Trauma and Psychosocial Predictors of Substance Abuse in Women Impacted by HIV/AIDS
ABSTRACT The purpose of this study was to estimate the relative contributions of trauma, chronic stress burden, depression, anxiety, social support, and social undermining in predicting alcohol and drug abuse, and whether ethnicity moderated these relationships. A multi-ethnic sample of 288 HIV-positive and HIV-negative women was recruited. Multiple group path analysis indicated that greater drug dependence was associated with being HIV+, more depression, and higher chronic burden. Trauma was related only to anxiety. Also, greater alcohol dependence was associated with more depression and more social undermining, and these effects were moderated by ethnicity. African American and Latina women evidenced different relationships between depression, social support and social undermining. Depression, social support and social undermining served as intervening variables in influencing the relationships between the other psychosocial variables and drug and alcohol dependence. The implications of these findings for alcohol and drug abuse research and services are discussed.
- SourceAvailable from: E Maxwell Davis
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- "Alcohol problems among women have been associated with many factors that are common in the lives of HIV-positive Latinas and African American women, including childhood physical , emotional, and sexual abuse (Galaif, Stein, Newcomb, & Bernstein, 2001; Zule, Flannery, Wechsberg, & Lam, 2002), intimate partner violence (Moreno, 2007), and entry into the welfare system (Dooley & Prause, 2002). Related to the substance abuse and high-risk heterosexual sex through which Latinas and African American women are most likely to become infected with HIV (Kaiser Family Foundation, 2011), alcohol use may also be a significant contributor to the HIV-related health disparities that the women experience after diagnosis (Myers et al., 2009). Despite the awareness of the potential links between alcohol use and HIV/AIDS among women of color, virtually no research has explored the etiology and impact of alcohol use among HIV-positive Latinas and African American women. "
ABSTRACT: This analysis of focus group dialogues about the intersection of race/ethnicity, HIV/AIDS, and alcohol use among HIV-positive Latinas and African American women explores consumers’ and providers’ perspectives on issues that influence the misuse of alcohol, the mechanisms of that influence, and factors that are critical to addressing the misuse of alcohol successfully in this population. The findings highlight the social structural influences of gender, race/ethnicity, and poverty and the interpersonal influences of family relationships, the disclosure of HIV, trauma and abuse, romantic partnerships, and motherhood on the misuse of alcohol. The discussion highlights suggestions for gender-specific and culturally responsive elements of alcohol treatment for HIV-positive Latinas and African American women.Affilia 11/2012; 27(4):435-448. DOI:10.1177/0886109912464535 · 0.65 Impact Factor
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- "Prior studies in the drug field have explored a range of psychosocial stressors, including childhood victimization and other negative life events, life transitions, daily hassles, social role strains, and socioeconomic disadvantage (Bennett & Kemper, 1994; Boardman, Finch, Ellison, Williams, & Jackson, 2001; Boyd, 1993; Boyd et al., 2002; Crutchfield & Gove, 1984; Davis, 1997; Freeman, Collier, & Parillo, 2002; Johnson & Young, 2002; Liu & Kaplan, 2001; Medrano, Zule, Hatch, & Desmond, 1999; Myers et al., 2009; Newcomb & Harlow, 1986; Pearlin & Radabaugh, 1976; Skeer et al., 2009; Storr, Trinkoff, & Anthony, 1999; Teets, 1995; Widom, Weiler, & Cottler, 1999; Wills, 1990; Young, Boyd, & Hubbell, 2002). Although many studies found a positive association between psychosocial stress and drug use, others produced inconsistent findings (Allan & Cooke, 1985; Lindenberg, Reiskin, & Gendrop, 1994; Sinha, 2001). "
ABSTRACT: The study uses qualitative interviews conducted with 19 crack using women to explore their experiences of stress and their views regarding the relationship between stress and drug use. Fifteen of the women participated in follow-up interviews conducted 5-7 years after the baseline. Life history interviews unveiled a pattern of close connection between the intensity of women's drug use and the level of stress they experienced in relation to their past adversities and current life circumstances. The majority of the women viewed stress as an important causal explanation of their drug use. Tensions related to romantic relationships, traumatic childhood, motherhood failures, unabated grief, and humiliating experiences of "crack life" were discussed as the most common sources of psychosocial stress. Most women had very limited positive coping resources and skills. Crack use was perceived as a very common, although highly maladaptive, way to deal with stress. Implications for interventions are discussed.Journal of drug issues 01/2011; 41(1):1-24. DOI:10.1177/002204261104100101 · 0.38 Impact Factor
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ABSTRACT: This is an Introduction to a special issue in memory of Douglas Longshore, a prominent researcher in the field of addiction health services. The findings from the ten papers in this issue are summarized and discussed within the context of Doug's development as a researcher and the core themes from his work. Three core areas are addressed: (1) internal processes related to change among substance abusers, (2) processes related to ethnicity and gender, and (3) treatment effectiveness, particularly regarding interventions to reduce risk of HIV/AIDS among substance abusers. The implications for addiction health services are discussed with regard to the application of these themes to practice.The Journal of Behavioral Health Services & Research 01/2009; 36(2):131-6. DOI:10.1007/s11414-008-9157-8 · 1.03 Impact Factor