Evidence map›Paper›PMID 25978478›Full record

ReviewJournal of acquired immune deficiency syndromes (1999)2015

Targeting the SAVA (Substance Abuse, Violence, and AIDS) Syndemic Among Women and Girls: A Global Review of Epidemiology and Integrated Interventions.

Louisa Gilbert, Anita Raj, Denise Hien, Jamila Stockman, Assel Terlikbayeva, Gail Wyatt

Abstract readReview
In one paragraph

Review in Journal of acquired immune deficiency syndromes (1999), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 113 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

113 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  8. Women's Decision-Making about PrEP for HIV Prevention in Drug Treatment Contexts.Journal of the International Association of Providers of AIDS Care
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53 more citing papers are in PubMed but not listed here.

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

6 authors.

Louisa Gilbert*Social Intervention Group, Columbia University School of Social Work, New York, NY; †Division of Global Public Health, Department of Medicine, University of California, San Diego, CA; ‡The Gordon Derner Institute of Advanced Psychological Studies, Adelphi University, New York, NY; §Global Health Center of Central Asia, School of Social Work, Columbia University Almaty, Kazakhstan; and ‖Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, CA.
Anita Raj
Denise Hien
Jamila Stockman
Assel Terlikbayeva
Gail Wyatt

Funding

A Computerized Service Tool to Address Partner Abuse among Women in Drug CourtR34DA031325 · NIDA · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI GILBERT, LOUISA · 2011 to 2012
$648k
NIDA NIH HHS R34 DA031325
6 · The paper itself

Abstract

objectivesMultiple pathways link gender-based violence (GBV) to HIV and other sexually transmitted infections among women and girls who use or inject drugs. The aim of this article is to synthesize global literature that examines associations among the synergistic epidemics of substance abuse, violence, and HIV/AIDS, known as the SAVA syndemic. It also aims to identify a continuum of multilevel integrated interventions that target key SAVA syndemic mechanisms.

methodsWe conducted a selective search strategy, prioritizing use of meta-analytic epidemiological and intervention studies that address different aspects of the SAVA syndemic among women and girls who use drugs worldwide from 2000 to 2015 using PubMed, MEDLINE, and Google Scholar.

resultsRobust evidence from different countries suggests that GBV significantly increases the risk of HIV and other sexually transmitted infections among women and girls who use drugs. Multiple structural, biological, and behavioral mechanisms link GBV and HIV among women and girls. Emerging research has identified a continuum of brief and extended multilevel GBV prevention and treatment interventions that may be integrated into a continuum of HIV prevention, testing, and treatment interventions to target key SAVA syndemic mechanisms among women and girls who use drugs.

conclusionsThere remain significant methodological and geographical gaps in epidemiological and intervention research on the SAVA syndemic, particularly in low- and middle-income countries. This global review underscores the need to advance a continuum of multilevel integrated interventions that target salient mechanisms of the SAVA syndemic, especially for adolescent girls, young women, and transgender women who use drugs.

Indexed as

Global HealthAcquired Immunodeficiency SyndromeFemaleHumansSubstance-Related DisordersViolenceWomen's Health

Identifiers

PMID25978478
PMCPMC4751344

What OpenQuestion holds

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Registered trials

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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.