Works (52)

Updated: April 10th, 2024 05:00

2024 journal article

Perceptions of perinatal alcohol use and treatment needs in Cape Town, South Africa: a qualitative study

FRONTIERS IN PSYCHIATRY, 15.

By: P. Williams*, L. Erasmus-Claassen*, S. Taylor, F. Browne, W. Wechsberg*, B. Myers*, C. Parry*, Y. Washio*

author keywords: alcohol use; pregnant women; breastfeeding; perinatal; South Africa
Source: Web Of Science
Added: April 8, 2024

2023 journal article

Binge drinking and condom negotiation behaviours among adolescent girls and young women living in Cape Town, South Africa: sexual control and perceived personal power

BMC PUBLIC HEALTH, 23(1).

author keywords: Adolescent girls and young women; Alcohol use; HIV risk; Sexual control; Personal agency; Condom negotiation; HIV prevention
TL;DR: The findings highlight the need for interventions that reach AGYW in South Africa by specifically aiming to educate AGYW about the effect of binge drinking on negotiating power in their relationships, thus providing them with the knowledge and skills to increase agency regarding condom use. (via Semantic Scholar)
Source: Web Of Science
Added: January 8, 2024

2023 article

Condom Use at Last Sex and Sexual Negotiation Among Young African American Women in North Carolina: Context or Personal Agency

Osakwe, C. E. E., Drift, I., Opper, C. A. A., Zule, W. A. A., Browne, F. A. A., & Wechsberg, W. M. M. (2023, July 26). JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES.

By: C. Osakwe*, I. Drift*, C. Opper*, W. Zule*, F. Browne* & W. Wechsberg*

author keywords: Substance use; Sexual communication; Safer sex negotiation; Social and contextual factors; HIV risk-reduction; Young African American women
TL;DR: It is shown that among young African American women at risk for HIV, contextual and personal factors may influence condom use, and a socio-ecological approach combining personal empowerment, interpersonal, structural, and biobehavioral strategies is necessary in implementing holistic gender-focused HIV prevention programs. (via Semantic Scholar)
Source: Web Of Science
Added: August 14, 2023

2023 journal article

HIV-related risk among justice-involved young African American women in the US South

HEALTH & JUSTICE, 11(1).

By: F. Browne*, Y. Washio*, W. Zule* & W. Wechsberg*

author keywords: Arrest; Justice involvement; Young African American women; Emerging adulthood; HIV; Substance use; Interventions; Service needs
TL;DR: The study findings indicate the increased risk across both HIV-related substance use and sexual risk and the service needs for African American women in emerging adulthood who have been arrested and the importance of interventions to address the specific needs of this population at a critical period to not only prevent HIV but also address social determinants. (via Semantic Scholar)
UN Sustainable Development Goal Categories
3. Good Health and Well-being (OpenAlex)
Source: Web Of Science
Added: October 2, 2023

2023 article

Relationship Between Criminal and Status Offense Behaviors, Substance Use, and HIV Risk Among Adolescent Girls and Young Women in Cape Town, South Africa

Carney, T., Myers, B., Browne, F. A., Kline, T., Bonner, C. P., Ndirangu, J., & Wechsberg, W. M. (2023, August 28). INTERNATIONAL JOURNAL OF MENTAL HEALTH AND ADDICTION.

By: T. Carney, B. Myers, F. Browne, T. Kline, C. Bonner, J. Ndirangu, W. Wechsberg

author keywords: Adolescent girls and young women; Externalizing or challenging behavior; HIV risk; Substance use
UN Sustainable Development Goal Categories
Source: Web Of Science
Added: September 18, 2023

2022 article

'We have goals but [it is difficult]'. Barriers to antiretroviral therapy adherence among women using alcohol and other drugs living with HIV in South Africa

Ndirangu, J. W., Gichane, M. W., Browne, F. A., Bonner, C. P., Zule, W. A., Cox, E. N., … Wechsberg, W. M. (2022, January 21). HEALTH EXPECTATIONS.

author keywords: alcohol and other drugs (AOD); antiretroviral therapy (ART); gender-focused; HIV care continuum; implementation science; socioecological barriers
MeSH headings : Adult; Anti-Retroviral Agents / therapeutic use; Female; Goals; HIV Infections / epidemiology; Humans; Patient Compliance; South Africa / epidemiology
TL;DR: The Women's Health CoOp, a brief, woman‐focused, behavioural, evidence‐based intervention, has been shown to be effective in reducing heavy drinking and improving HIV‐related outcomes among this key population of women in South Africa. (via Semantic Scholar)
UN Sustainable Development Goal Categories
5. Gender Equality (OpenAlex)
Source: Web Of Science
Added: January 31, 2022

2022 article

A Scoping Review of Computer-Based and Telecommunication Technology Interventions to Address Drug and Alcohol Misuse and Smoking in Women

Washio, Y., Hayashi, Y., Atreyapurapu, S., Chang, K., Ma, T., Howard, B. N., … Wechsberg, W. M. (2022, May 12). SUBSTANCE USE & MISUSE.

author keywords: Women; substance misuse; alcohol use; smoking; interventions; technology; telecommunication
MeSH headings : Adolescent; Adult; Alcoholism / therapy; Computers; Female; Humans; Pregnancy; Technology; Text Messaging; Tobacco Smoking
TL;DR: Although effective in reducing alcohol and other substance misuse, mixed findings were identified for other outcomes targeting a single substance. (via Semantic Scholar)
UN Sustainable Development Goal Categories
3. Good Health and Well-being (Web of Science; OpenAlex)
5. Gender Equality (Web of Science)
Source: Web Of Science
Added: May 31, 2022

2022 article

Alcohol, drug use, and sexual risk among young African American women in North Carolina: is educational attainment protective?

Browne, F. A., Bonner, C. P., Kline, T. L., Cox, E. N., Gichane, M. W., & Wechsberg, W. M. (2022, June 24). VULNERABLE CHILDREN AND YOUTH STUDIES.

