Integrating qualitative and quantitative methods: comparing HIV-related risk behaviors among Puerto Rican drug users in Puerto Rico and New York.

National Development and Research Institutes, Inc., Center for Drug Use and HIV Research, New York, New York 10010, USA.
Substance Use &amp Misuse (Impact Factor: 1.23). 02/2003; 38(1):1-24. DOI: 10.1081/JA-120016563
Source: PubMed

ABSTRACT A dual site project was conducted to assess determinants of injection and sex-related risk behaviors among Puerto Rican drug users. The project focused on injection drug users and crack smokers, and was conducted in East Harlem, NY and Bayamón, PR in 1996-2000. Qualitative methods included ethnographic mapping, focus groups, in-depth interviews, and observations. A survey component (East Harlem, n = 800; Bayamón, n = 400) was also conducted. Procedures to ensure integration of methodologies and comparability of data were developed. This paper describes the qualitative and survey methods used, and presents the comparative HIV risk behaviors. The integration of the two methodologies served multiple functions: each component identified issues to be addressed in the other, enhanced cross-site comparability of data, and assisted in interpretation of findings. The survey data showed high levels of risk behaviors in both communities, with significantly higher levels of risk reported in Bayamón. Conducting studies of similar ethnic groups in different communities provides opportunities to examine diverse sources of influence on risk behaviors. The integration of qualitative and quantitative methods can enhance comparability and understanding of findings, particularly when there are differences in behaviors between communities.

  • [Show abstract] [Hide abstract]
    ABSTRACT: Abstract In this pilot project we examined factors contributing to maternal nutrition among women of child-bearing age in the Western Region of Nepal. We found that rural women are interested in learning about nutrition regardless of educational attainment, and that level of education is strongly associated with interest in learning about nutrition (p < 0.001). Although the majority of women with no education expressed interested in learning about nutrition (71%) a substantial percentage (22%) were not interested. Education and the teaching of basic health messages may hold important benefits for improving maternal and child health.
    Health Care For Women International 11/2013; · 0.63 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The purpose of this article is to provide nurse practitioners (NPs) with more effective strategies to diagnose methamphetamine (MA) use and assess healthcare needs of MA-using women. The researchers collected data from 65 suburban women who were MA users living in the suburbs of a large southeastern city in the United States. We conducted in-depth interviews and focus groups examining their life history, drug history, risk behaviors, and access to health care. The qualitative findings are examined here. Three main themes emerged from the data: (a) gendered stigmatization of MA use; (b) MA-related health risk behaviors; and (c) barriers to health and social services, which resulted in a domino effect that led to further life and health complications. When these factors are not effectively addressed, the result is more serious health problems for the women and their children. This article offers awareness and assessment tools to provide NPs adequate knowledge about the factors associated with MA use in order to treat patients holistically. NPs are strategically positioned to effectively assess, diagnose, treat, and provide linkage to health and social services, especially for suburban females who are a hidden population of drug users.
    Journal of the American Association of Nurse Practitioners. 02/2014; 26(11).
  • [Show abstract] [Hide abstract]
    ABSTRACT: This study examines factors related to injection and noninjection drug use during the last incarceration among injection drug users in East Harlem, New York (n = 555), and Bayamón, Puerto Rico (n = 241). Injecting drugs during the last incarceration episode was more likely in the sample in Puerto Rico (31% vs. 12%, p < .001), and noninjection drug use was more likely in the New York sample (37% vs. 14%, p < .001). Gang affiliation and length of incarceration were related to injection and noninjection drug use. Interventions for incarcerated drug users, including harm reduction efforts and drug treatment programs, should be enhanced. Further study of the role of gangs in influencing inmate HIV risk behaviors should be undertaken.
    The Prison Journal 09/2005; 85(3):329-342. · 0.40 Impact Factor