Gene/Protein Disease Symptom Drug Enzyme Compound
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 71,517 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This study examines the prevalence of physical and sexual abuse by intimate and commercial sexual partners among street-based sex workers and explores correlates of partner abuse by commercial partners using the following factors: sociodemographics, substance abuse, sexual behavior, and physical and sexual childhood abuse. One hundred thirteen street sex workers were recruited from December 1996 through May 1997 while receiving services from the Foundations for Research on Sexually Transmitted Diseases (FROST'D), a nonprofit organization based in New York City. Partner abuse is a common occurrence among street sex workers. Two of three street prostitutes have experienced lifetime physical or sexual abuse by either an intimate or commercial partner. In addition, one of eight reported physical and sexual abuse by both intimate and commercial partners during her lifetime. Women who were homeless in the last year, those who reported exchanging for drugs and money as their main source of income, used injection drugs in the past year and had sex in crack houses, and who were human immunodeficiency virus (HIV)-positive were more likely to be report combined physical and sexual abuse. Understanding the relationship between partner violence, victim's substance abuse, and HIV-risk behavior is important for the development of public policies and treatment and prevention strategies to address the constellation of problems that drug-using female street sex workers face.
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PMID:Correlates of partner violence among female street-based sex workers: substance abuse, history of childhood abuse, and HIV risks. 1117 87

Although women have been disproportionately affected by substance abuse and mental illness, these issues have received little attention. Women with substance abuse and mental disorders tend to experience more severe environmental, health, social, and economic consequences and require more costly care. The Substance Abuse and Mental Health Services Administration is responsible for strengthening the nation's health care delivery system for prevention and treatment of substance abuse and mental illness and addresses women's issues through its Women, Children, and Families Team (WCFT). The WCFT is concerned with the public health risks associated with substance abuse and mental disorders in women, including physical and sexual abuse/violence, human immunodeficiency virus and acquired immune deficiency syndrome, criminal justice, welfare reform, and child welfare.
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PMID:Substance abuse and mental illness: unaddressed public health issues for women. 1120 70

This review examined the interactions between the correctional system and the health of urban populations. Cities have more poor people, more people of color, and higher crime rates than suburban and rural areas; thus, urban populations are overrepresented in the nation's jails and prisons. As a result, US incarceration policies and programs have a disproportionate impact on urban communities, especially black and Latino ones. Health conditions that are overrepresented in incarcerated populations include substance abuse, human immunodeficiency virus (HIV) and other infectious diseases, perpetration and victimization by violence, mental illness, chronic disease, and reproductive health problems. Correctional systems have direct and indirect effects on health. Indirectly, they influence family structure, economic opportunities, political participation, and normative community values on sex, drugs, and violence. Current correctional policies also divert resources from other social needs. Correctional systems can have a direct effect on the health of urban populations by offering health care and health promotion in jails and prisons, by linking inmates to community services after release, and by assisting in the process of community reintegration. Specific recommendations for action and research to reduce the adverse health and social consequences of current incarceration policies are offered.
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PMID:Jails, prisons, and the health of urban populations: a review of the impact of the correctional system on community health. 1141 76

Trauma care in South Africa has a number of unique challenges. South Africa is a large country with an uneven distribution of services; a restrictive infrastructure; severe financial restraints on the entire health system; and an overwhelming incidence of patients with human immunodeficiency virus, acquired immunodeficiency disease syndrome, and tuberculosis. Substance abuse and violence are common cofactors in trauma. A profile of injuries encountered in South Africa is discussed.
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PMID:Trauma in South Africa. 1170 68

Prison populations throughout the Unites States are growing; the 1990s saw an average 6.5% per year increase. Average inmate age is increasing, as are both the number and rate of inmate deaths. Aging inmates experience health concerns typical of the general, free, aging population. Inmates have higher incidence of health complications associated with various circumstances, risk behaviors, and associated medical conditions. These circumstances include prison violence, incarceration-related constraints on exercise, and diet. Inmates are more likely to have a history of alcohol abuse, substance abuse or addiction and sex industry work. Risk-behavior conditions include human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS), hepatitis B and C, liver disease, tuberculosis, endocarditis, and cardiomyopathy. Hospice is increasingly the preferred response to the health and care needs of terminally ill inmates. Implementing hospice behind bars has some unique challenges in addition to those inherent in hospice work. This series will provide an in-depth look at four hospice programs for inmates in the United States.
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PMID:Hospice care for the incarcerated in the United States: an introduction. 1224 79

In sub-Saharan Africa, where the acquired immunodeficiency syndrome (AIDS) epidemic threatens to undermine the social and economic structure of society, there has been insufficient attention to health care demand, supply, and quality issues. Most of those currently infected with human immunodeficiency virus (HIV) will register their demand for increased health services within the next six years. A study of medical insurance claims in Zimbabwe indicated that the claims of HIV-infected persons in the last 7-15 months of their lives were 700% higher than the average claim for the same age group. Absenteeism by HIV-infected health care workers is affecting the quality of care in hospitals, and countries that provide sickness benefits for public sector workers face the double drain of financing these benefits and paying for replacement staff. Emerging evidence suggests that HIV screening and counseling is not an effective intervention in this culture. Pregnant Kenyan women screened for HIV tended not to want the results, failed to inform their partner of a positive result, or were subjected to violence and abandonment when they did inform their husbands. Most effective, in this region, have been programs aimed at improving the diagnosis and treatment of sexually transmitted diseases. Other recommendations include decentralization of care to district health systems where costs are lower, increased support for home-based care, AIDS education for traditional healers, and informational campaigns to counter discrimination against HIV-infected community members.
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PMID:AIDS: an update. 1232 Feb 79