By: F. Browne*, C. Bonner*, T. Kline*, E. Cox*, M. Gichane* & W. Wechsberg n

author keywords: Education; social determinants; substance use; STI; HIV
UN Sustainable Development Goal Categories
3. Good Health and Well-being (Web of Science; OpenAlex)
Source: Web Of Science
Added: July 18, 2022

2022 journal article

An Evidence-Based HIV Risk-Reduction Intervention for Young African American Women in the US South Using mHealth: Adaptation and Development Study

JMIR FORMATIVE RESEARCH, 6(5).

By: R. Watkins, F. Browne, P. Kizakevich, B. Howard, L. Turner, R. Eckhoff, W. Wechsberg*

author keywords: substance use; prevention; e-learning; adaptation; mobile apps; health risk behaviors; self-directed learning; HIV; women; young women; violence; mHealth app; gamification; mobile phone
TL;DR: This systematic adaptation process created an accurate mHealth equivalent of an existing, in-person behavioral health intervention, the Women’s CoOp, by converting the seven elements of the WC as accurately as possible for comparability to determine efficacy in a mobile app format. (via Semantic Scholar)
UN Sustainable Development Goal Categories
3. Good Health and Well-being (Web of Science; OpenAlex)
Source: Web Of Science
Added: October 3, 2022

2022 journal article

Gender Dynamics in Substance Use and Treatment: A Women's Focused Approach

MEDICAL CLINICS OF NORTH AMERICA, 106(1), 219–234.

By: M. Harris*, J. Laks*, N. Stahl*, S. Bagley*, K. Saia* & W. Wechsberg n

author keywords: Women; Substance use disorders; Gender; Treatment
MeSH headings : Alcohol Drinking / epidemiology; Alcohol Drinking / psychology; Alcohol Drinking / therapy; Behavior, Addictive / psychology; Breast Feeding / psychology; Choice Behavior; Female; Gender Role; Health Inequities; Humans; Male; Models, Biopsychosocial; Parenting / psychology; Patient Advocacy / ethics; Patient-Centered Care / trends; Pregnancy; Sex Characteristics; Substance-Related Disorders / epidemiology; Substance-Related Disorders / psychology; Substance-Related Disorders / therapy; United States / epidemiology
TL;DR: There is a need to implement and scale-up gender-responsive addiction programming and pursue advocacy at the policy level that addresses the root drivers of substance use inequities among women. (via Semantic Scholar)
UN Sustainable Development Goal Categories
3. Good Health and Well-being (Web of Science; OpenAlex)
Source: Web Of Science
Added: December 6, 2021

2022 review

Gender and Context Matter: Behavioral and Structural Interventions for People Who Use Alcohol and Other Drugs in Africa

[Review of ]. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 19(14).

author keywords: alcohol and other drug use; drug use; interventions; women; social determinants
TL;DR: The most comprehensive interventions were the most effective for AOD outcomes, and several studies indicated the importance of addressing AOD use alongside gender-based violence, mental health needs, gender roles, and other social determinants that affect health outcomes. (via Semantic Scholar)
Source: Web Of Science
Added: August 8, 2022

2022 article

Social Determinants of Alcohol and Other Drug Misuse Among Women Living with HIV in Economically Underserved Communities in Cape Town, South Africa: A Cross-Sectional Study

Browne, F. A., Gichane, M. W., Shangase, N., Ndirangu, J., Bonner, C. P., & Wechsberg, W. M. (2022, November 7). AIDS AND BEHAVIOR.

By: F. Browne*, M. Gichane*, N. Shangase*, J. Ndirangu*, C. Bonner* & W. Wechsberg n

author keywords: Substance use; socioeconomic status; educational attainment; food insecurity; housing instability; health disparities; people living with HIV
MeSH headings : Humans; Female; Cross-Sectional Studies; HIV Infections / epidemiology; HIV Infections / prevention & control; HIV Infections / diagnosis; Social Determinants of Health; South Africa / epidemiology; Alcoholism; Drug Misuse
TL;DR: The complexity of the relationship between social determinants and alcohol and other drug misuse among key populations of women in South Africa may have implications for addressing social and structural determinants as part of multilevel interventions focused on reducing alcohol andother drug misuse. (via Semantic Scholar)
Source: Web Of Science
Added: November 21, 2022

2022 journal article

Stigma in the health clinic and implications for PrEP access and use by adolescent girls and young women: conflicting perspectives in South Africa

BMC PUBLIC HEALTH, 22(1).

By: L. Nyblade*, J. Ndirangu*, I. Speizer*, F. Browne*, C. Bonner*, A. Minnis*, T. Kline*, K. Ahmed* ...

author keywords: Stigma; Adolescent girls and young women; Health clinics; HIV prevention; PrEP access; South Africa
MeSH headings : Adolescent; Anti-HIV Agents / therapeutic use; Female; HIV Infections / drug therapy; HIV Infections / prevention & control; Humans; Pre-Exposure Prophylaxis; Social Stigma; South Africa
TL;DR: Four common themes emerged across the qualitative and quantitative data and with both AGYW and clinic staff, although with varying degrees of resonance between these two groups, which point to the four key areas where programs seeking to address stigma toward AGyW in clinics can tailor their programming. (via Semantic Scholar)
Source: Web Of Science
Added: October 31, 2022

2021 journal article

"Because all mothers is not the same": The development and implementation of an in loco parentis informed consent procedure to enroll adolescent girls and young women to participate in HIV research

JOURNAL OF ADOLESCENCE, 93(1), 234–244.

author keywords: Regulations; Consent; Assent; HIV; Substance use; Ethics
MeSH headings : Adolescent; Adult; Black People; Female; HIV Infections / prevention & control; Humans; Informed Consent; Mothers; Parents; Young Adult
TL;DR: The in loco parentis consent procedure may provide a more inclusive strategy to recruit AGYW for HIV research to increase the generalizability of findings. (via Semantic Scholar)
UN Sustainable Development Goal Categories
3. Good Health and Well-being (Web of Science; OpenAlex)
Source: Web Of Science
Added: April 8, 2022

2021 journal article

Antiretroviral Therapy (ART) Adherence and Prenatal Alcohol Use among Women Who Are Pregnant with HIV in South Africa

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 18(14).

