000000415 001__ 415 000000415 005__ 20260304103006.0 000000415 0247_ $$2DOI$$a10.6083/M47H1GH2 000000415 037__ $$aETD 000000415 245__ $$aThe impact of social and emotional isolation on risk behaviors among women injection drug users in Portland, OR 000000415 260__ $$bOregon Health and Science University 000000415 269__ $$a2009 000000415 336__ $$aThesis 000000415 502__ $$bM.P.H. 000000415 520__ $$aWomen who inject drugs (IDUs) face elevated risk for HIV and hepatitis C due to syringe sharing, unsafe injection practices, and high‑risk sexual behaviors. While social networks influence these risks, the role of social and emotional isolation has been understudied. This study surveyed 102 adult women IDUs to examine whether isolation was associated with engagement in 15 HIV/HCV risk behaviors. Half of the women reported above‑average or severe isolation, and many continued high‑risk practices despite access to harm‑reduction services. Social isolation was positively associated with injection‑related risk behaviors, with a similar trend for sexual risk. These findings suggest isolation may contribute to risk‑taking and should be addressed in HIV/HCV prevention efforts tailored for women IDUs. 000000415 540__ $$fCC BY 000000415 542__ $$fIn copyright - single owner 000000415 650__ $$aWomen$$027986 000000415 650__ $$aSocial Support$$026119 000000415 650__ $$aHepatitis C$$020128 000000415 650__ $$aDrug Users$$038136 000000415 650__ $$aHIV Infections$$028555 000000415 650__ $$aNeedle Sharing$$029158 000000415 650__ $$aHarm Reduction$$035025 000000415 650__ $$aRisk-Taking$$025524 000000415 651__ $$aOregon--Portland$$041692 000000415 691__ $$aSchool of Medicine$$041369 000000415 692__ $$aDepartment of Public Health and Preventive Medicine$$041444 000000415 7001_ $$aHilde, Anandam$$uOregon Health and Science University$$041354 000000415 8564_ $$9b5e2086c-1657-4b56-b6ab-3c2ac5713884$$s194396$$uhttps://digitalcollections.ohsu.edu/record/415/files/416_etd.pdf$$ePublic$$2b955d8088c46c9f17749d6c77282fb76$$31 000000415 905__ $$a/rest/prod/1n/79/h4/29/1n79h429p 000000415 909CO $$ooai:digitalcollections.ohsu.edu:415$$pstudent-work 000000415 956__ $$aGet Accessible Copy$$uhttps://ohsu.libwizard.com/f/requestaccessibledocument 000000415 980__ $$aTheses and Dissertations