Drug network characteristics and HIV risk among injection drug users in Russia: The roles of trust, size, and stability

Javier A. Cepeda, Veronika A. Odinokova, Robert Heimer, Lauretta E. Grau, Alexandra Lyubimova, Liliya Safiullina, Olga S. Levina, Linda M. Niccolai

Research output: Contribution to journalArticlepeer-review

Abstract

We investigated the influence of drug network characteristics including trust, size, and stability on HIV risk behaviors and HIV testing among injection drug users (IDUs) in St. Petersburg, Russia. Overall, male and female IDUs who reported having high levels of trust in their drug networks were significantly more likely to share syringes than those with lower levels of trust (OR [95% CI]) 2.87 [1.06, 7.81] and 4.89 [1.05, 21.94], respectively). Male and female IDUs in larger drug networks were more likely to share syringes than those in smaller networks (4.21 [1.54, 11.51] and 4.80 [1.20, 19.94], respectively). Characteristics that were significantly associated with not having been HIV tested included drug network instability among men and larger network size among women. High trust, large size, and instability were positively and significantly associated with syringe sharing and not having been HIV tested. Effectiveness of interventions in Russia to reduce the risk of HIV infection may be enhanced if network characteristics are addressed.

Original languageEnglish (US)
Pages (from-to)1003-1010
Number of pages8
JournalAIDS and behavior
Volume15
Issue number5
DOIs
StatePublished - Jul 2011
Externally publishedYes

Keywords

  • Drug networks
  • HIV
  • IDU
  • Russia

ASJC Scopus subject areas

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

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