Introduction and aims
Intimate partner violence (IPV) and other forms of gender-based violence (GBV) are serious public health threats among women who use drugs or engage in binge drinking in Kyrgyzstan. This study aimed to evaluate the feasibility and preliminary effects of a two-session IPV and GBV screening, brief intervention and referral to treatment model (WINGS) with HIV counselling and testing for women who use drugs or engage in binge drinking in Kyrgyzstan, using a pre/post-design.
Design and methods
We screened 109 women from harm reduction nongovernment organisations in Kyrgyzstan, of whom 78 were eligible, 73 participated in the intervention study, and 66 completed a 3-month post-intervention follow-up. To assess the effects of the intervention, we used random-effect Poisson and Logistic regression analyses for continuous and dichotomous outcomes respectively.
Results
At baseline, 73% reported any physical or sexual IPV victimisation, and 60% reported any physical or sexual GBV victimisation in the past year. At the 3-month follow-up, participants reported experiencing 59% fewer physical IPV incidents in the prior 90 days than at baseline (P <0.001) and 27% fewer physical GBV incidents than at baseline (P <0.01). From baseline to the 3-month follow-up, participants also reported a 65% reduction in the odds of using any illicit drugs (P < 0.05) and were more likely to report receiving GBV-related services (P< 0.001).
Discussion and conclusion
The high rates of participation, attendance and retention and significant reductions in IPV and GBV victimisation and drug use from baseline to the 3-month follow-up suggest the feasibility and promising effects of this brief intervention.
A pilot cross-sectional online study attempts to clarify the role of implicit sociocultural attitudes in future thinking and tests a hypothesis that the implicit activation of Individualism / Collectivism concepts changes the content and other characteristics of self-relevant images of the future — self-defining future projections (SDFPs). The study performed in 2019-2020 involved 191 people, mean age — M = 36.9 (SD = 10.4) years. Group 1 underwent Individualism priming: 108 people (11.2% of males), mean age — M = 37.6 (SD = 1.04) years. Group 2 underwent Collectivism priming: 83 people (22.9% of males), age — M = 36 years (SD = 1.13). No significant sociodemographic between-group differences were found (p<0.05). Two versions of the online survey (one with an Individualism priming task and another with a Collectivism priming task) were randomly sent to students and teachers of Russian higher education institutions. After completing the priming task, the respondents constructed SDFPs in line with the definition provided and evaluated their quality. Experts rated SDFP thematic content, integration of meaning and specificity in accordance with valid coding pro¬cedures. Collectivism / Individualism levels were assessed using the INDCOL test. The priming procedure had a small significant effect on SDFP thematic content, interpersonal orientation, and specificity. It was more prominent in the Collectivism priming, although expected correlations between the Individualism and feelings of the Autonomy and Competence need satisfaction in SDFPs were also found. Collectivism seemed to strengthen future thinking overgenerality and to hinder the capacity to reflect on one’s own future. On the contrary, Individualism involves taking personal responsibility, but it seemed to enhance the need for Relatedness and social support (a protective factor in depressive conditions) in a compensatory manner. The data contributes to a further understanding of implicit influences on future thinking and suggest that it is the balance of the Collectivism and Individualism values that is crucial for mental health.
Nooclerin reduced alcohol withdrawal symptoms more significantly throughout the whole study period. There were significant between-group differences on the Clinical Institute Withdrawal Assessment of Alcohol Scale (CIWA-Ar) and the Multidimensional Fatigue Inventory (МFI-20). However, patients exhibited no excessive activity. No adverse side-effects were observed.
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