Examining Family Networks of HIV+ Women in Drug Recovery: Challenges and Opportunities
HIV/AIDS is recognized as affecting and being affected by the family. HIV+ women in drug recovery and their families are particularly at risk due to family disruption and stigma. Yet family research with HIV+ adults is hampered by the challenges of defining the family, engaging family members into r...
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Veröffentlicht in: | Families systems & health 2009-09, Vol.27 (3), p.267-283 |
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creator | Mitrani, Victoria B Weiss-Laxer, Nomi S Ow, Christina E Ross-Russell, Samantha Burns, Myron J Feaster, Daniel J |
description | HIV/AIDS is recognized as affecting and being affected by the family. HIV+ women in drug recovery and their families are particularly at risk due to family disruption and stigma. Yet family research with HIV+ adults is hampered by the challenges of defining the family, engaging family members into research, and tracking changes in family composition. In this paper we describe the family context of 144 HIV+ women in drug abuse recovery who are enrolled in a randomized trial of a family intervention to improve medication adherence and reduce relapse. Family was defined to include the women's household members, romantic partners, children and their caregivers, and others identified as a major source of support. The women reported on a total of 651 family members. We describe the family and household networks, romantic partnerships, and parenting arrangements of our participants. We also describe family member enrollment in the research study and the stability of romantic partnerships, parenting, and living arrangements over 1 year. We conclude with methodological implications for future family based clinical research with HIV+ adults. |
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HIV+ women in drug recovery and their families are particularly at risk due to family disruption and stigma. Yet family research with HIV+ adults is hampered by the challenges of defining the family, engaging family members into research, and tracking changes in family composition. In this paper we describe the family context of 144 HIV+ women in drug abuse recovery who are enrolled in a randomized trial of a family intervention to improve medication adherence and reduce relapse. Family was defined to include the women's household members, romantic partners, children and their caregivers, and others identified as a major source of support. The women reported on a total of 651 family members. We describe the family and household networks, romantic partnerships, and parenting arrangements of our participants. We also describe family member enrollment in the research study and the stability of romantic partnerships, parenting, and living arrangements over 1 year. We conclude with methodological implications for future family based clinical research with HIV+ adults.</description><identifier>ISSN: 1091-7527</identifier><identifier>EISSN: 1939-0602</identifier><identifier>DOI: 10.1037/a0017116</identifier><identifier>PMID: 19803620</identifier><identifier>CODEN: FSHEFV</identifier><language>eng</language><publisher>United States: Educational Publishing Foundation</publisher><subject>Acquired immune deficiency syndrome ; Adult ; Adults ; AIDS ; Analysis ; Care and treatment ; Child Care ; Clinical trials ; Demographic aspects ; Drug abuse ; Drug use ; Families & family life ; Family ; Family Intervention ; Family Members ; Family Relations ; Female ; Health aspects ; HIV ; HIV Infections - psychology ; HIV patients ; HIV-1 ; Human ; Human immunodeficiency virus ; Humans ; Living Arrangements ; Male ; Parenting ; Patient compliance ; Recovery (Disorders) ; Social Support ; Substance Use Treatment ; Substance-Related Disorders - psychology ; Substance-Related Disorders - rehabilitation ; Women ; Women's health ; Womens health</subject><ispartof>Families systems & health, 2009-09, Vol.27 (3), p.267-283</ispartof><rights>2009 American Psychological Association</rights><rights>COPYRIGHT 2009 American Psychological Association, Inc.</rights><rights>COPYRIGHT 2009 American Psychological Association, Inc.