Evidence map›Paper›PMID 25128035›Full record

ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health

"When you get old like this … you don't run those risks anymore": influence of age on sexual risk behaviors and condom use attitudes among methamphetamine-using heterosexual women with a history of partner violence.

Natasha Ludwig-Barron, Karla D Wagner, Jennifer L Syvertsen, Ivy J Ewald, Thomas L Patterson, Shirley J Semple, Jamila K Stockman

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Natasha Ludwig-BarronDivision of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, California.
Karla D WagnerDivision of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, California.
Jennifer L SyvertsenDepartment of Anthropology, The Ohio State University, Columbus, Ohio.
Ivy J EwaldDivision of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, California.
Thomas L PattersonDepartment of Psychiatry, University of California, San Diego, La Jolla, California.
Shirley J SempleDepartment of Psychiatry, University of California, San Diego, La Jolla, California.
Jamila K StockmanDivision of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, California. Electronic address: jstockman@ucsd.edu.
University of California San Diego · USThe Ohio State University · US

Funding

Training Program in Substance Use, HIV and Related InfectionsT32DA023356 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Natasha Martin, Steffanie A Strathdee · 2007 to 2026
$7.8M
Reducing HIV/STD risk, methamphetamine use, and depression among heterosexualsR01MH061146 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SEMPLE, SHIRLEY J. · 2001 to 2010
$5.1M
HIV Intervention Science Training Program for Underserved Investigators R25MH080665 · NIMH · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI EL-BASSEL, NABILA, WU, ELWIN · 2007 to 2023
$2.8M
The Impact of Environmental and Physiological Factors on Sexual Assault and HIVR01HD077891 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STOCKMAN, JAMILA KINSHASA · 2013 to 2017
$2.4M
Impact of Violence and Power on a HIV Behavioral Intervention for Female MA UsersK01DA031593 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STOCKMAN, JAMILA KINSHASA · 2011 to 2015
$897k
Sex/Drug Tourism at the US/Mexico Border: Social Network Influences on HIV Risk.K01DA031031 · NIDA · UNIVERSITY OF NEVADA RENO · PI WAGNER, KARLA D. · 2010 to 2014
$882k
Center for HIV/AIDS Minority Pipeline in Substance Abuse Research (CHAMPS)R25DA025571 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STRATHDEE, STEFFANIE A. · 2008 to 2010
$784k
HIV/AIDS: Translational Approaches and Health DisparitiesR25MH080664 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WYATT, GAIL E. · 2009 to 2011
$580k
NICHD NIH HHS R01 HD077891NICHD NIH HHS R01HD077891NIDA NIH HHS K01 DA031031NIDA NIH HHS K01DA031031NIDA NIH HHS K01 DA031593NIDA NIH HHS K01DA031593NIDA NIH HHS R25 DA025571NIDA NIH HHS R25DA025571NIDA NIH HHS T32 DA023356NIDA NIH HHS T32DA023356NIMHD NIH HHS L60 MD003701NIMHD NIH HHS L60MD003701NIMH NIH HHS R01 MH061146NIMH NIH HHS R01MH061146NIMH NIH HHS R25 MH080664NIMH NIH HHS R25MH080664NIMH NIH HHS R25 MH080665NIMH NIH HHS R25MH080665
6 · The paper itself

Abstract

backgroundDrug use and partner violence affect older women, yet few studies highlight age-specific HIV risks and prevention strategies. This study compares sexual risk behaviors, condom use attitudes, and HIV knowledge between midlife/older women (ages 45+) and younger women (ages 18-44) reporting methamphetamine use and partner violence in San Diego, California.

methodsOur mixed methods study used themes from a qualitative substudy (n = 18) to inform logistic regression analysis of baseline data from an HIV behavioral intervention trial (n = 154).

findingsAge-related qualitative themes included physiologic determinants, HIV knowledge, and "dodging the bullet," referring to a lifetime of uncertainty surrounding HIV serostatus after engaging in unsafe drug and sex practices. Midlife/older age was associated with never being married (24.2% vs. 51.2; p = .03), having less than a high school education/GED (12.1% vs. 34.7%; p = .04), lower condom use self-efficacy (2.87 vs. 3.19; p = .03), lower positive outcome expectancies (1.9 vs. 2.1; p = .04), and lower HIV knowledge (85.3% vs. 89.7%; p = .04); however, sexual risk behaviors were not associated with age group. In the multivariate analysis, midlife/older age remained independently associated with lower condom use self-efficacy (adjusted odds ratio, 0.49; 95% CI, 0.27-0.87) and lower HIV knowledge (adjusted odds ratio, 0.96; 95% CI, 0.93-0.99).

conclusionsMidlife/older methamphetamine-using women with experiences of partner violence present similar sexual risk profiles, but possess different HIV-related knowledge and attitudes toward prevention methods compared with their younger counterparts. Clinicians and public health practitioners can have a positive impact on this overlooked population by assessing HIV risks during routine screenings, encouraging HIV testing, and providing age-appropriate HIV prevention education.

Indexed as

Age FactorsSexual BehaviorAdolescentAdultAmphetamine-Related DisordersCaliforniaCondomsFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansInterviews as TopicMethamphetamineMiddle AgedOdds RatioQualitative ResearchMethamphetamine

Identifiers

PMID25128035
PMCPMC4254316
OpenAlexW2113928041

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.