author keywords: ART adherence; prenatal alcohol use; fetal alcohol spectrum disorders; brief behavioral intervention; South Africa
MeSH headings : Alcohol Drinking / epidemiology; Anti-HIV Agents / therapeutic use; Anti-Retroviral Agents / therapeutic use; Female; HIV Infections / drug therapy; HIV Infections / epidemiology; Humans; Medication Adherence; Pregnancy; Pregnant Women; South Africa / epidemiology
TL;DR: The gender-focused WHC intervention shows promise as a cost-effective, sustainable, behavioral intervention to address these intersecting syndemic issues and improving ART adherence in this key population of women and reducing the economic burden on society. (via Semantic Scholar)
Source: Web Of Science
Added: August 2, 2021

2021 article

Current Interventions for People Living with HIV Who Use Alcohol: Why Gender Matters

Wechsberg, W. M., Browne, F. A., Bonner, C. P., Washio, Y., Howard, B. N., & Drift, I. (2021, June 10). CURRENT HIV/AIDS REPORTS.

By: W. Wechsberg*, F. Browne*, C. Bonner*, Y. Washio*, B. Howard* & I. Drift*

author keywords: Alcohol misuse; ART adherence; Gender; Viral suppression; Women living with HIV
MeSH headings : Female; HIV Infections / drug therapy; Humans; Medication Adherence
TL;DR: It is essential for women who misuse alcohol to not only be well represented in alcohol and HIV research but also for studies to consider the barriers to reaching them and their contextual demands and/or co-occurring issues that may affect participation and outcomes in intervention research. (via Semantic Scholar)
Source: Web Of Science
Added: June 28, 2021

2021 journal article

Outcomes of Implementing in the Real World the Women's Health CoOp Intervention in Cape Town, South Africa

AIDS AND BEHAVIOR, 25(SUPPL 3), 276–289.

author keywords: Implementation science; Gender-focused; HIV intervention; ART adherence; Patient satisfaction; Hybrid design
MeSH headings : Alcohol Drinking / epidemiology; Alcohol Drinking / prevention & control; Anti-HIV Agents / therapeutic use; Ethanol; Female; HIV Infections / drug therapy; HIV Infections / epidemiology; HIV Infections / prevention & control; Humans; South Africa / epidemiology; Women's Health
TL;DR: The WHC intervention was successful in reaching key populations of women to reduce alcohol use and increase ART adherence, which is essential for South Africa to reach the 90-90-90 goals. (via Semantic Scholar)
Source: Web Of Science
Added: May 17, 2021

2021 journal article

Substance use and depressive and anxiety symptoms among out-of-school adolescent girls and young women in Cape Town, South Africa

SAMJ SOUTH AFRICAN MEDICAL JOURNAL, 111(1), 40–45.

MeSH headings : Adolescent; Alcohol Drinking / epidemiology; Anxiety / epidemiology; Depression / epidemiology; Female; HIV Infections / epidemiology; Humans; Mental Health; Prevalence; South Africa / epidemiology; Substance Abuse Detection; Substance-Related Disorders / epidemiology; Surveys and Questionnaires; Young Adult
TL;DR: The findings highlight the need to address substance use, especially Mandrax use and its associated risk, and depression in an integrated, youth-friendly setting. (via Semantic Scholar)
Source: Web Of Science
Added: January 19, 2021

2021 article

Sustainability of a gender-focused HIV and alcohol risk-reduction intervention in usual care settings in South Africa: a mixed methods analysis

Gichane, M. W., Wechsberg, W. M., Ndirangu, J., Howard, B., Bonner, C. P., Browne, F. A., & Zule, W. A. (2021, August 17). AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV.

author keywords: Sustainability; implementation science; HIV; alcohol use; women; risk-reduction intervention
MeSH headings : Female; HIV Infections / prevention & control; Humans; Risk Reduction Behavior; South Africa; Substance-Related Disorders / therapy; Women's Health
TL;DR: Qualitative findings indicate that long-term sustainability would require support from upper management, staff dedicated to the WHC, and booster trainings, and human resources, financial, and institutional support would be needed for sustainability. (via Semantic Scholar)
UN Sustainable Development Goal Categories
Source: Web Of Science
Added: October 4, 2021

2021 journal article

The Association of Recurrent and Multiple Types of Abuse with Adverse Mental Health, Substance Use, and Sexual Health Outcomes among Out-of-School Adolescent Girls and Young Women in Cape Town, South Africa

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 18(21).

author keywords: young women; mental health; physical and sexual abuse; gender-based violence; substance use; trauma-informed interventions; low- and middle-income countries
MeSH headings : Adolescent; Child; Female; HIV Infections; Humans; Mental Health; Outcome Assessment, Health Care; Schools; South Africa / epidemiology; Substance-Related Disorders / epidemiology
UN Sustainable Development Goal Categories
3. Good Health and Well-being (Web of Science; OpenAlex)
Source: Web Of Science
Added: November 29, 2021

2020 article

Cannabis use and breastfeeding: do we know enough?

Williams, P. P., Washio, Y., Myers, B., Jaspan, H., Browne, F. A., Wechsberg, W. M., & Parry, C. (2020, March). SOUTH AFRICAN JOURNAL OF PSYCHOLOGY, Vol. 50, pp. 7–10.

TL;DR: Breastfeeding results in reduction in infant mortality and morbidity, improvements for maternal health, and could save an estimated 820,000 children every year—making it a vital public health strategy for promoting maternal and infant health. (via Semantic Scholar)
Source: Web Of Science
Added: January 27, 2020

2020 journal article

Implementation science outcomes of a gender-focused HIV and alcohol risk-reduction intervention in usual-care settings in South Africa

DRUG AND ALCOHOL DEPENDENCE, 215.

