Title |
First Report of Gender Based Violence as a Deterrent to Methadone Access Among Females Who Use Heroin in Dar es Salaam, Tanzania
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Published in |
AIDS and Behavior, October 2016
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DOI | 10.1007/s10461-016-1529-0 |
Pubmed ID | |
Authors |
Divya Balaji, Linda B. Mlunde, Olivia C. Tran, Barrot Lambdin, Jessie Mbwambo, Cassian Nyandindi, Eva Matiko, Michael Copenhaver, R. Douglas Bruce |
Abstract |
High prevalence of human immunodeficiency virus (HIV) among females who use drugs in Dar es Salaam, Tanzania, contrasts strikingly with their low enrollment in HIV risk reduction services such as methadone assisted therapy (MAT). We conducted a case-control study to examine factors associated with non-enrollment in MAT, with a focus on gender-based violence. We interviewed 202 female heroin users not enrolled in MAT as cases and 93 females enrolled in MAT. We fitted logistic regression models with MAT enrollment as the outcome of interest. The likelihood of MAT enrollment decreased upon being in a violent relationship [odds ratio (OR) 0.23; 95 % CI 0.11-0.40], with experience of discrimination by a healthcare provider (OR 0.11; 95 % CI 0.04-0.35), and having a partner who also uses drugs (OR 0.05; 95 % CI 0.01-0.26). The results indicate that violence and discrimination are major impediments to MAT enrollment, necessitating implementation of interventions to address them. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 4 | 80% |
Unknown | 1 | 20% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 5 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 108 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 18 | 17% |
Researcher | 15 | 14% |
Student > Bachelor | 10 | 9% |
Student > Ph. D. Student | 8 | 7% |
Other | 5 | 5% |
Other | 18 | 17% |
Unknown | 34 | 31% |
Readers by discipline | Count | As % |
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Social Sciences | 17 | 16% |
Medicine and Dentistry | 16 | 15% |
Psychology | 15 | 14% |
Nursing and Health Professions | 9 | 8% |
Business, Management and Accounting | 3 | 3% |
Other | 13 | 12% |
Unknown | 35 | 32% |