ArticleAddictive behaviors2016
The syndemic of HIV, HIV-related risk and multiple co-morbidities among women who use drugs in Malaysia: Important targets for intervention.
Article in Addictive behaviors, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Gender-based violence syndemics in global health: A systematic review.Social science & medicine (1982) · 2025Pooled it
- Design and implementation of a factorial randomized controlled trial of methadone maintenance therapy and an evidence-based behavioral intervention for incarcerated people living with HIV and opioid dependence in Malaysia.Contemporary clinical trials · 2017Trial
- Empowerment and utilization of HIV testing among partnered women in Zambia: Evidence from the Zambia demographic and health survey 2018.PLOS global public health · 2024Article
- Gender Differences in HIV, HCV risk and Prevention Needs Among People who Inject drug in Vietnam.AIDS and behavior · 2023Article
- Associations between sexual identity, living with disability, bully victimisation, and HIV status and intimate partner violence among residents in Nigeria.BMC public health · 2022Article
- Article
- Syndemic Psychosocial Health Conditions Associated with Recent Client-Perpetrated Violence Against Female Entertainment and Sex Workers in Cambodia.Archives of sexual behavior · 2020Article
- Article
- Gender-based violence and engagement in biomedical HIV prevention, care and treatment: a scoping review.BMC public health · 2019Article
- Syndemic and Synergistic Effects of Intimate Partner Violence, Crystal Methamphetamine, and Depression on HIV Sexual Risk Behaviors among Women Who Inject Drugs in Indonesia.Journal of urban health : bulletin of the New York Academy of Medicine · 2019Article
- HIV risk behaviours among women who inject drugs in coastal Kenya: findings from secondary analysis of qualitative data.Harm reduction journal · 2019Article
- Underreported injection drug use and its potential contribution to reported increase in sexual transmission of HIV in Kazakhstan and Kyrgyzstan.Harm reduction journal · 2019Article
- Intimate Partner Violence and HIV Sexual Risk Behaviour Among Women Who Inject Drugs in Indonesia: A Respondent-Driven Sampling Study.AIDS and behavior · 2018Article
- Gender Differences in HIV Risk Behaviors Among Persons Involved in the U.S. Criminal Justice System and Living with HIV or at Risk for HIV: A "Seek, Test, Treat, and Retain" Harmonization Consortium.AIDS and behavior · 2017Article
- Club drugs and alcohol abuse predicted dropout and poor adherence among methadone maintenance treatment patients in Guangzhou, China.AIDS care · 2017Article
- A human rights-focused HIV intervention for sex workers in Metro Manila, Philippines: evaluation of effects in a quantitative pilot study.International journal of public health · 2016Article
- Southeast Asia in focus: stemming the reawakening of prohibitionism.Journal of the International AIDS Society · 2016Article
- Patterns of substance use and correlates of lifetime and active injection drug use among women in Malaysia.The American journal of drug and alcohol abuse · 2016Article
- Barriers and Facilitators to Implementing Project ECHO in Malaysia During the COVID-19 Pandemic.Journal of the International Association of Providers of AIDS CareArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundSubstance use and HIV are syndemic public health problems in Malaysia. Harm reduction efforts to reduce HIV transmission have primarily focused on men with substance use disorders.
objectivesTo explore HIV risk behaviors, substance use, and social factors associated with poor health outcomes among women who use drugs in Malaysia.
methodsA cross-sectional survey of 103 drug-using women in Kuala Lumpur, Malaysia were recruited to assess their medical, psychiatric and social comorbidity as well as their engagement in nationally recommended HIV testing and monitoring activities.
resultsOne-third reported having ever injected drugs, with most (68.2%) having recently shared injection paraphernalia. Sex work (44.7%) and infrequent condom use (42.4%) were common as was underlying psychiatric illness and physical and sexual violence during childhood and adulthood. Most women (62.1%) had unstable living situations and suffered from an unmet need for social support and health services. HIV prevalence was high (20%) with only two thirds of women eligible for antiretroviral therapy having received it. Suboptimal HIV testing and/or monitoring was positively associated with interpersonal violence (AOR 2.73; 95% CI 1.04-7.14) and negatively associated with drug injection (AOR 0.28; 95% CI 0.10-0.77). CONCLUSIONS/IMPORTANCE: Women who use drugs in Malaysia demonstrate considerable medical, psychiatric and social co-morbidity, which negatively contributes to optimal and crucial engagement in HIV treatment-as-prevention strategies. Mental health and social support may be key targets for future public health interventions aimed at drug-using women in Malaysia.
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