Experiences of violence and association with decreased drug abstinence among women in Cape Town, South Africa.

dc.contributor.authorReed, Elizabethen
dc.contributor.authorMyers, Bronwynen
dc.contributor.authorNovak, Scott Pen
dc.contributor.authorBrowne, Felicia Aen
dc.contributor.authorWechsberg, Wendee Men
dc.date.accessioned2015-12-15T13:07:50Zen
dc.date.available2015-12-15T13:07:50Zen
dc.date.epub2014-06-17en
dc.date.issued2015-01en
dc.description.abstractDrug abuse is a contributing factor in women's HIV risk in low-income communities in Cape Town, South Africa. This study assessed whether experiencing violence is associated with reduced drug abstinence among adult women (n = 603) participating in a randomized field trial for an HIV prevention study in Cape Town. In relation to drug abstinence at 12-month follow-up, multivariable regression models were used to assess (1) baseline partner and non-partner victimization, and (2) victimization at 12-month follow-up among participants reporting baseline victimization. Baseline partner (AOR = 0.6; 95 % CI 0.4-0.9) and non-partner victimization (AOR = 0.6; 95 % CI 0.4-0.9) were associated with a reduced likelihood of drug abstinence at follow-up. Among participants who reported victimization at baseline, those no longer reporting victimization at follow-up did not differ significantly in drug abstinence compared with those who reported victimization at follow-up. The study findings highlight the lasting impact of victimization on women's drug use outcomes, persisting regardless of whether violence was no longer reported at follow-up. Overall, the findings support the need for the primary prevention of violence to address the cycle of violence, drug use, and HIV among women in this setting.en
dc.description.sponsorshipThis research was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health, United States Department of Health and Human Services (HHS), Grant number R01HD058320.en
dc.identifier.citationExperiences of violence and association with decreased drug abstinence among women in Cape Town, South Africa. 2015, 19 (1):192-8 AIDS Behaven
dc.identifier.doi10.1007/s10461-014-0820-1en
dc.identifier.issn1573-3254en
dc.identifier.journalAIDS and behavioren
dc.identifier.pmid24934652en
dc.identifier.urihttp://hdl.handle.net/11288/583913en
dc.language.isoenen
dc.relation.urlhttp://link.springer.com/article/10.1007%2Fs10461-014-0820-1en
dc.research.unitAlcohol, Tobacco and Other Drug RUen
dc.rightsArchived with thanks to AIDS and behavioren
dc.subjectGender-based violenceen
dc.subjectSubstance useen
dc.subjectWomenen
dc.subjectSouth Africaen
dc.subjectrandomized field trialen
dc.subjectHIV preventionen
dc.subject.meshAdulten
dc.subject.meshCrime Victimsen
dc.subject.meshFemaleen
dc.subject.meshFollow-Up Studiesen
dc.subject.meshHIV Infectionsen
dc.subject.meshHumansen
dc.subject.meshIncidenceen
dc.subject.meshRisk Factorsen
dc.subject.meshSelf Reporten
dc.subject.meshSexual Behavioren
dc.subject.meshSocial Environmenten
dc.subject.meshSouth Africaen
dc.subject.meshSpouse Abuseen
dc.subject.meshSubstance-Related Disordersen
dc.subject.meshViolenceen
dc.titleExperiences of violence and association with decreased drug abstinence among women in Cape Town, South Africa.en
dc.typeArticleen
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