Research

Double jeopardy--drug and sex risks among Russian women who inject drugs: Initial feasibility and efficacy results of a small randomized controlled trial

Wechsberg M Wechsberg, Evgeny Krupitsky, Tatiana Romanova, Edwin Zvartau, Tracy L Kline, Felicia A Browne, Rachel Middlesteadt Ellerson, Georgyi Bobashev, William A Zule and Hendree E Jones

For all author emails, please log on.

Substance Abuse Treatment, Prevention, and Policy 2012, 7:1 doi:10.1186/1747-597X-7-1

Published: 10 January 2012

Abstract (provisional)

Background

With HIV prevalence estimated at 20% among female injecting drug users (IDUs) in St. Petersburg, Russia, there is a critical need to address the HIV risks of this at-risk population. This study characterized HIV risks associated with injecting drug use and sex behaviors and assessed the initial feasibility and efficacy of an adapted Woman-Focused intervention, the Women's CoOp, relative to a Nutrition control to reduce HIV risk behaviors among female IDUs in an inpatient detoxification drug treatment setting. Method: Women (N = 100) were randomized into one of two one-hour long intervention conditions--the Woman-Focused intervention (n = 51) or a time and attention-matched Nutrition control condition (n = 49). Results: The results showed that 57% of the participants had been told that they were HIV-positive. At 3-month follow-up, both groups showed reduced levels of injecting frequency. However, participants in the Woman-Focused intervention reported, on average, a lower frequency of partner impairment at last sex act and a lower average number of unprotected vaginal sex acts with their main sex partner than the Nutrition condition. Conclusions: The findings suggest that improvements in sexual risk reduction are possible for these at-risk women and that more comprehensive treatment is needed to address HIV and drug risks in this vulnerable population.