2024-03-28T08:47:04Zhttp://repisalud.isciii.es/oai/requestoai:repisalud.isciii.es:20.500.12105/94172022-10-06T11:18:33Zcom_20.500.12105_15322com_20.500.12105_2051com_20.500.12105_2060com_20.500.12105_2052col_20.500.12105_16988col_20.500.12105_16978col_20.500.12105_2061
Repisalud
author
Valencia, Jorge
author
Alvaro-Meca, Alejandro
author
Troya, Jesús
author
Gutiérrez, Jorge
author
Ramón, Cristina
author
Rodríguez, Antonio
author
Vazquez-Moron, Sonia
author
Resino, Salvador
author
Moreno, Santiago
author
Ryan, Pablo
funder
Boehringer Ingelheim Fonds
funder
Bristol-Myers Squibb
funder
GlaxoSmithKline
funder
Janssen Cilag
funder
Merck KGaA
funder
Pfizer
2020-04-03T07:37:06Z
2020-04-03T07:37:06Z
2020
PLoS One. 2020 Mar 30;15(3):e0230886.
1932-6203
http://hdl.handle.net/20.500.12105/9417
32226042
10.1371/journal.pone.0230886
1932-6203
PloS one
BACKGROUND AND AIMS: In comparison with men, women who use drugs (WWUD) have considerably more frequent and intense experiences with interpersonal violence, sexual abuse and trauma. The aim of this study was to identify issues related to gender-based vulnerability in a group of WWUD attended in a harm reduction facility in Madrid, Spain. MATERIAL AND METHODS: A cross-sectional study was conducted during a screening of blood borne infections. We included WWUD (smoked or injected heroin/cocaine) who were actively screened for HIV, HBV and HCV in a harm reduction setting in Madrid (Spain) from January to December 2017. WWUD were interviewed for gender-based abuse or violence using a face-to-face questionnaire by a trained interviewer. Aspects related to their social-epidemiological condition and gender-based vulnerability were collected. RESULTS: We included 109 women who were actively using drugs. The median age was 39 (IQR 35-47) years, 84.4% were Spanish born, 22.9% were homeless, 43 (41.7%) had ever used injected drugs, 29 (26.6%) were currently using injected drugs, and 27.1% had mental health disorders. Aspects related to gender-based vulnerability were collected. Among those surveyed, they reported having ever suffered emotional or psychological damage (88%), having experienced at least one incident of serious physical injury by a male partner (71%), and having ever suffered sexual abuse (49%). In addition, 28% had ever exchanged sex for money/drugs. When compared to women that did not use injecting drugs, those who injected drugs had more frequently exchanged sex for money/drugs (55% vs 21%, p = 0.003). CONCLUSIONS: A high proportion of WWUD suffer psychological or physical violence by partners denoting gender-based vulnerability. Interventions in harm reduction settings with a multidisciplinary and gender-based approach should be implemented.
eng
Gender-based vulnerability in women who inject drugs in a harm reduction setting
journal article
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URL
https://repisalud.isciii.es/bitstream/20.500.12105/9417/1/GenderBasedVulnerabilityIn_2020.pdf
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GenderBasedVulnerabilityIn_2020.pdf
URL
https://repisalud.isciii.es/bitstream/20.500.12105/9417/5/GenderBasedVulnerabilityIn_2020.pdf.txt
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GenderBasedVulnerabilityIn_2020.pdf.txt