature, we examine the extent to which the linkages among multiple causal levels may contribute to the disease transmission risk experienced by women who use drugs. The multiple causal levels of risk potentially involved in the transmission dynamics of infectious pathogens include biological, behavioral, dyadic relationship, network, and structural levels. Biological and behavioral risk factors have already been examined in depth ; yet, little empirical research currently exists for other causal levels. Increasingly, investigators suggest that the character and dynamics of relationships with sex partners may be an important determinant of risk, both for engaging in risk behaviors and for doing so with high-risk partners. The influence of higher-order causal level factors, specifically network and structural factors, are the least well documented, but are posited to be a principal underlying cause of the current differential HIV incidence rates between men and women who use drugs. (...) |
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