Abstract
Among HIV-positive injection drug users (IDUs), we examined baseline predictors of lending needles and syringes and sharing cookers, cotton, and rinse water in the prior 3 months at follow-up. Participants were enrolled in Intervention for Seropositive Injectors - Research and Evaluation, a secondary prevention intervention for sexually active HIV-positive IDUs in 4 US cities during 2001-2005. The analyses involved 357 participants who reported injecting drugs in the prior 6 months at either the 6- or 12-month follow-up visit. About half (49%) reported at least 1 sharing episode. In adjusted analyses, peer norms supporting safer injection practices and having primary HIV medical care visits in the prior 6 months were associated with reporting no sharing of injection equipment. Higher levels of psychological distress were associated with a greater likelihood of reporting drug paraphernalia sharing. These findings suggest that intervention approaches for reducing HIV-seropositive IDUs' transmission of blood-borne infections should include peer-focused interventions to alter norms of drug paraphernalia sharing and promoting primary HIV care and mental health services.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 447-450 |
| Number of pages | 4 |
| Journal | Journal of Acquired Immune Deficiency Syndromes |
| Volume | 49 |
| Issue number | 4 |
| DOIs | |
| State | Published - Dec 1 2008 |
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Keywords
- HIV seropositives
- Injection drug users
- Medical care
- Psychological distress
- Sharing injection equipment
- Social norms
ASJC Scopus subject areas
- Infectious Diseases
- Pharmacology (medical)
Cite this
Predictors of sharing injection equipment by HIV-seropositive injection drug users. / Latkin, Carl A; Buchanan, Amy S.; Metsch, Lisa R.; Knight, Kelly; Latka, Mary H.; Mizuno, Yuko; Knowlton, Amy Ruth.
In: Journal of Acquired Immune Deficiency Syndromes, Vol. 49, No. 4, 01.12.2008, p. 447-450.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Predictors of sharing injection equipment by HIV-seropositive injection drug users
AU - Latkin, Carl A
AU - Buchanan, Amy S.
AU - Metsch, Lisa R.
AU - Knight, Kelly
AU - Latka, Mary H.
AU - Mizuno, Yuko
AU - Knowlton, Amy Ruth
PY - 2008/12/1
Y1 - 2008/12/1
N2 - Among HIV-positive injection drug users (IDUs), we examined baseline predictors of lending needles and syringes and sharing cookers, cotton, and rinse water in the prior 3 months at follow-up. Participants were enrolled in Intervention for Seropositive Injectors - Research and Evaluation, a secondary prevention intervention for sexually active HIV-positive IDUs in 4 US cities during 2001-2005. The analyses involved 357 participants who reported injecting drugs in the prior 6 months at either the 6- or 12-month follow-up visit. About half (49%) reported at least 1 sharing episode. In adjusted analyses, peer norms supporting safer injection practices and having primary HIV medical care visits in the prior 6 months were associated with reporting no sharing of injection equipment. Higher levels of psychological distress were associated with a greater likelihood of reporting drug paraphernalia sharing. These findings suggest that intervention approaches for reducing HIV-seropositive IDUs' transmission of blood-borne infections should include peer-focused interventions to alter norms of drug paraphernalia sharing and promoting primary HIV care and mental health services.
AB - Among HIV-positive injection drug users (IDUs), we examined baseline predictors of lending needles and syringes and sharing cookers, cotton, and rinse water in the prior 3 months at follow-up. Participants were enrolled in Intervention for Seropositive Injectors - Research and Evaluation, a secondary prevention intervention for sexually active HIV-positive IDUs in 4 US cities during 2001-2005. The analyses involved 357 participants who reported injecting drugs in the prior 6 months at either the 6- or 12-month follow-up visit. About half (49%) reported at least 1 sharing episode. In adjusted analyses, peer norms supporting safer injection practices and having primary HIV medical care visits in the prior 6 months were associated with reporting no sharing of injection equipment. Higher levels of psychological distress were associated with a greater likelihood of reporting drug paraphernalia sharing. These findings suggest that intervention approaches for reducing HIV-seropositive IDUs' transmission of blood-borne infections should include peer-focused interventions to alter norms of drug paraphernalia sharing and promoting primary HIV care and mental health services.
KW - HIV seropositives
KW - Injection drug users
KW - Medical care
KW - Psychological distress
KW - Sharing injection equipment
KW - Social norms
UR - http://www.scopus.com/inward/record.url?scp=57649123366&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=57649123366&partnerID=8YFLogxK
U2 - 10.1097/QAI.0b013e31818a6546
DO - 10.1097/QAI.0b013e31818a6546
M3 - Article
C2 - 19186356
AN - SCOPUS:57649123366
VL - 49
SP - 447
EP - 450
JO - Journal of Acquired Immune Deficiency Syndromes
JF - Journal of Acquired Immune Deficiency Syndromes
SN - 1525-4135
IS - 4
ER -