Women living with drug abuse and HIV disease: drug abuse treatment access and secondary prevention issues (1995)

FRANÇAIS :
Une étude longitudinale a été conduite sur les services proposés (besoins et utilisation) et l'accès aux soins de ces personnes. Ainsi 116 femmes ont été interrogées pendant 1 an dans cinq villes américaines. On mesure également la validité des traitements proposés et les obstacles au développement de services pour toxicomanes sidéens. Les résultats montrent l'insuffisance des services mis à disposition de ces femmes par rapport à leurs besoins, notamment celles qui consomment du crack ou des drogues par injection. Même constat pour la prévention secondaire du VIH. Les enquêteurs soulignent que le premier obstacle à l'expansion de tels services est le manque de moyens financiers.
ENGLISH :
A longitudinal study on issues of service needs, service utilization, and access to care for drug abusers with HIV has been conducted. This article discusses access to drug abuse treatment and HIV secondary prevention for 116 women interviewed during the study's first year in five US cities.It also discusses drug abuse treatment availability and barriers to service expansion for drug users with HIV. Study findings indicate that there are highly significant gaps betwwen the drug abuse treatment services these women feel they need and those they have been able to receive. Women who used crack cocaine or injection drugs had particularly high levels of need for residential and outpatient drug abuse treament. HIV secondary prevention was also found to be a critical need for these women. Providers indicated that lack of funding was the major barrier to expanding services for this population.(From authors'abstract)