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A participatory intervention to improve the mental health of widows of injecting drug users in north-east India as a strategy for HIV prevention

BACKGROUND: Manipur and Nagaland, in the north-east of India, are classified as high prevalence states for HIV, and intravenous drug use is an important route of transmission. Most injecting drug users (IDUs) are men, an estimated 40% are married, and death rates have been high in the last five year...

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Autores principales: Devine, Alexandra, Kermode, Michelle, Chandra, Prabha, Herrman, Helen
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1857694/
https://www.ncbi.nlm.nih.gov/pubmed/17442121
http://dx.doi.org/10.1186/1472-698X-7-3
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author Devine, Alexandra
Kermode, Michelle
Chandra, Prabha
Herrman, Helen
author_facet Devine, Alexandra
Kermode, Michelle
Chandra, Prabha
Herrman, Helen
author_sort Devine, Alexandra
collection PubMed
description BACKGROUND: Manipur and Nagaland, in the north-east of India, are classified as high prevalence states for HIV, and intravenous drug use is an important route of transmission. Most injecting drug users (IDUs) are men, an estimated 40% are married, and death rates have been high in the last five years, consequently the number of widows of IDUs has increased. Many of these widows and their children are HIV-infected and experience poor health, discrimination, and impoverishment; all factors likely to be compromising their mental health. People with poor mental health are more likely to engage in HIV risk behaviours. Mental health can be promoted by public health actions with vulnerable population groups. METHODS: We designed an intervention study to assess the feasibility and impact of a participatory action process to promote the mental health and well-being of widows of IDUs in Manipur and Nagaland, as a strategy for reducing the risk of engagement in HIV risk behaviours. This paper describes the background and rationale for the study, the intervention, and the study methods in detail. RESULTS: Pending analysis. CONCLUSION: This intervention study will make a significant contribution to the emerging evidence that supports associations between mental health and HIV. The concept of promoting mental health among women who are vulnerable to HIV infection or already infected as a strategy for HIV prevention in a development setting is breaking new ground.
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spelling pubmed-18576942007-04-27 A participatory intervention to improve the mental health of widows of injecting drug users in north-east India as a strategy for HIV prevention Devine, Alexandra Kermode, Michelle Chandra, Prabha Herrman, Helen BMC Int Health Hum Rights Research Article BACKGROUND: Manipur and Nagaland, in the north-east of India, are classified as high prevalence states for HIV, and intravenous drug use is an important route of transmission. Most injecting drug users (IDUs) are men, an estimated 40% are married, and death rates have been high in the last five years, consequently the number of widows of IDUs has increased. Many of these widows and their children are HIV-infected and experience poor health, discrimination, and impoverishment; all factors likely to be compromising their mental health. People with poor mental health are more likely to engage in HIV risk behaviours. Mental health can be promoted by public health actions with vulnerable population groups. METHODS: We designed an intervention study to assess the feasibility and impact of a participatory action process to promote the mental health and well-being of widows of IDUs in Manipur and Nagaland, as a strategy for reducing the risk of engagement in HIV risk behaviours. This paper describes the background and rationale for the study, the intervention, and the study methods in detail. RESULTS: Pending analysis. CONCLUSION: This intervention study will make a significant contribution to the emerging evidence that supports associations between mental health and HIV. The concept of promoting mental health among women who are vulnerable to HIV infection or already infected as a strategy for HIV prevention in a development setting is breaking new ground. BioMed Central 2007-04-19 /pmc/articles/PMC1857694/ /pubmed/17442121 http://dx.doi.org/10.1186/1472-698X-7-3 Text en Copyright © 2007 Devine et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Devine, Alexandra
Kermode, Michelle
Chandra, Prabha
Herrman, Helen
A participatory intervention to improve the mental health of widows of injecting drug users in north-east India as a strategy for HIV prevention
title A participatory intervention to improve the mental health of widows of injecting drug users in north-east India as a strategy for HIV prevention
title_full A participatory intervention to improve the mental health of widows of injecting drug users in north-east India as a strategy for HIV prevention
title_fullStr A participatory intervention to improve the mental health of widows of injecting drug users in north-east India as a strategy for HIV prevention
title_full_unstemmed A participatory intervention to improve the mental health of widows of injecting drug users in north-east India as a strategy for HIV prevention
title_short A participatory intervention to improve the mental health of widows of injecting drug users in north-east India as a strategy for HIV prevention
title_sort participatory intervention to improve the mental health of widows of injecting drug users in north-east india as a strategy for hiv prevention
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1857694/
https://www.ncbi.nlm.nih.gov/pubmed/17442121
http://dx.doi.org/10.1186/1472-698X-7-3
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