The applicant's research has led to a substantial body of published work and 17 pieces from this work are submitted here. Of these, eight are in peer refereed journals testifying to the importance of the body of work submitted. The work has attracted external funding of £73,000 from North West Thames Regional Health Authority which attests further to the quality of the work undertaken. In addition the applicant's expertise in the area has been recognised internationally by her appointments as World Health Organisation Advisor (Guidelines on Counselling of HIV Infected and AIDS Patients; Intravenous Drug Use and Risk of HIV Infection) and as UK representative to the Commission of the European Communities (Prevention of AIDS for Intravenous Drug Users) and she has presented evidence to a Home Office Working Party (Advisory Council on the Misuse of Drugs) and acted as academic referee for several academic journals including AIDS, AIDS Care, and Addiction. The submitted research publications are based upon five studies drawing upon 623 injecting drug users (idus) surveyed between 1985 and October 1992. The demographic characteristics of the clients included in each of the studies did not vary substantially between studies. Three of the studies involved evaluation of interventions for harm minimisation and two of those included designs of innovative interventions. The remaining two were aimed at identifying trends in risk - related behaviours and risk reduction. The body of work with its regular data collection over a seven year period from one location in the UK charts the behavioural changes and service responses from a point in time when AIDS awareness among idus was virtually non-existent through the response to the awareness of risks of sharing injecting equipment, followed by the introduction of needle exchange schemes and their evaluation, awareness of sexual transmission risks and need for sexual counselling, provides a unique perspective. The first and the final study had longitudinal components but the over all behavioural and attitudinal trends are identified from cross-sectional data. The approach taken by the research was to place risk-related behaviours within a context of the idus' social lifestyles rather than isolating behaviours from the contexts in which they occur. This approach contrasts with the individualistic social-cognitive models that have been used by others rather unsuccessfully to try to account for health related risk behaviours. The aims of the research were to obtain accurate information about the behaviours of idus with specific reference to HIV transmission related behaviours especially injecting practices and sexual behaviours by (1) identifying the characteristics of idus attending a drug dependency unit and/or syringe exchange unit in Central London (2) examining the sexual and drug-related behaviours of clients attending those services and their risks for HIV infections.
| Identifer | oai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:532396 |
| Date | January 1996 |
| Creators | Mulleady, Geraldine |
| Publisher | University of East London |
| Source Sets | Ethos UK |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
Page generated in 0.0022 seconds