</rights><rights>Copyright American Psychological Association Sep 2009</rights><rights>2009, American Psychological Association</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a741t-fb3018a2280780d596f4bcfe5ba08dcdb3796450eea8e5d16452dff8441916bd3</citedby><orcidid>0000-0002-6172-7460</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19803620$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>McDaniel, Susan H</contributor><contributor>Campell, Thomas L</contributor><creatorcontrib>Mitrani, Victoria B</creatorcontrib><creatorcontrib>Weiss-Laxer, Nomi S</creatorcontrib><creatorcontrib>Ow, Christina E</creatorcontrib><creatorcontrib>Ross-Russell, Samantha</creatorcontrib><creatorcontrib>Burns, Myron J</creatorcontrib><creatorcontrib>Feaster, Daniel J</creatorcontrib><title>Examining Family Networks of HIV+ Women in Drug Recovery: Challenges and Opportunities</title><title>Families systems & health</title><addtitle>Fam Syst Health</addtitle><description>HIV/AIDS is recognized as affecting and being affected by the family. HIV+ women in drug recovery and their families are particularly at risk due to family disruption and stigma. Yet family research with HIV+ adults is hampered by the challenges of defining the family, engaging family members into research, and tracking changes in family composition. In this paper we describe the family context of 144 HIV+ women in drug abuse recovery who are enrolled in a randomized trial of a family intervention to improve medication adherence and reduce relapse. Family was defined to include the women's household members, romantic partners, children and their caregivers, and others identified as a major source of support. The women reported on a total of 651 family members. We describe the family and household networks, romantic partnerships, and parenting arrangements of our participants. We also describe family member enrollment in the research study and the stability of romantic partnerships, parenting, and living arrangements over 1 year. We conclude with methodological implications for future family based clinical research with HIV+ adults.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adult</subject><subject>Adults</subject><subject>AIDS</subject><subject>Analysis</subject><subject>Care and treatment</subject><subject>Child Care</subject><subject>Clinical trials</subject><subject>Demographic aspects</subject><subject>Drug abuse</subject><subject>Drug use</subject><subject>Families & family life</subject><subject>Family</subject><subject>Family Intervention</subject><subject>Family Members</subject><subject>Family Relations</subject><subject>Female</subject><subject>Health aspects</subject><subject>HIV</subject><subject>HIV Infections - psychology</subject><subject>HIV patients</subject><subject>HIV-1</subject><subject>Human</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Living Arrangements</subject><subject>Male</subject><subject>Parenting</subject><subject>Patient compliance</subject><subject>Recovery (Disorders)</subject><subject>Social Support</subject><subject>Substance Use Treatment</subject><subject>Substance-Related Disorders - psychology</subject><subject>Substance-Related Disorders - rehabilitation</subject><subject>Women</subject><subject>Women's health</subject><subject>Womens health</subject><issn>1091-7527</issn><issn>1939-0602</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>N95</sourceid><recordid>eNqN0m2L1DAQAOAiineegr9AiogoZ8-8tU2_CMd6LwvLHfj6MaTppJuzTdakPW__vZFddQuLSCEdkiczgZkkeYrRCUa0fCsRwiXGxb3kEFe0ylCByP0YowpnZU7Kg-RRCDcIIcZp8TA5wBVHtCDoMOFnd7I31tg2PY9Bt06vYPjh_LeQOp1ezr8cp19dDzY1Nn3vxzb9AMrdgl8_Th5o2QV4sv0fJZ_Pzz7NLrPF9cV8drrIZMnwkOmaIswlIRyVHDV5VWhWKw15LRFvVFPTsipYjgAkh7zBMSaN1pwxXOGibuhR8m6TdzXWPTQK7OBlJ1be9NKvhZNGTE-sWYrW3QrCWZ5THBM83ybw7vsIYRA3bvQ2vlkUOFbOWc7-hUjJKoQprSLKNqiVHQhjtYsFVQsWYl1nQZu4fUowYgzxkkR_ssfHr4HeqL0XXk8uRDPA3dDKMQQx_3j135ZfLKY222eV6zpoQcR-za6n_uWOX4LshmVw3TgYZ8MUvtmB9RiMhRCXYNrlEDZvmfBXG668C8GD_tNGjMSvQRa_BznSZ7tt_wu3kxvB8QbIlRSrsFbSD0Z1ENTofRwFocMy9k5QQYoy6hf79ZT9BGhrAks</recordid><startdate>200909</startdate><enddate>200909</enddate><creator>Mitrani, Victoria B</creator><creator>Weiss-Laxer, Nomi S</creator><creator>Ow, Christina E</creator><creator>Ross-Russell, Samantha</creator><creator>Burns, Myron J</creator><creator>Feaster, Daniel J</creator><general>Educational Publishing Foundation</general><general>American Psychological Association, Inc</general><general>American Psychological Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>N95</scope><scope>8GL</scope><scope>ISN</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6172-7460</orcidid></search><sort><creationdate>200909</creationdate><title>Examining Family Networks of HIV+ Women in Drug Recovery</title><author>Mitrani, Victoria