Unmet Health and Social Welfare Needs of Women Who Inject Drugs in San Francisco

Sadang, Katrina Grace; Miller, Desmond; Veloso, Danielle; Lin, Jessica; McFarland, Willi

doi:10.1353/hpu.2021.0019

Cited by 6 publications

(3 citation statements)

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“…While COVID-19 vaccination is a critical strategy for reducing the impacts of the pandemic (Centers for Disease Control and Prevention), some research has shown that COVID-19 vaccine uptake among PWID has lagged behind that of the general population ( Menza et al, 2022 , Strathdee et al, 2021b ), aligning with studies finding low rates of vaccination among PWID for influenza, HPV, and hepatitis B ( Price et al, 2021 , Sadang et al, 2021 , Feinberg and Pearce, 2021 ). In studies among PWID in diverse settings including the United States, Mexico, and Australia, vaccine hesitancy is a prominent concern that may be tied to socio-economic factors (e.g., education), beliefs about COVID-19 (including COVID-19 disinformation), and concerns about safety and side effects ( Strathdee et al, 2021b , Cioffi et al, 2022 , Iversen et al, 2021 ).…”

Section: Introductionmentioning

confidence: 94%

COVID-19 vaccination acceptability and experiences among people who inject drugs in San Diego County

Valasek¹,

Streuli²,

Pines³

et al. 2022

Preventive Medicine Reports

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Section: Introductionmentioning

confidence: 94%

COVID-19 vaccination acceptability and experiences among people who inject drugs in San Diego County

Valasek¹,

Streuli²,

Pines³

et al. 2022

Preventive Medicine Reports

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“…Self-sampling has been shown in studies to increase rates of cervical cancer screening in high-risk and vulnerable populations and could be offered outside of a traditional clinical setting, including SSPs. 10 A growing body of evidence has emerged to describe the unmet sexual and reproductive health needs of PWID, suggesting these services would be valuable at an SSP [ 11 ]. As such, the primary objective of this study was to assess acceptability of cervical HPV self-swabs.…”

Section: Introductionmentioning

confidence: 99%

Opportunities for cancer prevention at syringe services programs: acceptability of HPV self-sampling and vaccination among people who inject drugs

Hinkes,

Ciraldo,

Kobetz

et al. 2024

Harm Reduct J

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Introduction Despite having a high risk of acquiring sexually transmitted infections, people who inject drugs (PWID) often do not receive recommended HPV screenings due to barriers to healthcare. Guideline-based cervical HPV screening and vaccination can prevent cervical cancer. Low-cost, low-barrier methods for cancer screening and prevention are important for vulnerable communities such as PWID. Methods We examined acceptability of HPV self-sampling at a syringe services program (SSP). Participants with a cervix (n = 49) participated in patient education followed by a survey to assess willingness to perform HPV self-sampling versus standard of care. Results 59% found self-sampling to be acceptable, citing privacy, ease, and quickness. Among those opting for HPV screening delivered by a provider (n = 16), participants cited concerns about adequate sampling (81%) and test accuracy (75%). Notably, only 18% of participants reported complete HPV vaccination. Conclusion Cervical HPV self-sampling was acceptable to PWID. SSP-based efforts to provide preventative health services could place tools for cancer screening into the hands of PWID, a need-to-reach community.

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“…In the U.S.-Mexico border region of San Diego, a focal point for "Ending the AIDS Epidemic," 2 and globally, HIV risk is higher among vulnerable cisgender women who experience violence, homelessness, and substance use. [3][4][5] In San Diego County, only 52% of cisgender women living with HIV (WLWH) were retained in HIV care and 62% were virally suppressed. 6 Latinos experienced as much as a 36% increase in HIV cases.…”

Section: Introductionmentioning

confidence: 99%

Effects of an HIV Peer Navigation Intervention for Women Living with HIV: A Brief Report

Urada

McClung

Brocklin

et al. 2022

MRAJ

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Background: Peer navigation is an evidence-based model for engaging and retaining women living with HIV in medical care. Participants of an adapted Lotus peer navigation group intervention were hypothesized to have more self-perceived HIV self-care and advocacy behaviors following their participation than non-Lotus participants at an agency serving cisgender women and their families affected by HIV in San Diego, California. Methods: The peer navigation intervention, Lotus, was adapted to include new modules on substance use, human trafficking, and intimate partner violence and piloted to compare its overall effects with a comparison group (2018-2019). Ninety-five cisgender women living with HIV (WLWH) completed posttest surveys measuring their perceived changes in peer advocacy and self-advocacy following their participation in a pilot of an adapted Lotus. Participants of the four-session Lotus group intervention (n=34) were compared to non-Lotus participants who engaged in other types of group activities at the agency (n=61). The Lotus group participants included a cohort of cisgender women > 50 years old, English and Spanish speaking women, and a mixed age and race/ethnicity group. All clients of Christie’s Place, an organization for women living with HIV in San Diego, were eligible if they were not actively using illicit substances substances in the past year. Cross-sectional bivariate analyses were run to determine differences between intervention and comparison groups. The groups were not randomized. Results: Among 95 participants, 17% were White, 14% Black/African American, 44% Hispanic/Latino, and 25% Other/Mixed race/ethnicity with median age 51 years (IQR: 45-60). Eleven Latina, 9 White, 6 Black/African American, and 8 Other/Mixed individuals participated in Lotus. In bivariate analyses, Lotus WLWH living with HIV at posttest took their HIV medications correctly (p=0.040) and attended their healthcare/other service appointments as advised/scheduled 3 times more often than non-Lotus WLWH (p=0.014). They advocated for themselves within medical and social service settings 6 times more often (p<0.001) and talked openly with their doctor 4 times more often (p=0.028). They were also twice as likely to talk more often with their partner about safer sex (p=0.022) and PrEP (p=0.037) and a peer about safer sex (p=0.001). They were 3 times more likely to help a peer understand how HIV medications can improve their health (p=0.001). Medical records showed all Lotus intervention participants as virally suppressed one year after their participation. Conclusions: Participants of an HIV peer navigation intervention experienced significant changes in self-reported self-advocacy outcomes. Peer navigation training interventions remain critical for medication adherence and self-advocacy among cisgender WLWH.

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Unmet Health and Social Welfare Needs of Women Who Inject Drugs in San Francisco

Cited by 6 publications

References 0 publications

COVID-19 vaccination acceptability and experiences among people who inject drugs in San Diego County

COVID-19 vaccination acceptability and experiences among people who inject drugs in San Diego County

Opportunities for cancer prevention at syringe services programs: acceptability of HPV self-sampling and vaccination among people who inject drugs

Effects of an HIV Peer Navigation Intervention for Women Living with HIV: A Brief Report

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