Evidence map›Paper›PMID 32226042›Full record

ArticlePloS one2020

Gender-based vulnerability in women who inject drugs in a harm reduction setting.

Jorge Valencia, Alejandro Alvaro-Meca, Jesús Troya, Jorge Gutiérrez, Cristina Ramón, Antonio Rodríguez, Sonia Vázquez-Morón, Salvador Resino, Santiago Moreno, Pablo Ryan

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
3.2field-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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 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

10 authors at 6 institutions in 2 countries.

Jorge ValenciaHarm Reduction Unit "SMASD"; Subdirección General de Adicciones; SERMAS, Madrid, Spain.ORCID 0000-0002-0148-2422
Alejandro Alvaro-MecaUnit of Preventive Medicine and Public Health, Rey Juan Carlos University, Alcorcon, Madrid, Spain.
Jesús TroyaHospital Universitario Infanta Leonor, Madrid, Spain.
Jorge GutiérrezNon-Governmental Organization "Madrid Positivo", Madrid, Spain.
Cristina RamónNon-Governmental Organization "Madrid Positivo", Madrid, Spain.
Antonio RodríguezNon-Governmental Organization "Madrid Positivo", Madrid, Spain.
Sonia Vázquez-MorónFundación Estatal, Salud, Infancia y Bienestar Social (FCSAI), Madrid, Spain.
Salvador ResinoUnit of Viral Infection and Immunity, National Center for Microbiology, Institute of Health Carlos III, Majadahonda, Madrid, Spain.
Santiago MorenoDepartment of Infectious Diseases, Ramón y Cajal Hospital, IRYCIS, University of Alcalá de Henares, Madrid, Spain.
Pablo RyanHospital Universitario Infanta Leonor, Madrid, Spain.
Instituto de Salud Carlos III · ESHospital Universitario Infanta Leonor · ESMadrid Health Service · ESUniversidad Complutense de Madrid · ESUniversidad de Alcalá · ESUniversidad Rey Juan Carlos · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsIn comparison with men, women who use drugs (WWUD) have considerably more frequent and intense experiences with interpersonal violence, sexual abuse and trauma. The aim of this study was to identify issues related to gender-based vulnerability in a group of WWUD attended in a harm reduction facility in Madrid, Spain. MATERIAL AND

methodsA cross-sectional study was conducted during a screening of blood borne infections. We included WWUD (smoked or injected heroin/cocaine) who were actively screened for HIV, HBV and HCV in a harm reduction setting in Madrid (Spain) from January to December 2017. WWUD were interviewed for gender-based abuse or violence using a face-to-face questionnaire by a trained interviewer. Aspects related to their social-epidemiological condition and gender-based vulnerability were collected.

resultsWe included 109 women who were actively using drugs. The median age was 39 (IQR 35-47) years, 84.4% were Spanish born, 22.9% were homeless, 43 (41.7%) had ever used injected drugs, 29 (26.6%) were currently using injected drugs, and 27.1% had mental health disorders. Aspects related to gender-based vulnerability were collected. Among those surveyed, they reported having ever suffered emotional or psychological damage (88%), having experienced at least one incident of serious physical injury by a male partner (71%), and having ever suffered sexual abuse (49%). In addition, 28% had ever exchanged sex for money/drugs. When compared to women that did not use injecting drugs, those who injected drugs had more frequently exchanged sex for money/drugs (55% vs 21%, p = 0.003).

conclusionsA high proportion of WWUD suffer psychological or physical violence by partners denoting gender-based vulnerability. Interventions in harm reduction settings with a multidisciplinary and gender-based approach should be implemented.

Indexed as

Harm ReductionAdultCross-Sectional StudiesFemaleHumansInterviews as TopicSex FactorsSubstance Abuse, Intravenous

Identifiers

PMID32226042
PMCPMC7105126
OpenAlexW3013073417

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.