{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T17:30:13Z","timestamp":1784136613166,"version":"3.55.0"},"reference-count":77,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100005564","name":"Gilead Sciences","doi-asserted-by":"publisher","award":["Investigator Sponsored Research Award"],"award-info":[{"award-number":["Investigator Sponsored Research Award"]}],"id":[{"id":"10.13039\/100005564","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000862","name":"Doris Duke Charitable Foundation","doi-asserted-by":"publisher","award":["Clinical Scientist Development Award"],"award-info":[{"award-number":["Clinical Scientist Development Award"]}],"id":[{"id":"10.13039\/100000862","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Women with substance use disorders have high unmet needs for HIV prevention and drug treatment and face challenges accessing care for other unique health issues, including their sexual and reproductive health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We did a cross-sectional evaluation of sexual and reproductive health behaviors and outcomes among women with substance use disorders, who were enrolled in one of two concurrent clinical trials of pre-exposure prophylaxis for HIV prevention. Descriptive analyses and bivariate logistic regression were used to assess factors driving contraceptive use, and other essential sexual and reproductive health services utilization and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 226 women, 173 (76.5%) were of reproductive age. Most women had histories of unintended pregnancy (79.2%) or miscarriage (45.1%) and high HIV risk behaviors (53.5%). Most (61%) participants did not use any form of contraception at the time of assessment, although few (15%) reported pregnancy intentions. In bivariate models, ongoing criminal justice involvement was associated with 2.22 higher odds of not using contraception (95% confidence interval\u2009=\u20091.09\u20134.53; p\u2009=\u20090.03) and hazardous drinking was protective against not using contraception (odds ratio\u2009=\u20090.33, 95% confidence interval\u2009=\u20090.13\u20130.81; p\u2009=\u20090.02). Contraception use was not significantly associated with any other individual characteristics or need factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This is the first study that identifies the unmet sexual and reproductive health needs of women with substance use disorders who are engaging with pre-exposure prophylaxis. We found that women accessed some health services but not in a way that holistically addresses the full scope of their needs. Integrated sexual and reproductive care should align women\u2019s expressed sexual and reproductive health intentions with their behaviors and outcomes, by addressing social determinants of health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455065211070543","type":"journal-article","created":{"date-parts":[[2022,1,13]],"date-time":"2022-01-13T07:17:05Z","timestamp":1642058225000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Overlapping needs for sexual and reproductive health and HIV prevention in women with substance use disorders"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0058-4272","authenticated-orcid":false,"given":"Britton","family":"Gibson","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Connecticut, Farmington, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Hoff","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA"},{"name":"Yale School of Medicine, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alissa","family":"Haas","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine, Indianapolis, IN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoe M","family":"Adams","sequence":"additional","affiliation":[{"name":"Yale School of Medicine, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina R","family":"Price","sequence":"additional","affiliation":[{"name":"AIDS Program, Yale School of Medicine, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawn","family":"Goddard-Eckrich","sequence":"additional","affiliation":[{"name":"Social Intervention Group, Columbia University School of Social Work, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3154-9624","authenticated-orcid":false,"given":"Sangini S","family":"Sheth","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anindita","family":"Dasgupta","sequence":"additional","affiliation":[{"name":"Social Intervention Group, Columbia University School of Social Work, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5735-385X","authenticated-orcid":false,"given":"Jaimie P","family":"Meyer","sequence":"additional","affiliation":[{"name":"AIDS Program, Yale School of Medicine, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,1,13]]},"reference":[{"key":"bibr1-17455065211070543","volume-title":"2018 national survey on drug use and health: women","author":"Substance Abuse and Mental Health Services Administration","year":"2019"},{"key":"bibr2-17455065211070543","doi-asserted-by":"publisher","DOI":"10.3109\/00952990.2011.596982"},{"key":"bibr3-17455065211070543","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2004.02.001"},{"key":"bibr4-17455065211070543","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.2003.00430.x"},{"key":"bibr5-17455065211070543","volume-title":"TIP 51: addressing the specific needs of women","author":"Substance Abuse and Mental Health Services Administration","year":"2015"},{"key":"bibr6-17455065211070543","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2011.03.013"},{"key":"bibr7-17455065211070543","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2009.07.016"},{"key":"bibr8-17455065211070543","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinthera.2017.12.016"},{"key":"bibr9-17455065211070543","doi-asserted-by":"publisher","DOI":"10.1111\/ajad.12784"},{"key":"bibr10-17455065211070543","volume-title":"New HIV diagnoses among women in the US and dependent areas in 2017. 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