By: M. Gichane*, W. Wechsberg n, J. Ndirangu*, F. Browne*, C. Bonner*, A. Grimwood*, N. Shaikh*, B. Howard*, W. Zule*

author keywords: Implementation science; Evidence-based HIV intervention; HIV; Alcohol and other drug use; Women
MeSH headings : Adult; Alcohol Drinking; Ethanol; Female; HIV Infections / epidemiology; Humans; Implementation Science; Male; Risk Reduction Behavior; Social Stigma; South Africa / epidemiology; Women's Health
TL;DR: The findings suggest it is feasible to integrate the Women's Health CoOp into usual-care settings and future efforts to scale up the intervention will need to address social and structural implementation challenges. (via Semantic Scholar)
UN Sustainable Development Goal Categories
3. Good Health and Well-being (Web of Science; OpenAlex)
Source: Web Of Science
Added: October 19, 2020

2020 journal article

Individual and Relationship Predictors of Couple-Level Sexual Concurrency in Heterosexual South African Couples

ARCHIVES OF SEXUAL BEHAVIOR, 49(3), 999–1015.

By: J. Belus*, D. Baucom* & W. Wechsberg n

author keywords: HIV prevention; Sexual concurrency; South Africa; Heterosexual couples
MeSH headings : Adolescent; Adult; Black People; Cross-Sectional Studies; Female; Heterosexuality / psychology; Humans; Male; Sexual Partners / psychology; Young Adult
TL;DR: Sexual concurrency at the couple-level and differentiated couples based on whether neither, one, or both partners engaged in sexual concurrency over the past 6 months suggest that consideration of the experiences and behavior of both partners may be useful in understanding different reasons for engagement. (via Semantic Scholar)
UN Sustainable Development Goal Categories
Source: Web Of Science
Added: March 23, 2020

2020 journal article

Measuring relationship functioning in South African couples: a strategy for improving HIV prevention efforts

SEXUAL AND RELATIONSHIP THERAPY, 35(1), 2–14.

author keywords: South Africa; couples; HIV prevention; relationship functioning; communication
TL;DR: Insight is provided into the structure of relationship functioning questions and subscales that can be used to assess South African adult romantic relationships and allow for a greater focus on aspects of relationships within couple-based HIV prevention programs going forward. (via Semantic Scholar)
UN Sustainable Development Goal Categories
Source: Web Of Science
Added: January 13, 2020

2020 journal article

Service providers' perceptions of barriers to the implementation of trauma-focused substance use services for women in Cape Town, South Africa

INTERNATIONAL JOURNAL OF DRUG POLICY, 75.

author keywords: Women; Low-and-middle income country; South Africa; Substance use; Trauma; Extended Normalisation Process Theory; Implementation
MeSH headings : Attitude of Health Personnel; Delivery of Health Care / organization & administration; Feasibility Studies; Female; Gender-Based Violence / psychology; Health Personnel / psychology; Humans; Interviews as Topic; Male; South Africa; Substance-Related Disorders / epidemiology; Substance-Related Disorders / therapy; Wounds and Injuries / psychology
TL;DR: Findings show potential for implementing trauma-focused substance use interventions in South Africa, however context-specific capacity and capability barriers need to be considered and addressed for implementation to be successful. (via Semantic Scholar)
Source: Web Of Science
Added: March 2, 2020

2020 journal article

The PrEPARE Pretoria Project: protocol for a cluster-randomized factorial-design trial to prevent HIV with PrEP among adolescent girls and young women in Tshwane, South Africa

BMC PUBLIC HEALTH, 20(1).

author keywords: HIV; Sexual and reproductive health (SRH); Stigma; Health Policy Project Stigma and Discrimination-reduction training (HPP S&D); Clinic staff; Young Women's Health CoOp (YWHC); Alcohol and drug use; Gender-based violence; Adaptation
MeSH headings : Adolescent; Female; HIV Infections / prevention & control; Humans; Pharmaceutical Preparations; Pre-Exposure Prophylaxis; Sexual Behavior; South Africa
TL;DR: Testing a comprehensive gender-focused biobehavioral HIV prevention intervention that is inclusive of social ecological determinants, such as stigma and discrimination reduction in clinics, is critical for reducing HIV among adolescent girls and young women in South Africa. (via Semantic Scholar)
UN Sustainable Development Goal Categories
5. Gender Equality (OpenAlex)
Source: Web Of Science
Added: October 12, 2020

2019 journal article

A trauma-informed substance use and sexual risk reduction intervention for young South African women: a mixed-methods feasibility study

BMJ OPEN, 9(2).

By: B. Myers*, T. Carney*, F. Browne* & W. Wechsberg n

MeSH headings : Adolescent; Adult; Counseling; Feasibility Studies; Female; Health Knowledge, Attitudes, Practice; Humans; Mental Health; Patient Education as Topic; Psychological Trauma / prevention & control; Qualitative Research; Risk Reduction Behavior; South Africa; Stress Disorders, Post-Traumatic / complications; Stress Disorders, Post-Traumatic / therapy; Substance-Related Disorders / etiology; Substance-Related Disorders / therapy; Unsafe Sex; Young Adult
TL;DR: This novel intervention seems acceptable and holds potential benefits for trauma-exposed women who use substances, and the efficacy of the intervention for improving substance use, sexual risk and mental health outcomes requires testing in a controlled design. (via Semantic Scholar)
Source: Web Of Science
Added: July 15, 2019

2019 journal article

Addressing the nexus of risk: Biobehavioral outcomes from a cluster randomized trial of the Women's Health CoOp Plus in Pretoria, South Africa

DRUG AND ALCOHOL DEPENDENCE, 195, 16–26.

By: W. Wechsberg n, C. Bonner*, W. Zule*, C. Horst*, J. Ndirangu*, F. Browne*, T. Kline*, B. Howard*, N. Rodman*

author keywords: HIV prevention; HIV care; Women; Alcohol and other drug use; Gender-based violence; Sexual risk
MeSH headings : Adult; Black People / psychology; Cluster Analysis; Counseling / methods; Counseling / trends; Female; HIV Infections / epidemiology; HIV Infections / psychology; HIV Infections / therapy; Humans; Male; Mass Screening / methods; Safe Sex / psychology; Self Report; Sex Offenses / psychology; Sex Offenses / trends; Sexual Behavior / psychology; South Africa / epidemiology; Substance-Related Disorders / epidemiology; Substance-Related Disorders / psychology; Substance-Related Disorders / therapy; Violence / psychology; Violence / trends; Women's Health / trends; Young Adult
TL;DR: The findings demonstrate the WHC+'s efficacy to reduce HIV risk among women who use AODs in South Africa and to increase linkage to HIV care among womenWho use A ODs, compared with HIV counseling and testing alone. (via Semantic Scholar)
UN Sustainable Development Goal Categories
Source: Web Of Science
Added: March 4, 2019

