Search

Adverse symptom experiences, including sleep disturbances, are important negative predictors of quality of life (QoL), but few studies conducted in low-income countries have examined the impact of poor sleep and its associated symptoms on QoL among people living with HIV (PLWH). To this end, 200 PLWH who were receiving treatment with antiretroviral therapy (ART) were recruited through a community nongovernment organization in Jakarta, Indonesia. Validated instruments measured QoL, sleep disturbance, fatigue, pain, ART adherence, substance use, drug use severity, and methadone treatment. Descriptive statistics, bivariate correlations, and multivariate linear regression were conducted to identify independent correlates of QoL. Overall, participants perceived their QoL as being good to very good (mean = 105.70, standard deviation = 14.7) and higher among women than men (p < 0.05). After adjusting for sex, education, drug-use severity, and ART adherence, QoL was negatively associated with fatigue, insomnia, and pharmacological treatment with methadone. Along with other known symptoms of HIV, sleep problems and their complications are important to clinically address and research more fully to assure satisfying QoL among PLWH. [ABSTRACT FROM AUTHOR]

The number of female injection drug users in Indonesia is rapidly increasing. This study explores the experiences of women living with HIV in recovery from heroin injection. Using a ground theory approach, 22 women former drug users in Jakarta participated in this study. Six themes emerged: the challenges of quitting, the role of self-motivation, the utility of methadone treatment, the importance of partner and family support, the transformation of "self" and situation, and the rewards of a normal life if successful. These women's accounts point to the personal and cultural challenges that they faced as women, wives, and mothers. [ABSTRACT FROM AUTHOR]

This paper examines the structural influence of sex work venues on condom use among female sex workers in the Senggigi area of Lombok, Indonesia. A cross-sectional design employing ethnographic observation, structured interviews and hierarchical linear modelling was used to examine condom use among female sex workers who solicited clients at three types of sex work venues: (1) freelance locations, (2) brothels and (3) entertainment places (karaoke bars and massage parlours). The sample consisted of 115 women ‘nested’ within 16 sex work venues drawn from the three venue types. Rate (39%) of condom use varied across sex work venues. Perceived management style, HIV/AIDS-related policies and risk-reduction services differed by venue, but this variation did not explain differences in condom use. At the individual level, higher condom use was associated with female sex workers having ever been married. At the client level, condoms were more likely to be used with foreign rather than domestic/local Indonesian clients. Low rates of condom use among Indonesian female sex workers during commercial sex suggests the need for increased HIV-prevention efforts that acknowledge sex worker characteristics and relationships with clients that place them at risk. Future research into the effects of social context on HIV risk should also be considered. [ABSTRACT FROM PUBLISHER]

The impact of a professionally facilitated peer group intervention for HIV prevention among 400 low-income Chilean women was examined using a quasiexperimental design. At 3 months postintervention, the intervention group had higher HIV-related knowledge, more positive attitudes toward people living with HIV, fewer perceived condom use barriers, greater self- efficacy, higher HIV reduction behavioral intentions, more communication with partners about safer sex, and decreased depression symptoms. They did not, however, have increased condom use or self-esteem. More attention to gender barriers is needed. This intervention offers a model for reducing HIV for women in Chile and other Latin American countries. [ABSTRACT FROM PUBLISHER]

Drug theorists have used the concept of a “career” to understand why some individuals enter and become deeply entrenched in a life organized around illicit drug-use. Previously career analyses have focussed on the lives and activities of chronic users at youth and middle age. We extend this work by examining the drug careers of life-long drug injectors (injection drug users, IDUs) of age 50 and more. Based on in-depth interviews with 40 active injectors between ages 50 and 68, we explore the interactional effects of aging and drug-use as they affect the lives of older injectors on the streets. We show that age forms a career contingency with the power to realign former roles and relationships. Retiring from the life career of chronic users seems doubtful for older users except through illness and death. Our findings point to the developmental aspects of a drug-dependent life style and why patterns and practices of drug-use change over time. [ABSTRACT FROM AUTHOR]

Research has demonstrated a relation between sensation seeking and risky, behavior as well as an association between risky behavior and the occurrence of head injury. This study assessed sensation seeking in young adults with and without a history of head injury by administration of the Sensation Seeking Scale (SSS), the Driver Risk Index (DRI), and the MacAndrews Scale of the Minnesota Multiphasic Personality Inventory (MMPI). There was a significant difference between the groups for the Thrill and Adventure Seeking Subscale of the SSS and the MacAndrews Scale of the MMPI, with head-injured participants scoring higher. Gender differences were seen in both groups for subscales of the SSS, with men scoring higher. Significant correlations were found for head-injured participants between the DRI and the Boredom Susceptiblity Subscale of the SSS, suggesting that as knowledge of risk increased for these participants, so did their preferences for risky behaviors. However, non-head-injured participants indicated a lower interest in risky behaviors as their knowledge of risk increased. [ABSTRACT FROM AUTHOR]

Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This article presents information about articles published in December 1, 1988 issue of the periodical "The Sociological Quarterly." Articles in this special issue on gender and aging in the periodical represent positive movement in this theoretical direction. While none of authors propose to build grand theory based on their analyses, each work adds considerable insight to understanding of gender differentiation within the context and processes of aging, age grading or cohort movement through time and across the human life course. Together, articles provide a sampler of studies showing how co properties of sex and age form the basis for social meaning and experience, influence societal rankings, interact with social networks and institutions and differ by cohort across historical time. Authors present separate but complementary perspectives on a wide range of theoretical questions and methodological approaches. This introduction provides an overview to insights that these articles offer.

Head injuries are frequent occurrences, and the majority are considered mild Most epidemiological studies have used hospitalized cases, and, as a result, those who sustain a head injury but do not receive intensive medical attention are not considered It can be assumed that those not receiving medical attention most likely sustained mild head injuries A few researchers have examined self-reported head injury, but the data is still limited LIttle is known about those individuals who incur head trauma and resume normal functioning without treatment The purpose of this study was to identify and describe the epidemiological correlates of head injury within a young high functioning population The present study examined head injury and its associated factors in a college sample, which included such areas as demographics, nature of head injury, and prevalence of postconcussion symptoms. [ABSTRACT FROM AUTHOR]

No abstract available for this article. [ABSTRACT FROM PUBLISHER]