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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

Barriers, burdens, and breakthroughs: rethinking HIV care for women with substance use disorders

Barriers, burdens, and breakthroughs: rethinking hiv care for women with substance use disorders

Women living with HIV who use substances experience poorer outcomes along the care continuum than men due to intersectional stigma, violence, and structural vulnerabilities, and the barriers to their access to treatment remain insufficiently recognized.

Women living with HIV experience poorer outcomes along the care continuum than men, facing delays in access to care and diagnosis; this situation is exacerbated by social determinants such as intersectional stigma, intimate partner violence, and other structural vulnerabilities. These disparities become even more pronounced when substance use is involved; countries report that only a small proportion of women can access substance use treatment programs, pointing to underrecognized barriers to treatment access. In Indonesia, new HIV diagnoses among women aged 15 and older tripled over nine years, rising from 12,537 to 35,415. Psychological variables also adversely affect treatment adherence, making it essential for clinicians to understand the barriers specific to this vulnerable group. To understand the relationship between women living with HIV and substance use, a convergent parallel mixed-methods study was conducted with 10 participants, combining multiple validated scales with thematic analysis. The session will discuss the findings of this study and how substance use, spiritual and cultural paradigms, and the gender-specific burden that falls disproportionately on women shape care, together with their theoretical and clinical implications from the perspective of a low- and middle-income country.

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