Gloria Weissman

Yale University, New Haven, Connecticut, United States

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Publications (5)11.39 Total impact

  • Gloria Weissman · Vivian Brown
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    ABSTRACT: While drug-using women have been the group of women most at risk for HIV infection since the beginning of the AIDS epidemic, these women are also those for whom risk reduction to prevent acquisition of infection is most problematic. A number of recent studies strongly suggest that for drug-using women, there are significant educational, cultural, economic, psychological, physical, and social barriers that affect their ability to change risk behaviors and to participate in prevention programs (V. Brown & Weissman, 1993; G. Weissman & the NARC., 1991a, b). This chapter will discuss those barriers, some of the strategies that have been used to overcome them, and areas in which more work is needed. Our chapter in the next volume in this series will discuss issues that affect access to care for drug-using women with HIV disease.
    No preview · Chapter · Nov 2006
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    Robert E Booth · Carol F Kwiatkowski · Gloria Weissman
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    ABSTRACT: This study was designed to assess utilization of health-related services and HIV risk related behaviors by HIV infected drug users one year prior to and two years following the availability of Ryan White Title I funding. Using a cross-sectional design, a total of 777 drug injectors and crack smokers from five US cities were surveyed, over three waves of data collection, about their use of drug treatment, medical services, housing, mental health, and case management and about their sex and drug-related risk behaviors. For all service categories and in each wave, including the year prior to Title I funding, HIV risk behaviors were lower among those who used health-related services, with the exception of housing. Use of services did not increase significantly following the disbursement of Title I funds except for housing and case management. These findings suggest that it may be necessary to increase the attractiveness of health-related services, not just funding for services, for HIV infected substance abusers.
    Full-text · Article · Jul 1999 · Drug and Alcohol Dependence
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    ABSTRACT: In collaboration with the National Institute on Drug Abuse, the Health Resources and Services Administration is conducting a multisite, longitudinal study on issues of service needs, service utilization, and access to care for drug abusers with HIV. This article discusses access to drug abuse treatment and HIV secondary prevention for 116 women interviewed during the study's first year in five U.S. cities. Using interview data from 115 service providers in those same cities, it also discusses drug abuse treatment availability and barriers to service expansion for drug users with HIV. Study findings indicate that there are highly significant gaps between the drug abuse treatment services these women feel they need and those they have been able to receive; these were particularly pronounced for drug detoxification and residential and outpatient drug-free treatment. Women who used crack cocaine or injection drugs had particularly high levels of need for residential and outpatient drug abuse treatment, while women who use crack were found to have significantly less experience with the drug abuse treatment system than IDUs. HIV secondary prevention was also found to be a critical need for these women, many of whom were engaging in behaviors that place them at risk for reinfection, infection with other diseases, and transmission to others. Providers indicated that lack of funding was the major barrier to expanding services for this population; other barriers, such as lack of ancillary services and transportation, were also noted. Two positive findings were that many drug abuse treatment agencies in these cities provide a wide range of ancillary services and that many different kinds of agencies offer drug abuse treatment services.
    No preview · Article · Oct 1995 · Journal of psychoactive drugs
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    ABSTRACT: This paper presents first-year findings from a multi-site, longitudinal study being coordinated by the Health Resources and Services Administration (HRSA) in collaboration with the National Institute on Drug Abuse (NIDA) on access to care for drug abusers with HIV. The sample of 116 women and 187 men in five sites (Denver, Detroit, New Haven, New Orleans, and St. Louis) were interviewed regarding HIV testing history, HIV disease course, and use of health and social services. For both men and women, there were significant gaps between the medical services they reported needing and those they received. Significantly more women needed and received mental health services. Cost and waiting times emerged as the most important barriers to care. The study also found that significantly fewer women than men subjects received pre- and post-test counseling and were advised to get medical services after their first positive HIV test. Overall, first-year study results suggest that multiple barriers in access to service exist for drug-using women, the largest group of women affected by HIV in the United States.
    No preview · Article · May 1995 · Journal of the American Medical Women's Association (1972)
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    ABSTRACT: Comments on the review by J. A. Kelly et al (see record 1994-10963-001) regarding HIV prevention programs. Programs that Kelly et al did not describe are discussed, focusing on the large-scale community trials coordinated by the National Institute on Drug Abuse (NIDA) for injection drug users, crack users, and sex partners of drug users. R. H. Needle et al agree that stronger partnerships should be forged between research and community organizations and that dissemination of successful strategies should be improved. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
    No preview · Article · Jan 1995 · American Psychologist