TY - JOUR
T1 - Sexual risk behavior among injection drug users before widespread availability of highly active antiretroviral therapy
AU - Rusch, Melanie L.
AU - Farzadegan, Homayoon
AU - Tarwater, Patrick M.
AU - Safaeian, Mahboobeh
AU - Vlahov, David
AU - Strathdee, Steffanie A.
N1 - Funding Information:
The authors acknowledge funding from the National Institute on Drug Abuse (DA04334 and DA12568), and funding through the Michael Smith Foundation for Health Research through a Senior Graduate Trainee Fellowship to Ms Rusch. In addition, the authors would like to acknowledge the help and support of the following individuals: Ajay Sethi, Dr Keerthi Shaw, Dr Craig Hendrix. The authors are indebted to the participants and staff of the ALIVE study who made this research possible.
PY - 2005/9
Y1 - 2005/9
N2 - HIV testing and counseling has been associated with reductions in risk behaviors in some populations. This study examined whether involvement in a long-term study, including exposure to repeated HIV testing and counseling, was associated with increased condom use among injection drug users (IDUs) through a retrospective analysis of an IDU cohort from Baltimore, MD, during 1994-1998. Eligibility included being aged 18 years or older, injecting within 10 years and not having initiated antiretroviral therapy. A logistic model of high versus low risk, based on condom use, was used. Of 322 eligible IDUs, most were male (66%) and African-American (94%). No significant change in the odds of inconsistent condom use was observed with continued study exposure. Condom use remained low, indicating a need for interventions to reduce sexual risks and HIV transmission in this population.
AB - HIV testing and counseling has been associated with reductions in risk behaviors in some populations. This study examined whether involvement in a long-term study, including exposure to repeated HIV testing and counseling, was associated with increased condom use among injection drug users (IDUs) through a retrospective analysis of an IDU cohort from Baltimore, MD, during 1994-1998. Eligibility included being aged 18 years or older, injecting within 10 years and not having initiated antiretroviral therapy. A logistic model of high versus low risk, based on condom use, was used. Of 322 eligible IDUs, most were male (66%) and African-American (94%). No significant change in the odds of inconsistent condom use was observed with continued study exposure. Condom use remained low, indicating a need for interventions to reduce sexual risks and HIV transmission in this population.
KW - Behavior change
KW - Condom use
KW - IDU
KW - Sexual risk
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U2 - 10.1007/s10461-005-9003-4
DO - 10.1007/s10461-005-9003-4
M3 - Article
C2 - 16133905
AN - SCOPUS:27744457473
SN - 1090-7165
VL - 9
SP - 289
EP - 299
JO - AIDS and behavior
JF - AIDS and behavior
IS - 3
ER -