Developing effective health interventions for women who inject drugs: key areas and recommendations for program development and policy.
Developing effective health interventions for women who inject drugs: key areas and recommendations for program development and policy.
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DOI：
10.1155/2012/269123
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发表时间：
2012
影响因子：
--
通讯作者：
Myers B
中科院分区：
文献类型：
--
作者：
Pinkham S;Stoicescu C;Myers B
注射毒品的妇女面临多种性别特有的健康风险和获得保健服务的障碍。这些性别因素可能导致这一人群的艾滋病毒感染率上升。虽然很少有国家系统地收集与注射吸毒有关的按性别分列的数据，但有证据表明，有大量妇女注射毒品，她们需要改善保健服务，包括预防艾滋病毒。对专门针对注射毒品妇女的干预措施有效性的研究，以及针对这一亚群体的项目经验表明，需要在妇女生活的更大背景下解决艾滋病毒风险实践问题。涉及关系动态、住房、就业和儿童需求的多方面干预措施在减少危险行为方面可能比只关注注射行为和避孕套使用的干预措施更成功。改善吸毒妇女的性保健和生殖保健是一个需要发展的领域，应更好地纳入基本的减少危害方案。
Women who inject drugs face multiple gender-specific health risks and barriers to healthcare access. These gendered factors may contribute to elevated rates of HIV for this population. Though few countries systematically collect gender-disaggregated data related to injecting drug use, evidence indicates that there are large populations of women who inject drugs and who are in need of improved health services, including HIV prevention. Research on the effectiveness of interventions specifically tailored for women who inject drugs, along with the experience of programs working with this subpopulation, suggests that HIV risk practices need to be addressed within the larger context of women's lives. Multifaceted interventions that address relationship dynamics, housing, employment, and the needs of children may have more success in reducing risky practices than interventions that focus exclusively on injecting practices and condom use. Improved sexual and reproductive healthcare for women who use drugs is an area in need of development and should be better integrated into basic harm reduction programs.