Decline in self-reported high-risk injection-related behaviors among HIV-seropositive participants in the Baltimore needle exchange program

John Vertefeuille, Melissa Ann Marx, Waimar Tun, Steven Huettner, Steffanie A. Strathdee, David Vlahov

Research output: Contribution to journalArticlepeer-review

Abstract

This study was conducted to determine whether enrollment in a needle exchange program (NEP) was associated with reduction(s) in high-risk injection practices among HIV-seropositive drug users. Between August 1994 and August 1997 HIV-seropositive individuals who underwent baseline and 6-month follow-up visits in the Baltimore NEP evaluation were studied. Chi-square statistics and paired t tests were used to compare reported injection-related behaviors between visits. One hundred and twelve HIV-seropositive NEP participants completed baseline and follow-up visits. Between visits self-reported lending of used syringes to others decreased (34.0% vs. 15.5%, p = .001), borrowing syringes from others decreased (23.2% vs. 11A%, p = .002), and reported participation in drug treatment increased (8.0% vs. 18.8%, p = .01). A decrease in the mean number of injections per syringe was reported, 11.4 vs. 4.7 (p > .001). These data suggest that NEP attendance can contribute to significant reductions in risky drug-use behaviors in HIV-seropositive drug users.

Original languageEnglish (US)
Pages (from-to)381-388
Number of pages8
JournalAIDS and behavior
Volume4
Issue number4
DOIs
StatePublished - Jan 1 2000

Keywords

  • HIV
  • Injection drug use
  • Needle exchange program
  • Prevention
  • Substance abuse

ASJC Scopus subject areas

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

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