Substance Abuse, Violence, and HIV in Women: A Literature Review of the Syndemic
Substance Abuse, Violence, and HIV in Women: A Literature Review of the Syndemic
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DOI：
10.1089/jwh.2010.2328
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发表时间：
2011-07-01
影响因子：
3.5
通讯作者：
Altice, Frederick L.
中科院分区：
文献类型：
--
作者：
Meyer, Jaimie P.;Springer, Sandra A.;Altice, Frederick L.
美国妇女越来越多地受到艾滋病毒/艾滋病的影响。SAVA综合征是药物滥用、暴力和艾滋病毒/艾滋病的协同流行病，在贫困的城市妇女中非常普遍，并可能与艾滋病毒的不良后果有关。对现有文献的回顾发现了45篇文章，研究了SAVA对（1）HIV相关的冒险行为，（2）心理健康，（3）医疗保健利用和药物依从性，以及（4）暴力和HIV状态之间的双向关系的影响。总体而言，结果证实了暴力和受害的深刻影响，以及它如何与决策失误、冒险行为增加和负面健康后果交织在一起，特别是在药物滥用的情况下。在目前的研究结果中，仍然存在不同的和不一致的定义，药物滥用，暴力，精神疾病，依从性和医疗保健利用混淆数据的解释。今后的研究需要对这些术语的定义进行标准化和操作化。迫切需要制定和调整以证据为基础的干预措施，其中包括预防暴力和管理受害情况，以针对这一弱势妇女群体，从而促进更好的健康成果。
Women in the United States are increasingly affected by HIV/AIDS. The SAVA syndemic-synergistic epidemics of substance abuse, violence, and HIV/AIDS-is highly prevalent among impoverished urban women and potentially associated with poor HIV outcomes. A review of the existing literature found 45 articles that examine SAVA's impact on (1) HIV-associated risk-taking behaviors, (2) mental health, (3) healthcare utilization and medication adherence, and (4) the bidirectional relationship between violence and HIV status. Overall, results confirm the profound impact of violence and victimization and how it is intertwined with poor decision making, increased risk taking and negative health consequences, particularly in the context of substance abuse. Among current findings, there remain diverse and inconsistent definitions for substance abuse, violence, mental illness, adherence, and healthcare utilization that confound interpretation of data. Future studies require standardization and operationalization of definitions for these terms. Development and adaptation of evidence-based interventions that incorporate prevention of violence and management of victimization to target this vulnerable group of women and thereby promote better health outcomes are urgently needed.