A national conference was held in the US in February 1995 on the issue of human immunodeficiency virus (HIV) infection in women. The conference took place after the Centers for Disease Control (CDC) revised the definition of acquired immunodeficiency syndrome (AIDS) to include invasive cervical cancer. This fact, then, acknowledged that HIV infection in women is not the same as in men. This fact also allowed researchers to focus on women and possibly develop gender-specific prevention and control measures. The conference was the forum to initiate women-specific research efforts. Collaboration in the biological, political, and socioeconomic arenas was strongly promoted. Topics addressed included scientific advancements, program development models, policy and advocacy issues, epidemiological studies, perinatal transmission, counseling, women-controlled prevention methods, and the relationship between violence against women and HIV. The conference was well attended. An address for program and abstract requests is provided.
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PMID:HIV Infection in Women conference. 1234 7

By the year 2000, it is projected that more than 13 million women will be infected with human immunodeficiency virus (HIV) and 4 million will have died from acquired immunodeficiency syndrome (AIDS). By the end of the century, HIV transmission rates for women are expected to exceed those for men--a major shift from 1985, when the male/female ratio was 10:1. AIDS overlaps the most pressing issues for the international women's movement: domestic violence, trafficking of girls and young women, reproductive health, educational and economic opportunities, and equality under the law. Issues of gender-based power and control have been central to the escalating HIV rates among women. Limited access to economic resources and fear of violence force many women to yield control over sexual relations to men. Without a preventive method they can control, even monogamous married women are at risk of acquiring HIV from their husbands. Universal behavior change strategies such as consistent condom use bypass the issue of who controls the decision to practice safe sex. Needed are AIDS prevention strategies based in the concept of empowerment that help women to gain control over their economic, social, and sexual lives. Such programs would include economic opportunity to reduce women's dependence, social and political advancement to raise women's status, and female-controlled HIV preventive methods. As approaches designed by and for women become a part of standard AIDS programming, women will at last have a face and voice in the struggle against AIDS.
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PMID:Let their voices be heard: empowering women in the fight against AIDS. 1234 62

Priority health-risk behaviors, which contribute to the leading causes of mortality and morbidity among youth and adults, often are established during youth, extend into adulthood, are interrelated, and are preventable. This report covers data during February-December 2001. The Youth Risk Behavior Surveillance System (YRBSS) monitors six categories of priority health-risk behaviors among youth and young adults; these behaviors contribute to unintentional injuries and violence; tobacco use; alcohol and other drug use; sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV) infection; unhealthy dietary behaviors; and physical inactivity. The YRBSS includes a national school-based survey conducted by CDC as well as state, territorial, and local school-based surveys conducted by education and health agencies. This report summarizes results from the national survey, 34 state surveys, and 18 local surveys conducted among students in grades 9-12 during February-December 2001. In the United States, approximately three-fourths of all deaths among persons aged 10-24 years result from only four causes: motor-vehicle crashes, other unintentional injuries, homicide, and suicide. Results from the 2001 national Youth Risk Behavior Survey demonstrated that numerous high school students engage in behaviors that increase their likelihood of death from these four causes: 14.1% had rarely or never worn a seat belt during the 30 days preceding the survey; 30.7% had ridden with a driver who had been drinking alcohol; 17.4% had carried a weapon during the 30 days preceding the survey; 47.1% had drunk alcohol during the 30 days preceding the survey; 23.9% had used marijuana during the 30 days preceding the survey; and 8.8% had attempted suicide during the 12 months preceding the survey. Substantial morbidity and social problems among young persons also result from unintended pregnancies and STDs, including HIV infection. In 2001, 45.6% of high school students had ever had sexual intercourse; 42.1% of sexually active students had not used a condom at last sexual intercourse; and 2.3% had ever injected an illegal drug. Two-thirds of all deaths among persons aged > or = 25 years result from only two causes: cardiovascular disease and cancer. The majority of risk behaviors associated with these two causes of death are initiated during adolescence. In 2001, 28.5% of high school students had smoked cigarettes during the 30 days preceding the survey; 78.6% had not eaten > or = 5 servings per day of fruits and vegetables during the 7 days preceding the survey; 10.5% were overweight; and 67.8% did not attend physical education class daily. Health and education officials at national, state, and local levels are using these YRBSS data to analyze and improve policies and programs to reduce priority health-risk behaviors among youth. The YRBSS data also are being used to measure progress toward achieving 16 national health objectives for 2010 and 3 of the 10 leading health indicators.
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PMID:Youth risk behavior surveillance--United States, 2001. 1238 72

The effect of human immunodeficiency virus (HIV) infection on the incidence of violence against women was addressed in a prospective cohort of HIV-infected and uninfected women. Participants were enrolled between 1993 and 1995 in four US cities and followed up semiannually through 1998. Among 1,087 women with a total accrual of 2,988 person-years (PY) of follow-up, there were 185 reports of abuse (incidence rate = 6.19 per 100 PY). The rate of abuse among HIV-infected women with a CD4+ count less than 350 cells/ micro L was lower than that among HIV-infected women with more CD4+ cells/ micro L or among uninfected women (4.87, 6.92, and 6.44 per 100 PY, respectively). In multivariate analysis, being separated or divorced, having a history of abuse in adulthood, using marijuana, using crack, and having multiple sex partners were each significantly associated with an elevated abuse rate; being older was inversely associated with abuse. Among HIV-infected women, those with fewer CD4+ cells/ micro L continued to show a decreased abuse rate (hazard ratio = 0.55, 95% CI = 0.36, 0.82) after adjustment for these factors. It is important to complement existing and future HIV prevention and intervention strategies with efforts to reduce violence against women.
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PMID:Incidence of violence against HIV-infected and uninfected women: findings from the HIV Epidemiology Research (HER) study. 1246 71


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