2019 journal article

Adolescent female school dropouts who use drugs and engage in risky sex: effects of a brief pilot intervention in Cape Town, South Africa

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 31(1), 77–84.

author keywords: Gender; alcohol and drug use; adolescents; HIV; brief intervention
MeSH headings : Adolescent; Female; Follow-Up Studies; HIV Infections / epidemiology; HIV Infections / prevention & control; HIV Infections / transmission; Health Education / methods; Humans; Male; Pilot Projects; Program Development; Program Evaluation; Risk Factors; Risk Reduction Behavior; Risk-Taking; Sexual Behavior; Sexual Partners; South Africa / epidemiology; Student Dropouts / psychology; Student Dropouts / statistics & numerical data; Substance-Related Disorders / epidemiology; Vulnerable Populations / statistics & numerical data; Young Adult
TL;DR: Findings indicate a need for HIV prevention interventions among out-of-school female adolescents, and intervention acceptability was high, and there were some decreases in sexual risk behaviour among intervention participants which is promising. (via Semantic Scholar)
UN Sustainable Development Goal Categories
3. Good Health and Well-being (Web of Science; OpenAlex)
Source: Web Of Science
Added: December 10, 2018

2019 journal article

Exploring the associations between physical and sexual gender-based violence and HIV among women who use substances in South Africa: the role of agency and alcohol

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 31(11), 1369–1375.

author keywords: Alcohol abuse; sexual negotiation; empowerment; protective factors; women; HIV; South Africa
MeSH headings : Adolescent; Adult; Alcohol Drinking; Black People; Female; Gender-Based Violence; HIV Infections / complications; HIV Infections / epidemiology; Humans; Male; Mass Screening; Middle Aged; Prevalence; Risk-Taking; Sexual Behavior; Sexual Partners; South Africa / epidemiology; Young Adult
TL;DR: HIV prevention efforts focusing on reducing alcohol misuse may be more effective, which might reduce the HIV burden among this group of vulnerable South African women. (via Semantic Scholar)
UN Sustainable Development Goal Categories
5. Gender Equality (OpenAlex)
Source: Web Of Science
Added: April 22, 2019

2019 review

Research on women with substance use disorders: Reviewing progress and developing a research and implementation roadmap

[Review of ]. DRUG AND ALCOHOL DEPENDENCE, 197, 158–163.

By: J. Meyer*, K. Isaacs*, O. El-Shahawy*, A. Burlew* & W. Wechsberg n

author keywords: Substance use research; Gender; Women; Substance use disorders
MeSH headings : Adolescent; Adult; Biomedical Research / methods; Biomedical Research / trends; Canada / epidemiology; Female; Humans; Interpersonal Relations; Intimate Partner Violence / psychology; Intimate Partner Violence / trends; Male; Pregnancy; Pregnant Women / psychology; Sex Factors; Substance-Related Disorders / diagnosis; Substance-Related Disorders / psychology; Substance-Related Disorders / therapy; Women's Health / trends
TL;DR: Key progress in research on substance use among women, adolescents, and families is reviewed to delineate priorities for the next generation of research and gender-based issues for women remain a neglected area in much of substance abuse research. (via Semantic Scholar)
UN Sustainable Development Goal Categories
Source: Web Of Science
Added: April 29, 2019

2018 journal article

A Model of Heterosexual Adaptive Relationship Functioning in South Africa: Implications for HIV Prevention Interventions

INTERNATIONAL JOURNAL OF SEXUAL HEALTH, 30(4), 398–411.

author keywords: HIV prevention; couples; South Africa; relationship theory
TL;DR: A model of adaptive relationship functioning is put forth, which involves four primary relationship components that emerged as central to healthy relationships: active relationship building, emotional support/display, communication, and problem-solving. (via Semantic Scholar)
UN Sustainable Development Goal Categories
3. Good Health and Well-being (Web of Science; OpenAlex)
Source: Web Of Science
Added: March 11, 2019

2018 journal article

Changing sex risk behaviors, gender norms, and relationship dynamics among couples in Cape Town, South Africa: Efficacy of an intervention on the dyad

SOCIAL SCIENCE & MEDICINE, 209, 95–103.

By: I. Speizer, W. Zule*, T. Carney*, F. Browne*, J. Ndirangu* & W. Wechsberg*

author keywords: South Africa; Couple; HIV prevention; Gender norms; Sexual risk behavior; Partner communication; Couple conflict
MeSH headings : Adult; Female; Gender Identity; HIV Infections / epidemiology; HIV Infections / prevention & control; Humans; Interpersonal Relations; Male; Program Evaluation; Risk-Taking; Sexual Behavior / psychology; Sexual Partners / psychology; South Africa / epidemiology
TL;DR: Community-based HIV prevention intervention programs need to consider strategies to engage women and men and, if feasible, reach both partners jointly to improve health outcomes, including reduced HIV risk among women, men, and couples. (via Semantic Scholar)
UN Sustainable Development Goal Categories
Source: Web Of Science
Added: August 6, 2018

2018 journal article

Condom Use, Multiple Rounds of Sex, and Alcohol Use Among South African Women Who Use Alcohol and Other Drugs: An Event-Level Analysis

SEXUALLY TRANSMITTED DISEASES, 45(12), 786–790.

MeSH headings : Adolescent; Adult; Alcohol Drinking / epidemiology; Condoms / statistics & numerical data; Cross-Sectional Studies; Female; HIV Infections / epidemiology; HIV Infections / transmission; Humans; Male; Sexual Behavior; Sexual Partners; South Africa / epidemiology; Substance-Related Disorders / epidemiology; Surveys and Questionnaires; Young Adult
TL;DR: These findings raise the possibility that prior event-level studies, which do not ask about multiple rounds of sex, may underestimate the prevalence of condomless sex. (via Semantic Scholar)
UN Sustainable Development Goal Categories
3. Good Health and Well-being (Web of Science; OpenAlex)
Source: Web Of Science
Added: December 3, 2018

2018 journal article

Development of a trauma-informed substance use and sexual risk reduction intervention for young South African women

PATIENT PREFERENCE AND ADHERENCE, 12, 1997–2006.

