TY - JOUR
T1 - Feasibility and preliminary effects of a screening, brief intervention and referral to treatment model to address gender-based violence among women who use drugs in Kyrgyzstan
T2 - Project WINGS (Women Initiating New Goals of Safety)
AU - Gilbert, Louisa
AU - Jiwatram-Negron, Tina
AU - Nikitin, Danil
AU - Rychkova, Olga
AU - McCrimmon, Tara
AU - Ermolaeva, Irena
AU - Sharonova, Nadejda
AU - Mukambetov, Aibek
AU - Hunt, Timothy
N1 - Funding Information:
We would like to thank the outreach workers and caseworkers of Asteria and Podruga as well as the participants without whom this study would not have been possible. This study was supported by a grant from the Open Society Foundations. Tina Jiwatram-Negrón acknowledges the partial support received from the Behavioral Sciences Training in Drug Abuse Research program at the National Drug Research Institute, with funding from the National Institute on Drug Abuse (T32 DA007233).
Publisher Copyright:
© 2016 Australasian Professional Society on Alcohol and other Drugs
PY - 2017/1/1
Y1 - 2017/1/1
N2 - Introduction and aims: Intimate partner violence (IPV) and other forms of gender-based violence (GBV) are serious public health threats among women who use drugs or engage in binge drinking in Kyrgyzstan. This study aimed to evaluate the feasibility and preliminary effects of a two-session IPV and GBV screening, brief intervention and referral to treatment model (WINGS) with HIV counselling and testing for women who use drugs or engage in binge drinking in Kyrgyzstan, using a pre/post-design. Design and methods: We screened 109 women from harm reduction non-government organisations in Kyrgyzstan, of whom 78 were eligible, 73 participated in the intervention study, and 66 completed a 3-month post-intervention follow-up. To assess the effects of the intervention, we used random-effect Poisson and Logistic regression analyses for continuous and dichotomous outcomes respectively. Results: At baseline, 73% reported any physical or sexual IPV victimisation, and 60% reported any physical or sexual GBV victimisation in the past year. At the 3-month follow-up, participants reported experiencing 59% fewer physical IPV incidents in the prior 90 days than at baseline (P < 0.001) and 27% fewer physical GBV incidents than at baseline (P < 0.01). From baseline to the 3-month follow-up, participants also reported a 65% reduction in the odds of using any illicit drugs (P < 0.05) and were more likely to report receiving GBV-related services (P < 0.001). Discussion and conclusion: The high rates of participation, attendance and retention and significant reductions in IPV and GBV victimisation and drug use from baseline to the 3-month follow-up suggest the feasibility and promising effects of this brief intervention. [Gilbert L, Jiwatram-Negron T, Nikitin D, Rychkova O, McCrimmon T, Ermolaeva I, Sharonova N, Mukambetov A, Hunt T. Feasibility and preliminary effects of a screening, brief intervention and referral to treatment model to address gender-based violence among women who use drugs in Kyrgyzstan: Project WINGS (Women Initiating New Goals of Safety). Drug Alcohol Rev 2017;36:125–133].
AB - Introduction and aims: Intimate partner violence (IPV) and other forms of gender-based violence (GBV) are serious public health threats among women who use drugs or engage in binge drinking in Kyrgyzstan. This study aimed to evaluate the feasibility and preliminary effects of a two-session IPV and GBV screening, brief intervention and referral to treatment model (WINGS) with HIV counselling and testing for women who use drugs or engage in binge drinking in Kyrgyzstan, using a pre/post-design. Design and methods: We screened 109 women from harm reduction non-government organisations in Kyrgyzstan, of whom 78 were eligible, 73 participated in the intervention study, and 66 completed a 3-month post-intervention follow-up. To assess the effects of the intervention, we used random-effect Poisson and Logistic regression analyses for continuous and dichotomous outcomes respectively. Results: At baseline, 73% reported any physical or sexual IPV victimisation, and 60% reported any physical or sexual GBV victimisation in the past year. At the 3-month follow-up, participants reported experiencing 59% fewer physical IPV incidents in the prior 90 days than at baseline (P < 0.001) and 27% fewer physical GBV incidents than at baseline (P < 0.01). From baseline to the 3-month follow-up, participants also reported a 65% reduction in the odds of using any illicit drugs (P < 0.05) and were more likely to report receiving GBV-related services (P < 0.001). Discussion and conclusion: The high rates of participation, attendance and retention and significant reductions in IPV and GBV victimisation and drug use from baseline to the 3-month follow-up suggest the feasibility and promising effects of this brief intervention. [Gilbert L, Jiwatram-Negron T, Nikitin D, Rychkova O, McCrimmon T, Ermolaeva I, Sharonova N, Mukambetov A, Hunt T. Feasibility and preliminary effects of a screening, brief intervention and referral to treatment model to address gender-based violence among women who use drugs in Kyrgyzstan: Project WINGS (Women Initiating New Goals of Safety). Drug Alcohol Rev 2017;36:125–133].
KW - gender-based violence
KW - intimate partner violence
KW - screening
KW - substance use
KW - women
UR - http://www.scopus.com/inward/record.url?scp=85010876880&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85010876880&partnerID=8YFLogxK
U2 - 10.1111/dar.12437
DO - 10.1111/dar.12437
M3 - Article
C2 - 27770541
AN - SCOPUS:85010876880
SN - 0959-5236
VL - 36
SP - 125
EP - 133
JO - Drug and Alcohol Review
JF - Drug and Alcohol Review
IS - 1
ER -