B ; Weiss-Laxer, Nomi S ; Ow, Christina E ; Ross-Russell, Samantha ; Burns, Myron J ; Feaster, Daniel J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a741t-fb3018a2280780d596f4bcfe5ba08dcdb3796450eea8e5d16452dff8441916bd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adult</topic><topic>Adults</topic><topic>AIDS</topic><topic>Analysis</topic><topic>Care and treatment</topic><topic>Child Care</topic><topic>Clinical trials</topic><topic>Demographic aspects</topic><topic>Drug abuse</topic><topic>Drug use</topic><topic>Families & family life</topic><topic>Family</topic><topic>Family Intervention</topic><topic>Family Members</topic><topic>Family Relations</topic><topic>Female</topic><topic>Health aspects</topic><topic>HIV</topic><topic>HIV Infections - psychology</topic><topic>HIV patients</topic><topic>HIV-1</topic><topic>Human</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Living Arrangements</topic><topic>Male</topic><topic>Parenting</topic><topic>Patient compliance</topic><topic>Recovery (Disorders)</topic><topic>Social Support</topic><topic>Substance Use Treatment</topic><topic>Substance-Related Disorders - psychology</topic><topic>Substance-Related Disorders - rehabilitation</topic><topic>Women</topic><topic>Women's health</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mitrani, Victoria B</creatorcontrib><creatorcontrib>Weiss-Laxer, Nomi S</creatorcontrib><creatorcontrib>Ow, Christina E</creatorcontrib><creatorcontrib>Ross-Russell, Samantha</creatorcontrib><creatorcontrib>Burns, Myron J</creatorcontrib><creatorcontrib>Feaster, Daniel J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Business: Insights</collection><collection>Gale In Context: High School</collection><collection>Gale In Context: Canada</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>APA PsycArticles®</collection><collection>ProQuest One Psychology</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Families systems & health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mitrani, Victoria B</au><au>Weiss-Laxer, Nomi S</au><au>Ow, Christina E</au><au>Ross-Russell, Samantha</au><au>Burns, Myron J</au><au>Feaster, Daniel J</au><au>McDaniel, Susan H</au><au>Campell, Thomas L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Examining Family Networks of HIV+ Women in Drug Recovery: Challenges and Opportunities</atitle><jtitle>Families systems & health</jtitle><addtitle>Fam Syst Health</addtitle><date>2009-09</date><risdate>2009</risdate><volume>27</volume><issue>3</issue><spage>267</spage><epage>283</epage><pages>267-283</pages><issn>1091-7527</issn><eissn>1939-0602</eissn><coden>FSHEFV</coden><abstract>HIV/AIDS is recognized as affecting and being affected by the family. HIV+ women in drug recovery and their families are particularly at risk due to family disruption and stigma. Yet family research with HIV+ adults is hampered by the challenges of defining the family, engaging family members into research, and tracking changes in family composition. In this paper we describe the family context of 144 HIV+ women in drug abuse recovery who are enrolled in a randomized trial of a family intervention to improve medication adherence and reduce relapse. Family was defined to include the women's household members, romantic partners, children and their caregivers, and others identified as a major source of support. The women reported on a total of 651 family members. We describe the family and household networks, romantic partnerships, and parenting arrangements of our participants. We also describe family member enrollment in the research study and the stability of romantic partnerships, parenting, and living arrangements over 1 year. 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subjects | Acquired immune deficiency syndrome Adult Adults AIDS Analysis Care and treatment Child Care Clinical trials Demographic aspects Drug abuse Drug use Families & family life Family Family Intervention Family Members Family Relations Female Health aspects HIV HIV Infections - psychology HIV patients HIV-1 Human Human immunodeficiency virus Humans Living Arrangements Male Parenting Patient compliance Recovery (Disorders) Social Support Substance Use Treatment Substance-Related Disorders - psychology Substance-Related Disorders - rehabilitation Women Women's health Womens health |
title | Examining Family Networks of HIV+ Women in Drug Recovery: Challenges and Opportunities |
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