By: B. Myers*, T. Carney*, F. Browne* & W. Wechsberg*

author keywords: participatory approach; ADAPT-ITT; mental health; substance use; HIV
TL;DR: Engaging women as potential service users in the process of developing a trauma- informed substance use and sexual risk reduction intervention helped identify service needs not commonly addressed in trauma-informed substance use interventions but critical for recovery and local relevance. (via Semantic Scholar)
UN Sustainable Development Goal Categories
3. Good Health and Well-being (Web of Science; OpenAlex)
Source: Web Of Science
Added: October 19, 2018

2018 journal article

The Young Women's Health CoOp in Cape Town, South Africa: Study protocol for a cluster-randomised trial for adolescent women at risk for HIV

BMC PUBLIC HEALTH, 18.

author keywords: Adolescent women; Alcohol and other drug use; HIV prevention; Gender-based violence; School dropouts; South Africa
MeSH headings : Adolescent; Adult; Cluster Analysis; Counseling; Educational Status; Female; HIV Infections / diagnosis; HIV Infections / prevention & control; HIV Infections / therapy; Humans; Peer Group; Poverty; Research Design; Risk-Taking; South Africa; Vulnerable Populations / statistics & numerical data; Young Adult
TL;DR: This study seeks to test the efficacy of peer recruitment and cofacilitation of the Young Women’s Health CoOp (YWHC), a comprehensive gender-focused intervention to reduce HIV risk behaviours and increase the uptake of HIV counselling and testing among out-of-school, adolescent women who use AODs in South Africa. (via Semantic Scholar)
Source: Web Of Science
Added: August 6, 2018

2017 journal article

Aggressive behaviour among drug-using women from Cape Town, South Africa: ethnicity, heavy alcohol use, methamphetamine and intimate partner violence

BMC WOMENS HEALTH, 17.

author keywords: Substance use; Aggression; Violence; Women; South Africa
MeSH headings : Adult; Aged; Aged, 80 and over; Aggression / psychology; Alcoholism / psychology; Drug Users / psychology; Drug Users / statistics & numerical data; Ethnicity / statistics & numerical data; Female; Humans; Intimate Partner Violence / psychology; Intimate Partner Violence / statistics & numerical data; Logistic Models; Male; Methamphetamine / adverse effects; Middle Aged; Prevalence; South Africa; Spouse Abuse / psychology; Spouse Abuse / statistics & numerical data; Substance-Related Disorders / psychology; Young Adult
TL;DR: The findings show high levels of aggression among this sample, and highlight the need for interventions that address methamphetamine, heavy drinking and intimate partner violence among vulnerable substance-using women. (via Semantic Scholar)
Source: Web Of Science
Added: August 6, 2018

2017 journal article

An implementation science protocol of the Women's Health CoOp in healthcare settings in Cape Town, South Africa: A stepped-wedge design

BMC WOMENS HEALTH, 17.

By: W. Wechsberg*, J. Ndirangu*, I. Speizer*, W. Zule*, W. Gumula*, C. Peasant*, F. Browne*, L. Dunlap*

author keywords: HIV prevention; ART adherence; Women; Substance use; Healthcare settings
MeSH headings : Adult; Anti-HIV Agents / therapeutic use; Female; HIV Infections / drug therapy; HIV Infections / epidemiology; HIV Infections / prevention & control; Humans; Male; Middle Aged; South Africa / epidemiology; Substance-Related Disorders / prevention & control; Vulnerable Populations / psychology; Vulnerable Populations / statistics & numerical data; Women's Health; Young Adult
TL;DR: The study protocol was used to assess the feasibility and acceptability of implementing the WHC intervention into standard of care in Cape Town health clinics and substance abuse rehabilitation centers to reduce HIV risk behavior and increase ART adherence among women who use substances and are living with HIV. (via Semantic Scholar)
Source: Web Of Science
Added: August 6, 2018

2017 journal article

Efficacy of the Young Women's CoOp: An HIV Risk-Reduction Intervention for Substance-Using African-American Female Adolescents in the South

JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE, 26(3), 205–218.

By: W. Wechsberg n, F. Browne*, W. Zule*, S. Novak*, I. Doherty*, T. Kline*, M. Carry*, J. Raiford*, J. Herbst*

author keywords: alcohol and other drug use; culturally sensitive; gender; sex risk behaviors
TL;DR: In efficacy analyses adjusting for baseline condom use, at three-month follow-up participants in the YWC were significantly less likely to report sex without a condom at last sex relative to control, underscoring the challenges for intervening with substance-using female youths. (via Semantic Scholar)
Source: Web Of Science
Added: August 6, 2018

2017 journal article

HIV Prevention Among Women Who Use Substances And Report Sex Work: Risk Groups Identified Among South African Women

AIDS AND BEHAVIOR, 21(2), S155–S166.

By: W. Wechsberg n, C. Peasant*, T. Kline*, W. Zule*, J. Ndirangu*, F. Browne*, C. Gabel*, C. Horst*

author keywords: Women; Alcohol use; Drug use; Physical or sexual violence; Sex work; HIV prevention
MeSH headings : Adult; Alcohol Drinking / adverse effects; Black People / psychology; Black People / statistics & numerical data; Cross-Sectional Studies; Female; HIV Infections / prevention & control; Humans; Risk Factors; Risk-Taking; Sex Offenses / statistics & numerical data; Sex Work; Sexual Behavior / ethnology; Sexual Behavior / statistics & numerical data; Sexual Partners; South Africa / epidemiology; Substance-Related Disorders / epidemiology; Substance-Related Disorders / ethnology; Substance-Related Disorders / psychology; Vulnerable Populations / ethnology; Vulnerable Populations / psychology; Vulnerable Populations / statistics & numerical data
TL;DR: The findings suggest that interventions for women who engage in sex work should promote safer sexual behavior and empowerment with main partners and should be considered for tailored behavioral interventions in conjunction with South Africa’s plan to disseminate HIV prevention methods to vulnerable women. (via Semantic Scholar)
UN Sustainable Development Goal Categories
5. Gender Equality (OpenAlex)
Source: Web Of Science
Added: August 6, 2018

2017 journal article

Seek, test, treat: substance-using women in the HIV treatment cascade in South Africa

ADDICTION SCIENCE & CLINICAL PRACTICE, 12.

