ArticleBMC international health and human rights2013
Falling through the cracks: a qualitative study of HIV risks among women who use drugs and alcohol in Northeast India.
Article in BMC international health and human rights, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 24 citations in OpenAlex.
- Buprenorphine treatment receipt characteristics and retention among people who inject drugs at Integrated Care Centers in India.Drug and alcohol dependence · 2023Article
- Young and invisible: a qualitative study of service engagement by people who inject drugs in India.BMJ open · 2021Article
- "They're not doing enough.": women's experiences with opioids and naloxone in Toronto.Substance abuse treatment, prevention, and policy · 2021Article
- Understanding of HIV/AIDS in the international border area, Manipur: Northeast India.Epidemiology and infection · 2019Article
- The association between exposure to social media alcohol marketing and youth alcohol use behaviors in India and Australia.BMC public health · 2018Article
- Women and substance use: a qualitative study on sexual and reproductive health of women who use drugs in Delhi, India.BMJ open · 2017Article
- Sexual Risk Behaviors Constructed in Iranian Women's Life with Substance Use Disorders: A New Implication of Human Ecological Theory.Addiction & health · 2016Article
- Substance use in women: Current status and future directions.Indian journal of psychiatry · 2015Review
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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backgroundHIV risks for women who inject drugs and those who engage in sex work are well documented. Women who are dependent on non-injecting drugs and alcohol are also likely to have increased vulnerability to HIV infection, but until they actually inject drugs or engage in sex work, are unlikely to come to the attention of HIV prevention programs.
methodsWe undertook a qualitative study involving nine focus group discussions (FGDs) and 27 key informant interviews to investigate the context of female drug and alcohol use in two high HIV prevalence states of India (Manipur and Nagaland) and to describe their HIV risks. The FGD and interview transcripts were thematically analyzed
resultsThe women were relatively young (mean age 31 years in Manipur and 28 years in Nagaland), but 64% in Manipur and 35% in Nagaland were widowed or divorced. Both heroin and alcohol were commonly used by the women from Manipur, while alcohol was primarily used by the women from Nagaland, especially in the context of 'booze joints' (illicit bars). Reasons for drug and alcohol use included: to avoid symptoms of withdrawal, to suppress emotional pain, to overcome the shame of sex work, pleasure, and widowhood. HIV vulnerability was clearly described, not only in relation to injecting drug use and sex work, but also alcohol consumption.
conclusionsThe contribution of alcohol use to the HIV vulnerability of women is not currently considered when HIV prevention programs are being designed and implemented leaving a group of high-risk women uncovered by much needed services such as treatment for a range of health problems including alcohol dependence.
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