Evidence map›Paper›PMID 26470596›Full record

ArticleJournal of substance abuse treatment2016

Social and Structural Challenges to Drug Cessation Among Couples in Northern Mexico: Implications for Drug Treatment in Underserved Communities.

Angela R Bazzi, Jennifer L Syvertsen, María Luisa Rolón, Gustavo Martinez, Gudelia Rangel, Alicia Vera, Hortensia Amaro, Monica D Ulibarri, Daniel O Hernandez, Steffanie A Strathdee

Abstract read
In one paragraph

Article in Journal of substance abuse treatment, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Health inequities faced by sex workers.The Lancet. Public health · 2026
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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

10 authors at 9 institutions in 3 countries.

Angela R BazziDepartment of Community Health Sciences, Boston University School of Public Health, 801 Massachusetts Avenue, 4th floor, Boston, MA 02118, USA. Electronic address: abazzi@bu.edu.
Jennifer L SyvertsenDepartment of Anthropology, The Ohio State University, 4046 Smith Laboratory, 174W. 18th Avenue, Columbus OH 43210, USA.
María Luisa RolónDivision of Global Public Health, Department of Medicine, University of California, San Diego, 9500 Gilman Drive, La Jolla CA 92093-0507, USA; Facultad de Medicina, Universidad Xochicalco, Rampa Yumalinda 4850, Colonia Chapultepec Alamar C.P. 22540, Tijuana, Baja California, México.
Gustavo MartinezFederación Mexicana de Asociaciones Privadas, Plutarco Elías Calles No. 744 Norte, Col. Progresista, C.P. 32310, Ciudad Juárez, Chihuahua, México.
Gudelia RangelComisión de Salud Fronteriza México-Estados Unidos, Sección México, Paseo del Centenario #10851, Zona Río. C.P. 22010, Tijuana, Baja California, México; Secretaría de Salud, Homero 213, piso 19, Col. Chapultepec Morales, Delegación Miguel Hidalgo C.P. 11570, México, D.F.
Alicia VeraDivision of Global Public Health, Department of Medicine, University of California, San Diego, 9500 Gilman Drive, La Jolla CA 92093-0507, USA; Facultad de Medicina, Universidad Xochicalco, Rampa Yumalinda 4850, Colonia Chapultepec Alamar C.P. 22540, Tijuana, Baja California, México.
Hortensia AmaroSchool of Social Work and Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Montgomery Ross Fisher Building, Room 221 669W. 34th St., Los Angeles, CA 90089.
Monica D UlibarriDepartment of Psychiatry, University of California, San Diego, 9500 Gilman Drive, La Jolla CA 92093-0849, USA; California School of Professional Psychology, Alliant International University-San Diego, San Diego, CA.
Daniel O HernandezSchool of Medicine, University of California, Davis, 4610 X Street, Sacramento, CA 95817, USA.
Steffanie A StrathdeeDivision of Global Public Health, Department of Medicine, University of California, San Diego, 9500 Gilman Drive, La Jolla CA 92093-0507, USA.
Xochicalco University · MXAlliant International University · USBoston University · USPemex (Mexico) · MXSecretaria de Salud · MXThe Ohio State University · USUniversity of California, Davis · USUniversity of California San Diego · USUniversity of Southern California · US

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI ROBERT A. PARKER · 2004 to 2026
$94.4M
University of California Launching Future Leaders in Global Health Research Training ProgramD43TW009343 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CRAIG R COHEN, Sung-Jae Lee · 2017 to 2026
$14.7M
HOPE Training GrantT32AI007384 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Sara Gianella Weibel, Scott L Letendre · 1990 to 2026
$9.7M
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
Impact of Drug Policy Reform on the HIV Risk Environment among IDUs in TijuanaR37DA019829 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STRATHDEE, STEFFANIE A. · 2010 to 2019
$6.7M
University of California Global Health Institute Program for Fellows and ScholarsR25TW009343 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COHEN, CRAIG R, STRATHDEE, STEFFANIE A. · 2012 to 2017
$6.4M
Proyecto Parejas: HIV/STI Risks among FSWs and their Non-Commercial PartnersR01DA027772 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STRATHDEE, STEFFANIE A. · 2009 to 2013
$3.1M
AIDS International Training Program in the US Mexico Border RegionD43TW008633 · FIC · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STRATHDEE, STEFFANIE A. · 2010 to 2014
$1.5M
Dyad-level Predictors of HIV Risk Among High-risk Couples in Tijuana, MexicoK01DA026307 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ULIBARRI, MONICA DEANNE · 2010 to 2014
$787k
Concurrent Partnerships Among High-Risk Couples in the U.S.-Mexico Border RegionR36DA032376 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BAZZI, ANGELA ROBERTSON · 2011 to 2012
$107k
FIC NIH HHS D43 TW008633FIC NIH HHS D43TW008633FIC NIH HHS D43 TW009343FIC NIH HHS R25 TW009343NIAID NIH HHS P30 AI060354NIAID NIH HHS P30 AI060354-10NIAID NIH HHS T32 AI007384NIAID NIH HHS T32AI007384NIDA NIH HHS K01 DA026307NIDA NIH HHS K01DA026307NIDA NIH HHS R01 DA027772NIDA NIH HHS R01DA027772NIDA NIH HHS R36 DA032376NIDA NIH HHS R36DA032376NIDA NIH HHS R37 DA019829NIDA NIH HHS R37DA019829NIDA NIH HHS T32 DA023356NIDA NIH HHS T32DA023356
6 · The paper itself

Abstract

backgroundAvailable drug treatment modalities may inadequately address social and structural contexts surrounding recovery efforts.

methodsThis mixed methods analysis drew on (1) surveys with female sex workers and their intimate male partners and (2) semi-structured interviews with a subsample of 41 couples (n=82 individuals, 123 total interviews) in Northern Mexico. Descriptive and content analyses examined drug cessation and treatment experiences.

resultsPerceived need for drug treatment was high, yet only 35% had ever accessed services. Financial and institutional barriers (childcare needs, sex-segregated facilities) prevented partners from enrolling in residential programs together or simultaneously, leading to self-treatment attempts. Outpatient methadone was experienced more positively, yet financial constraints limited access and treatment duration. Relapse was common, particularly when one partner enrolled alone while the other continued using drugs.

conclusionsAffordable, accessible, evidence-based drug treatment and recovery services that acknowledge social and structural contexts surrounding recovery are urgently needed for drug-involved couples.

Indexed as

Medically Underserved AreaSex WorkersAdultFamily RelationsFemaleHumansInterviews as TopicMaleMexicoPatient Acceptance of Health CareRisk-TakingSexual PartnersSubstance Abuse, IntravenousSurveys and QuestionnairesCouplesDrug treatmentDrug useMedication-assisted therapyMethadoneMexico

Identifiers

PMID26470596
PMCPMC4695257
OpenAlexW1803336711

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.