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Overlapping needs for sexual and reproductive health and HIV prevention in women with substance use disorders

OBJECTIVES: Women with substance use disorders have high unmet needs for HIV prevention and drug treatment and face challenges accessing care for other unique health issues, including their sexual and reproductive health. METHODS: We did a cross-sectional evaluation of sexual and reproductive health...

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Autores principales: Gibson, Britton, Hoff, Emily, Haas, Alissa, Adams, Zoe M, Price, Carolina R, Goddard-Eckrich, Dawn, Sheth, Sangini S, Dasgupta, Anindita, Meyer, Jaimie P
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8771433/
https://www.ncbi.nlm.nih.gov/pubmed/35023410
http://dx.doi.org/10.1177/17455065211070543
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author Gibson, Britton
Hoff, Emily
Haas, Alissa
Adams, Zoe M
Price, Carolina R
Goddard-Eckrich, Dawn
Sheth, Sangini S
Dasgupta, Anindita
Meyer, Jaimie P
author_facet Gibson, Britton
Hoff, Emily
Haas, Alissa
Adams, Zoe M
Price, Carolina R
Goddard-Eckrich, Dawn
Sheth, Sangini S
Dasgupta, Anindita
Meyer, Jaimie P
author_sort Gibson, Britton
collection PubMed
description OBJECTIVES: Women with substance use disorders have high unmet needs for HIV prevention and drug treatment and face challenges accessing care for other unique health issues, including their sexual and reproductive health. METHODS: We did a cross-sectional evaluation of sexual and reproductive health behaviors and outcomes among women with substance use disorders, who were enrolled in one of two concurrent clinical trials of pre-exposure prophylaxis for HIV prevention. Descriptive analyses and bivariate logistic regression were used to assess factors driving contraceptive use, and other essential sexual and reproductive health services utilization and outcomes. RESULTS: Among 226 women, 173 (76.5%) were of reproductive age. Most women had histories of unintended pregnancy (79.2%) or miscarriage (45.1%) and high HIV risk behaviors (53.5%). Most (61%) participants did not use any form of contraception at the time of assessment, although few (15%) reported pregnancy intentions. In bivariate models, ongoing criminal justice involvement was associated with 2.22 higher odds of not using contraception (95% confidence interval = 1.09–4.53; p = 0.03) and hazardous drinking was protective against not using contraception (odds ratio = 0.33, 95% confidence interval = 0.13–0.81; p = 0.02). Contraception use was not significantly associated with any other individual characteristics or need factors. CONCLUSIONS: This is the first study that identifies the unmet sexual and reproductive health needs of women with substance use disorders who are engaging with pre-exposure prophylaxis. We found that women accessed some health services but not in a way that holistically addresses the full scope of their needs. Integrated sexual and reproductive care should align women’s expressed sexual and reproductive health intentions with their behaviors and outcomes, by addressing social determinants of health.
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spelling pubmed-87714332022-01-21 Overlapping needs for sexual and reproductive health and HIV prevention in women with substance use disorders Gibson, Britton Hoff, Emily Haas, Alissa Adams, Zoe M Price, Carolina R Goddard-Eckrich, Dawn Sheth, Sangini S Dasgupta, Anindita Meyer, Jaimie P Womens Health (Lond) HIV and Women’s Health: Where Are We Now OBJECTIVES: Women with substance use disorders have high unmet needs for HIV prevention and drug treatment and face challenges accessing care for other unique health issues, including their sexual and reproductive health. METHODS: We did a cross-sectional evaluation of sexual and reproductive health behaviors and outcomes among women with substance use disorders, who were enrolled in one of two concurrent clinical trials of pre-exposure prophylaxis for HIV prevention. Descriptive analyses and bivariate logistic regression were used to assess factors driving contraceptive use, and other essential sexual and reproductive health services utilization and outcomes. RESULTS: Among 226 women, 173 (76.5%) were of reproductive age. Most women had histories of unintended pregnancy (79.2%) or miscarriage (45.1%) and high HIV risk behaviors (53.5%). Most (61%) participants did not use any form of contraception at the time of assessment, although few (15%) reported pregnancy intentions. In bivariate models, ongoing criminal justice involvement was associated with 2.22 higher odds of not using contraception (95% confidence interval = 1.09–4.53; p = 0.03) and hazardous drinking was protective against not using contraception (odds ratio = 0.33, 95% confidence interval = 0.13–0.81; p = 0.02). Contraception use was not significantly associated with any other individual characteristics or need factors. CONCLUSIONS: This is the first study that identifies the unmet sexual and reproductive health needs of women with substance use disorders who are engaging with pre-exposure prophylaxis. We found that women accessed some health services but not in a way that holistically addresses the full scope of their needs. Integrated sexual and reproductive care should align women’s expressed sexual and reproductive health intentions with their behaviors and outcomes, by addressing social determinants of health. SAGE Publications 2022-01-13 /pmc/articles/PMC8771433/ /pubmed/35023410 http://dx.doi.org/10.1177/17455065211070543 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle HIV and Women’s Health: Where Are We Now
Gibson, Britton
Hoff, Emily
Haas, Alissa
Adams, Zoe M
Price, Carolina R
Goddard-Eckrich, Dawn
Sheth, Sangini S
Dasgupta, Anindita
Meyer, Jaimie P
Overlapping needs for sexual and reproductive health and HIV prevention in women with substance use disorders
title Overlapping needs for sexual and reproductive health and HIV prevention in women with substance use disorders
title_full Overlapping needs for sexual and reproductive health and HIV prevention in women with substance use disorders
title_fullStr Overlapping needs for sexual and reproductive health and HIV prevention in women with substance use disorders
title_full_unstemmed Overlapping needs for sexual and reproductive health and HIV prevention in women with substance use disorders
title_short Overlapping needs for sexual and reproductive health and HIV prevention in women with substance use disorders
title_sort overlapping needs for sexual and reproductive health and hiv prevention in women with substance use disorders
topic HIV and Women’s Health: Where Are We Now
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8771433/
https://www.ncbi.nlm.nih.gov/pubmed/35023410
http://dx.doi.org/10.1177/17455065211070543
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