Partner Relationships and Injection Sharing Practices Among Rural Appalachian Women

Overview

Journal Womens Health Issues

Specialty Gynecology & Obstetrics

Date 2017 Sep 9

PMID 28882550

Citations 17

Authors

Michele Staton

Justin C Strickland

Martha Tillson

Carl Leukefeld

J Matthew Webster

Carrie B Oser

Affiliations

Soon will be listed here.

Abstract

Background: The role of relationships in initiating and maintaining women's risk behaviors has been established. However, understanding factors that may underlie partner relationships and women's risky drug use, particularly in rural contexts, is limited. This study is the first to examine the association between injecting partners and women's risky injection practices as a function of relationship power perception.

Methods: Female participants were recruited from three rural jails in the Appalachian region. Women were selected randomly, provided informed consent, and screened for study eligibility criteria. This cross-sectional analysis focuses on women who inject drugs during the year before entering jail (n = 199).

Main Findings: Approximately three-quarters (76%) reported having a recent main male sexual partner with a history of injection drug use. Although having a risky partner independently increased the likelihood of women reporting shared injection practices, perceptions of relationship power significantly moderated the effect on shared needle (adjusted odds ratio, 0.02; 95% CI, 0.003-0.23; p = .001) and shared works (adjusted odds ratio, 0.17; 95% CI, 0.03-0.95; p = .04) use.

Conclusions: This interaction indicated that, for women who inject drugs with a recent injecting male partner, greater perception of relationship power was associated with a decreased likelihood of shared injection practices. Implications for clinical assessment and intervention are discussed.

Citing Articles

Protective Factors Associated With Lower Likelihood of Injection Drug Use and Experiencing Overdose Among Incarcerated Women.

Staton M, Tillson M, Levi M, Leukefeld C, Dickson M, Oser C Womens Health Issues. 2024; 34(6):636-644.

PMID: 39393957 PMC: 11602352. DOI: 10.1016/j.whi.2024.09.001.

Community relationship quality and reincarceration following rural drug-using women's reentry from jail.

Tillson M, Dickson M, Webster J, Staton M Crim Justice Behav. 2024; 49(6):853-871.

PMID: 39211008 PMC: 11361332. DOI: 10.1177/00938548211073603.

Overdose Experiences Among a Sample of Women in Jail with Opioid Use Disorder.

Dickson M, Annett J, Walker M, Leukefeld C, Webster J, Levi M Subst Use Misuse. 2024; 59(13):1911-1920.

PMID: 39069728 PMC: 11444883. DOI: 10.1080/10826084.2024.2383982.

Sex and gender differences in hepatitis C virus risk, prevention, and cascade of care in people who inject drugs: systematic review and meta-analysis.

Levinsson A, Zolopa C, Vakili F, Udhesister S, Kronfli N, Maheu-Giroux M EClinicalMedicine. 2024; 72:102596.

PMID: 38633576 PMC: 11019099. DOI: 10.1016/j.eclinm.2024.102596.

Maltreatment, resilience, and sexual relationship power in a sample of justice-involved women with opioid use disorder.

Annett J, Tillson M, Dickson M, Levi M, Webster J, Staton M J Trauma Stress. 2024; 37(3):516-526.

PMID: 38520157 PMC: 11176025. DOI: 10.1002/jts.23030.

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