Some peace of mind: assessing a pilot intervention to promote mental health among widows of injecting drug users in north-east India

<p>Abstract</p> <p>Background</p> <p>HIV prevalence in north-east India is high and injecting drug use (IDU) is common. Due to HIV-related deaths there are increasing numbers of IDU widows, many of whom are HIV infected, and experiencing poor health, social isolation, discrimination and poverty, all factors likely to be compromising their mental health. There is increasing recognition of the links between HIV and mental health.</p> <p>Methods</p> <p>The aim of this study was to pilot a peer-facilitated, participatory action group (PAG) process and assess the impact of the intervention on the mental health of participants. The intervention consisted of 10 PAG meetings involving 74 IDU widows. Changes in quality of life (WHOQOL-BREF), mental health (GHQ12) and somatic symptoms were assessed. The value of the intervention from the perspective of the participants was captured using a qualitative evaluation method (Most Significant Change).</p> <p>Results</p> <p>Participants' quality of life, mental health and experience of somatic symptoms improved significantly over the course of the intervention, and the women told stories reflecting a range of 'significant changes'.</p> <p>Conclusion</p> <p>This pilot intervention study demonstrated that a participatory approach to mental health promotion can have a positive impact on the lives of vulnerable women, and the potential to contribute to HIV prevention. Further investigation is warranted.</p

A participatory intervention to improve the mental health of widows of injecting drug users in north-east India as a strategy for HIV prevention

BACKGROUND: Manipur and Nagaland, in the north-east of India, are classified as high prevalence states for HIV, and intravenous drug use is an important route of transmission. Most injecting drug users (IDUs) are men, an estimated 40% are married, and death rates have been high in the last five years, consequently the number of widows of IDUs has increased. Many of these widows and their children are HIV-infected and experience poor health, discrimination, and impoverishment; all factors likely to be compromising their mental health. People with poor mental health are more likely to engage in HIV risk behaviours. Mental health can be promoted by public health actions with vulnerable population groups. METHODS: We designed an intervention study to assess the feasibility and impact of a participatory action process to promote the mental health and well-being of widows of IDUs in Manipur and Nagaland, as a strategy for reducing the risk of engagement in HIV risk behaviours. This paper describes the background and rationale for the study, the intervention, and the study methods in detail. RESULTS: Pending analysis. CONCLUSION: This intervention study will make a significant contribution to the emerging evidence that supports associations between mental health and HIV. The concept of promoting mental health among women who are vulnerable to HIV infection or already infected as a strategy for HIV prevention in a development setting is breaking new ground

Perceptions of HIV Risk Among Monogamous Wives of Alcoholic Men in South India: A Qualitative Study

Perceptions of HIV risk among monogamous wives of alcoholic men in South India: A qualitative stud

Wintertime spatial characteristics of boundary layer aerosols over peninsular India

During an intense field campaign for generating a spatial composite of aerosol characteristics over peninsular India, collocated measurements of the mass concentration and size distribution of near-surface aerosols were made onboard instrumented vehicles along the road network during the dry, winter season (February-March) of 2004. The study regions covered coastal, industrial, urban, village, remote, semiarid, and vegetated forestlands. The results showed (1) comparatively high aerosol (mass) concentrations (exceeding 50 &mu; g m(-3)), in general, along the coastal regions (east and west) and adjacent to urban locations, and (2) reduced mass concentration (<30 &mu; g m(-3)) over the semiarid interior continental regions. Fine, accumulation-mode particles (<1 &mu; m) contribute more than 50% to the total aerosol mass concentration in the coastal regions, which is more conspicuous along the east coast than the west coast, while the interior regions showed abundance (>50% of the total) of coarse-mode aerosols (>1 &mu; m). The spatial composite of accumulation-mode share to the total aerosol mass concentration agreed very well with the monthly mean spatial composite of aerosol fine-mode fraction for February 2004, deduced from Moderate-Resolution Imaging Spectroradiometer data for the study region, while a point by point comparison yielded a linear association with a slope of 1.09 and correlation coefficient of 0.79 for 76 independent data pairs. Pockets of enhanced aerosol concentration were observed around the industrialized and urban centers along the coast as well as inland. Aerosol size distributions were parameterized using a power law. Spatial variation of the retrieved aerosol size index shows relatively high values (>4) along the coast compared to interior continental regions except at a few locations. Urban locations showed steeper size spectra than the remote locations