By: W. Wechsberg*, C. Horst*, J. Ndirangu, I. Doherty, T. Kline*, F. Browne*, J. Belus*, R. Nance*, W. Zule*

author keywords: Sexually-active women; Alcohol and other drug use; Treatment cascade
MeSH headings : Adolescent; Adult; Alcoholism / diagnosis; Alcoholism / epidemiology; Anti-Retroviral Agents / administration & dosage; Anti-Retroviral Agents / therapeutic use; Black People; Cross-Sectional Studies; Female; HIV Infections / diagnosis; HIV Infections / drug therapy; HIV Infections / epidemiology; Health Status; Humans; Mass Screening; Medication Adherence; Mental Health; Middle Aged; Risk-Taking; Sex Offenses / statistics & numerical data; Sexual Behavior; Socioeconomic Factors; South Africa / epidemiology; Substance-Related Disorders / diagnosis; Substance-Related Disorders / epidemiology; Violence / statistics & numerical data; Young Adult
TL;DR: Targeting the inner city with prevention campaigns, expanding and improving substance abuse treatment programs, linking clients with simultaneous HIV testing and treatment, and targeting women who have experienced sexual assault and violence may help the government achieve the UNAIDS 90-90-90 treatment target. (via Semantic Scholar)
Source: Web Of Science
Added: August 6, 2018

2016 journal article

"Not on the agenda": A qualitative study of influences on health services use among poor young women who use drugs in Cape Town, South Africa

INTERNATIONAL JOURNAL OF DRUG POLICY, 30, 52–58.

By: B. Myers*, T. Carney* & W. Wechsberg n

author keywords: Young women; HIV; Risk environment; Structural context; Substance abuse treatment need; Gender; Health services
MeSH headings : Adolescent; Alcohol-Related Disorders / rehabilitation; Female; Focus Groups; HIV Infections / prevention & control; Health Services / statistics & numerical data; Health Services Accessibility; Humans; Interviews as Topic; Poverty; Sex Factors; Social Environment; Social Stigma; Social Support; Socioeconomic Factors; South Africa; Substance-Related Disorders / complications; Substance-Related Disorders / rehabilitation; Young Adult
TL;DR: To reach young women who use AODs, interventions need to take cognisance of young women's risk environment and health systems need to adapt to respond to respond better to their needs. (via Semantic Scholar)
Source: Web Of Science
Added: August 6, 2018

2016 journal article

Seek, Test and Disclose: knowledge of HIV testing and serostatus among high-risk couples in a South African township

SEXUALLY TRANSMITTED INFECTIONS, 92(1), 5–11.

MeSH headings : Adult; Awareness; Black People; Communication Barriers; Family Characteristics; Female; HIV Infections / prevention & control; HIV Infections / psychology; HIV Infections / transmission; Health Knowledge, Attitudes, Practice; Heterosexuality / psychology; Humans; Male; Mass Screening / psychology; Mass Screening / statistics & numerical data; Prevalence; Risk-Taking; South Africa / epidemiology; Substance-Related Disorders; Surveys and Questionnaires; Truth Disclosure; Unsafe Sex / psychology; Unsafe Sex / statistics & numerical data; Violence
UN Sustainable Development Goal Categories
Source: Web Of Science
Added: August 6, 2018

2016 journal article

The male factor: Outcomes from a cluster randomized field experiment with a couples-based HIV prevention intervention in a South African township

DRUG AND ALCOHOL DEPENDENCE, 161, 307–315.

author keywords: HIV prevention; HIV incidence; Couples intervention outcomes; Alcohol use; Condom use; South Africa
MeSH headings : Adult; Alcohol Drinking / epidemiology; Black People; Condoms / statistics & numerical data; Female; HIV Infections / epidemiology; HIV Infections / prevention & control; Heterosexuality; Humans; Incidence; Male; Safe Sex; Sexual Partners; South Africa; Young Adult
TL;DR: A couples-based intervention focusing on intersecting risks for HIV can improve biobehavioral outcomes, underscoring the importance of engaging couples together in HIV prevention. (via Semantic Scholar)
Source: Web Of Science
Added: August 6, 2018

2015 journal article

Adapting an evidence-based HIV behavioral intervention for South African couples

SUBSTANCE ABUSE TREATMENT PREVENTION AND POLICY, 10.

author keywords: HIV; Heterosexual couples; Intervention adaptation; Substance abuse; Gender-based violence; Sex risk behaviors; South Africa
MeSH headings : Couples Therapy / methods; Evidence-Based Practice / methods; Feasibility Studies; Female; Focus Groups; HIV Infections / prevention & control; HIV Infections / transmission; Humans; Male; Pilot Projects; Program Development; Risk Reduction Behavior; South Africa; Substance-Related Disorders / psychology; Unsafe Sex / prevention & control; Violence / prevention & control
TL;DR: The Couples’ Health CoOp is a couple-based HIV prevention intervention that targets alcohol and other drug use to reduce sexual risk, reduce gender-based violence and offer alternatives for conflict resolution, promote healthy relationships, and modify traditional gender roles in South Africa. (via Semantic Scholar)
UN Sustainable Development Goal Categories
5. Gender Equality (OpenAlex)
Source: Web Of Science
Added: August 6, 2018

2015 journal article

Correlates of Lifetime Trauma Exposure Among Pregnant Women from Cape Town, South Africa

INTERNATIONAL JOURNAL OF MENTAL HEALTH AND ADDICTION, 13(3), 307–321.

author keywords: Trauma exposure; Pregnant women; Emerging adulthood; Mental health; South Africa
TL;DR: Difficulties in resolving arguments, lifetime substance use, and a prior sexually transmitted infection were associated with trauma exposure among women in emerging adulthood and older women, highlighting the need for interventions that prevent and treat trauma Exposure among vulnerable women. (via Semantic Scholar)
UN Sustainable Development Goal Categories
3. Good Health and Well-being (Web of Science; OpenAlex)
5. Gender Equality (Web of Science)
Source: Web Of Science
Added: August 6, 2018

2015 journal article

Experiences of Violence and Association with Decreased Drug Abstinence Among Women in Cape Town, South Africa

AIDS AND BEHAVIOR, 19(1), 192–198.

