Previous work has demonstrated that alcohol use is associated with high-risk sexual activity and other substance abuse.
The aims of this project are: (1) Recruit 720 out-of-treatment female problem drinkers, 18 to 40 years of age, for a randomized intervention trial aimed at reducing alcohol-related high risk sexual behaviors. (2) Administer a theory based peer-delivered gender and culturally-relevant intervention that is a modification of an earlier successful intervention used by these investigators with injectors and crack cocaine users. Women are randomly assigned to a standard intervention (HIV testing plus counseling), or to a standard intervention plus 4 2-hour risk reduction interventions conducted by both peers and allied health professionals. (3) Assess the effectiveness of the interventions in reducing high risk behaviors at 4 and 8 months. Cost effectiveness will also be evaluated. The characteristics of those who maintained a low risk, maintained a high risk, stopped their risky behavior, increased their risk, or reduced their risk will be assessed, where risk is defined as problem drinking, drinking in situations that could be hazardous (e.g. before or during sexual activity), unprotected sexual activity, and use of other substances. Other measures that affect behavior change and HIV incidence will be evaluated such as symptoms of depression, PTSD, gambling, and antisocial personality disorder. (4) The intervention and findings will be disseminated to the community.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA012111-04
Application #
6509312
Study Section
Special Emphasis Panel (ZRG1-AARR-8 (01))
Program Officer
Freeman, Robert
Project Start
1999-08-01
Project End
2004-04-30
Budget Start
2002-05-01
Budget End
2003-04-30
Support Year
4
Fiscal Year
2002
Total Cost
$499,982
Indirect Cost
Name
Washington University
Department
Psychiatry
Type
Schools of Medicine
DUNS #
062761671
City
Saint Louis
State
MO
Country
United States
Zip Code
63130
Roberts, Dionna O; Nickel, Katelin B; Mattfeldt-Beman, Mildred et al. (2014) Drinking severity and its association with nutrition risk among African American women. J Ethn Subst Abuse 13:93-103
Johnson, Sharon D; Cottler, Linda B; Ben Abdallah, Arbi et al. (2011) History of sexual trauma and recent HIV-risk behaviors of community-recruited substance using women. AIDS Behav 15:172-8
Johnson, Sharon D; Cottler, Linda B; O'Leary, Catina Callahan et al. (2010) The association of trauma and PTSD with the substance use profiles of alcohol- and cocaine-dependent out-of-treatment women. Am J Addict 19:490-5
Cavazos-Rehg, Patricia A; Spitznagel, Edward L; Schootman, Mario et al. (2009) Risky sexual behaviors and sexually transmitted diseases: a comparison study of cocaine-dependent individuals in treatment versus a community-matched sample. AIDS Patient Care STDS 23:727-34
Eyrich-Garg, Karin M; O'Leary, Catina Callahan; Cottler, Linda B (2008) Subjective versus Objective Definitions of Homelessness: Are there Differences in Risk Factors among Heavy-Drinking Women? Gender Issues 25:173-192
Cunningham-Williams, Renee M; Abdallah, Arbi Ben; Callahan, Catina et al. (2007) Problem gambling and violence among community-recruited female substance abusers. Psychol Addict Behav 21:239-43
Vaddiparti, Krishna; Bogetto, Jane; Callahan, Catina et al. (2006) The effects of childhood trauma on sex trading in substance using women. Arch Sex Behav 35:451-9
Cottler, Linda B; Campbell, Wilbur; Krishna, V A S et al. (2005) Predictors of high rates of suicidal ideation among drug users. J Nerv Ment Dis 193:431-7
Ridenour, Ty A; Maldonado-Molina, Mildred; Compton, Wilson M et al. (2005) Factors associated with the transition from abuse to dependence among substance abusers: implications for a measure of addictive liability. Drug Alcohol Depend 80:1-14
Ridenour, Ty A; Cottler, Linda B; Compton, Wilson M et al. (2003) Is there a progression from abuse disorders to dependence disorders? Addiction 98:635-44