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National Institute on Drug Abuse

Drug Addiction Research and the Health of Women

Editors:
Cora Lee Wetherington, Ph.D., Women's Health Coordinator
Adele B. Roman, M.S.N., R.N., Deputy Women's Health Coordinator

Table of Contents

Foreword-------i

Drug Addiction Research and the Health of Women-------1
Loretta P. Finnegan, M.D.

Role of the Office of Research on Women's Health-------5
Vivian W. Pinn, M.D.

Women and Substance Abuse: A New National Focus-------13
Susan J. Blumenthal, M.D., M.P.A.

Women and Addiction in the United States-1850 to 1920 -------33
Stephen R. Kandall, M.D.

Women and Addiction in the United States- 1920 to the Present-------53
Stephen R. Kandall, M.D.

Keynote Address: Neurobiological Correlates of the Addictions: Findings From Basic and Treatment Research-------81
Mary Jeanne Kreek, M.D.

 

Epidemiology

The Epidemiology of Substance Use and Dependence Among Women-------105
Denise B. Kandel, Ph.D.; Lynn A. Warner, M.P.P.; and Ronald C. Kessler, Ph.D.

 

Biological/Behavioral Mechanisms

Cocaine Abuse and Reproductive Function in Women-------131
Nancy K. Mello, Ph.D.

Stress-Related Psychopathology as a Vulnerability Factor in Drug-Taking: The Role of Sex-------151
D. Caroline Blanchard, Ph.D.

 

Biological/Behavioral Mechanisms Panel

Gender Differences in Cocaine Self-Administration in Rats: Relevance to Human Drug-Taking Behavior-------165
David C.S. Roberts, Ph.D., and Rachel Phelan, M.Sc.

The Relevance of Stress and Eating to the Study of Gender and Drug Use-------173
Neil E. Grunberg, Ph.D., and Laura Cousino Klein, M.S.

Translating Basic Research on Drugs and Pregnancy Into the Clinical Setting-------187
James R. Woods, Jr., M.D.

 

Treatment

Behavioral Therapies for Female Drug Users: An Efficacy-Focused Review-------197
Karla Moras, Ph.D.

Pharmacology: Gender-Specific Considerations in the Use of Psychoactive Medications-------223
Sidney H. Schnoll, M.D., Ph.D., and Michael F. Weaver, M.D.

Need for Services Research on Treatment for Drug Abuse in Women-------229
Jacqueline Wallen, Ph.D., M.S.W.

Service Providers and Treatment Access Issues-------237

 

Etiology

Substance Abuse Among Women: Familial Factors and Comorbidity-------245
Kathleen R. Merikangas, Ph.D., and Denise E. Stevens, Ph.D.

 

Etiology Panel

Warriors and Worriers: A Longitudinal Study of Gender Differences in Drug Use-------271
Judith S. Brook, Ed.D.; Martin Whiteman, Ph.D.; and Patricia Cohen, Ph.D.

Victimization, Posttraumatic Stress Disorder, and Substance Use and Abuse Among Women-------285
Dean G. Kilpatrick, Ph.D.; Heidi S. Resnick, Ph.D.; Benjamin E. Saunders, Ph.D.; and Connie L. Best, Ph.D.

Pregnancy, Drugs, and Harm Reduction-------309
Marsha Rosenbaum, Ph.D., and Katherine Irwin

Work Stress, Coping, and Substance Use Among Female Nurses-------319
R. Lorraine Collins, Ph.D.; Gernot Gollnisch, Ph.D.; and Elizabeth T. Morsheimer, Ed.M.

 

Consequences

HIV Infection in Women: Implications for Drug Abuse Treatment and Research-------339
Peter A. Selwyn, M.D., M.P.H., and Marc N. Gourevitch, M.D., M.P.H.

Social and Behavioral Consequences of Chemical Dependence-------355
Rafaela R. Robles, Ed.D.; Carmen A. Marrero, M.P.H.; Tomás D. Matos, M.S.; Héctor M. Colón, M.A.; Lourdes I. Cancel, M.S.; and Juan C. Reyes, M.S.

 

Consequences Panel

Psychosocial Predictors of AIDS Risk Behavior and Drug Use Behavior in Homeless and Drug-Addicted Women of Color-------365
Adeline Nyamathi, R.N., Ph.D., F.A.A.N.; Judith A. Stein, Ph.D.; and Mary-Lynn Brecht, Ph.D.

Association Between Early or Later Onset of Substance Use and Psychiatric Disorders in Women-------389
Linda B. Cottler, Ph.D.; Arbi Ben Abdallah, M.S.; and Wilson M. Compton, M.D.

Partner Violence Experiences and Women's Drug Use: Exploring the Connections-------407
Brenda A. Miller, Ph.D.

 

Prevention

Links Between Prevention and Treatment for Drug-Abusing Women and Their Children-------417
Karol L. Kumpfer, Ph.D.

 

Intervention

Factors Influencing Health Behaviors and Drug Abuse Among Low-Income Black and Latino Women-------439
Kathy Sanders-Phillips, Ph.D.

 

Legal and Criminal Justice Issues

Punishing Women for Their Behavior During Pregnancy: An Approach That Undermines the Health of Women and Children-------467
Lynn M. Paltrow, J.D.

 

Crosscutting Issues Panel

Homeless African-American Women and Their Families: Coping With Depression, Drugs, and Trauma-------503
Sheryl Brissett-Chapman, Ed.D., A.C.S.W., L.I.C.S.W.

Drug Use and Increased Risk of HIV Among Lesbians and Other Women Who Have Sex With Women-------517
Marjorie J. Plumb, M.N.A.; Elizabeth J. Rankow, P.A.-C., M.H.S.; and Rebecca M. Young, M.Phil.

Methodological and Conceptual Issues in Understanding Female Hispanic Drug Users-------529
Margarita Alegría, Ph.D.; Mildred Vera, Ph.D.; Gisela Negrón, Ph.D.; Margarita Burgos, Ph.Dc.; Carmen Albizu, M.D.; and Glorisa Canino, Ph.D.

Health Needs of American Indian Women-------553
Pamela Jumper-Thurman, Ph.D., and Barbara Plested, M.A.

Treatment of Women With Substance Abuse Problems-------565
David J. Mactas

Research Directions and Opportunities-------573
Richard A. Millstein



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