Continuing risk behaviors among HIV-seropositive chronic drug users in Miami, Florida

Lisa R. Metsch, Clyde B. McCoy, Shenghan Lai, Christine Miles

Research output: Contribution to journalArticlepeer-review

40 Scopus citations


This study investigates continuing risk behaviors among HIV- seropositive chronic drug users in Miami, Florida. Data were collected on 490 injecting and noninjecting seropositive drug users. Results indicate that from baseline to follow-up, HIV-seropositive injectors and noninjectors reported significant decreases of approximately 50% in risky sexual and injecting practices (IDUs only) associated with transmission of HIV. However, our findings also indicate that approximately one third of HIV-positive injectors and one half of HIV-positive noninjectors continue to have unprotected sex and one third of HIV-positive injectors are continuing to engage in risky injecting practices. Change in one risk behavior was predictive of change in other risk behaviors. Women were more likely to change injection behaviors than sexual practices. Injecting drug users showed greater overall behavioral change than noninjectors. These findings underscore the need to develop, disseminate, and implement effective intervention models specifically targeting HIV-positive drug users.

Original languageEnglish (US)
Pages (from-to)161-169
Number of pages9
JournalAIDS and behavior
Issue number2
StatePublished - 1998
Externally publishedYes


  • Chronic drug users
  • Continuing risk behaviors
  • HIV-seropositives
  • Injection drug use
  • Sexual risk reduction

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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