By: E. Reed*, B. Myers*, S. Novak*, F. Browne* & W. Wechsberg*

author keywords: Gender-based violence; Substance use; Women
MeSH headings : Adult; Crime Victims; Female; Follow-Up Studies; HIV Infections / prevention & control; HIV Infections / transmission; Humans; Incidence; Risk Factors; Self Report; Sexual Behavior / psychology; Sexual Behavior / statistics & numerical data; Social Environment; South Africa / epidemiology; Spouse Abuse / prevention & control; Spouse Abuse / psychology; Spouse Abuse / statistics & numerical data; Substance-Related Disorders / epidemiology; Substance-Related Disorders / psychology; Violence / prevention & control; Violence / psychology; Violence / statistics & numerical data
TL;DR: The findings support the need for the primary prevention of violence to address the cycle of violence, drug use, and HIV among women in this setting and highlight the lasting impact of victimization on women’s drug use outcomes. (via Semantic Scholar)
Source: Web Of Science
Added: August 6, 2018

2015 journal article

Gender-Specific HIV Prevention Interventions for Women Who Use Alcohol and Other Drugs: The Evolution of the Science and Future Directions

JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 69, S128–S139.

By: W. Wechsberg n, S. Deren*, B. Myers*, I. Kirtadze, W. Zule*, B. Howard*, N. El-Bassel*

MeSH headings : Alcoholism / complications; Female; HIV Infections / epidemiology; HIV Infections / etiology; HIV Infections / prevention & control; Humans; Risk Factors; Sex Factors; Substance-Related Disorders / complications; Women's Health Services
TL;DR: 3 generations of women-focused HIV research interventions are looked at, including first-generation projects that started in the 1990s, second-generation efforts where projects expanded in scope and included adaptions of evidence-based interventions for global relevance, and finally third- generation projects currently underway that combine biobehavioral methods and are being implemented in real-world settings. (via Semantic Scholar)
UN Sustainable Development Goal Categories
5. Gender Equality (OpenAlex)
Source: Web Of Science
Added: August 6, 2018

2014 journal article

Contextualizing gender differences and methamphetamine use with HIV prevalence within a South African community

INTERNATIONAL JOURNAL OF DRUG POLICY, 25(3), 583–590.

author keywords: Alcohol; Methamphetamine; HIV risk; South Africa; Gender; Neighbourhood; Place; Social context
MeSH headings : Adult; Alcohol Drinking / epidemiology; Amphetamine-Related Disorders / epidemiology; Female; HIV Infections / epidemiology; Health Status Disparities; Humans; Male; Methamphetamine / administration & dosage; Prevalence; Regression Analysis; Risk-Taking; Sex Factors; Sexual Behavior / statistics & numerical data; Sexual Partners; South Africa / epidemiology; Substance-Related Disorders / epidemiology; Surveys and Questionnaires; Young Adult
TL;DR: Findings from this study underscore the need for policy makers to direct scarce resources to the communities, places within communities, and populations, especially vulnerable women, where the impact on HIV prevention and onward transmission will be greatest. (via Semantic Scholar)
Source: Web Of Science
Added: August 6, 2018

2014 journal article

Perceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africa

BMC PSYCHIATRY, 14.

author keywords: Perceived need for drug treatment; Mental health; Women; South Africa; Methamphetamine
MeSH headings : Adolescent; Adult; Female; Health Knowledge, Attitudes, Practice; Health Services Accessibility; Health Services Needs and Demand; Humans; Perception; South Africa; Substance-Related Disorders / psychology; Substance-Related Disorders / therapy; Vulnerable Populations; Young Adult
TL;DR: A sizeable proportion of young women who could benefit from substance use treatment do not believe they need treatment, highlighting the need for interventions that enhance perceived need for treatment in this population. (via Semantic Scholar)
Source: Web Of Science
Added: August 6, 2018

2013 journal article

A brief intervention for drug use, sexual risk behaviours and violence prevention with vulnerable women in South Africa: a randomised trial of the Women's Health CoOp

BMJ OPEN, 3(5).

TL;DR: This is the first trial among drug-using women in South Africa showing that a brief intervention added to HCT results in greater abstinence from drug use at 12 months and a larger percentage of sexual activity not under the influence of substances. (via Semantic Scholar)
UN Sustainable Development Goal Categories
5. Gender Equality (OpenAlex)
Source: Web Of Science
Added: August 6, 2018

2013 journal article

Ethnic differences in alcohol and drug use and related sexual risks for HIV among vulnerable women in Cape Town, South Africa: implications for interventions

BMC PUBLIC HEALTH, 13.

author keywords: Ethnic differences; Alcohol and other drugs; Sexual risks; Women; South Africa
MeSH headings : Adolescent; Adult; Alcohol Drinking / ethnology; Black People / psychology; Black People / statistics & numerical data; Cross-Sectional Studies; Female; HIV Infections / prevention & control; Humans; Poverty; Risk-Taking; Sexual Behavior / ethnology; Sexual Behavior / statistics & numerical data; South Africa / epidemiology; Substance-Related Disorders / ethnology; Vulnerable Populations / ethnology; Vulnerable Populations / psychology; Vulnerable Populations / statistics & numerical data; Young Adult
TL;DR: Findings support the need to develop and test AOD risk reduction interventions for women from both ethnic groups and point to the need for tailored interventions that target the distinct profiles of AOD use and AOD-related sex risks for HIV among Black African and Coloured women. (via Semantic Scholar)
UN Sustainable Development Goal Categories
3. Good Health and Well-being (Web of Science; OpenAlex)
Source: Web Of Science
Added: August 6, 2018

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