Trends in Injection Risk Behaviors in a Sample of New York City Injection Drug Users: 1992-1995
Journal of Acquired Immune Deficiency Syndromes & Human RetrovirologyPublished 1 March 1999
Mark Beardsley, Sherry Deren, Stephanie Tortu, Marjorie F. Goldstein, Kristine Ziek, Rahul Hamid
Citations22
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Even though some injectors report engaging in risky injection practices, the confluence of numerous AIDS prevention efforts in the 1990s has contributed to an overall reduction in the likelihood of such behaviors.
Abstract
Decreasing trends in injection risk behaviors could not be explained by changing sample characteristics. Even though some injectors report engaging in risky injection practices, the confluence of numerous AIDS prevention efforts in the 1990s has contributed to an overall reduction in the likelihood of such behaviors.
Keywords
MedicineHealth Professions
New England Journal of MedicineRisk Factors for Human Immunodeficiency Virus Infection in Intravenous Drug Users
499 Citations1989Ellie E. Schoenbaum, Diana Hartel +6 more
Differences in both the social setting of drug use and behavior related to injection carry different risks for infection with HIV and may explain, in part, the higher seroprevalence of HIV among blacks and Hispanics.
Psychology of Addictive BehaviorsReliability of self-reported HIV risk behaviors of drug users.
490 Citations1995Richard Needle, Dennis G. Fisher +9 more
Findings indicated that respondents consistently self- Report drug use, injection practices, and sexual behaviors; discrepancies do not appear to reflect systematic decreases or increases in self-report; unreliability is associated with poorly worded questions and respondent characteristics; and discrepant reports warrant attention in analysis and interpretation of data.
Evaluation and Program PlanningValidity of self-reported drug use among injection drug users and crack cocaine users recruited through street outreach
454 Citations1994Norman L. Weatherby, Richard Needle +6 more
The results suggest that self-reported drug use in not-in-treatment, noninstitutionalized populations is accurate enough for measuring changes in risk behavior practices.
JAMASyringe and Needle Exchange as HIV/AIDS Prevention for Injection Drug Users
285 Citations1994John K. Watters
The hypothesis that a syringe exchange program would stimulate increased drug abuse in terms of frequency of injection or recruitment of new and/or younger users was not supported.
American Journal of Public HealthThe effects of HIV/AIDS intervention groups for high-risk women in urban clinics.
281 Citations1994Jeffrey A. Kelly, Debra A. Murphy +6 more
S Socially disadvantaged women can be assisted in reducing their risk of contracting HIV infection and risk reduction behavior change interventions should be offered routinely in primary health care clinics serving low-income and high-risk patients.
PubMedRisk factors for infection with human immunodeficiency virus among intravenous drug abusers in New York City.
269 Citations1987Michael Marmor, D. C. Des Jarlais +8 more
Programmes aimed at prevention of HIV infection should focus on reducing use of shooting galleries and sharing of needles and syringes as well as reducing intravenous drug abuse generally.
PubMedHIV infection among intravenous drug users: epidemiology and risk reduction.
195 Citations1987Des Jarlais, Friedman
No linkage of risk reduction to decreases in seroconversion has yet been shown, however, and greater risk reduction is clearly required.
PubMedPrevalence of HIV infection among intravenous drug users in the United States.
188 Citations1989R A Hahn, I. Onorato +2 more
PubMedContinuity and change within an HIV epidemic. Injecting drug users in New York City, 1984 through 1992.
166 Citations1994Don C. Des Jarlais, Samuel R. Friedman +7 more
JAMAContinuity and change within an HIV epidemic. Injecting drug users in New York City, 1984 through 1992
147 Citations1994Don C. Des Jarlais
AIDSSyringe-mediated drug-sharing (backloading): a new risk factor for HIV among injecting drug users
132 Citations1993Benny Jose, Samuel R. Friedman +6 more
Backloading can be a route of HIV transmission among IDU and should be incorporated into risk-factor studies and HIV transmission modeling, and many IDU who avoid other high-risk drug-injection practices may overlook the risk of backloading.
American Journal of Public HealthDeclining seroprevalence in a very large HIV epidemic: injecting drug users in New York City, 1991 to 1996.
121 Citations1998Don C. Des Jarlais, Theresa E. Perlis +12 more
The reductions in HIV seroprevalence seen among injecting drug users in New York City from 1991 through 1996 indicate a new phase in this large HIV epidemic, potential explanatory factors include the loss of HIV-seropositive individuals through disability and death and lower rates of risk behavior leading to low HIV incidence.
JAMASyringe and needle exchange as HIV/AIDS prevention for injection drug users
101 Citations1994John K. Watters
American Journal of Public HealthRisk factors for HIV and other sexually transmitted diseases and prevention practices among US heterosexual adults: changes from 1990 to 1992.
98 Citations1995Joseph A. Catania, Diane Binson +8 more
There is a need for a series of surveys in this area to assess the reliability of the present findings and to monitor the general US population's response to prevention programs.
American Journal of Public HealthAIDS education for drug abusers: evaluation of short-term effectiveness.
91 Citations1992Jane McCusker, Anne M. Stoddard +4 more
There is only weak evidence that an enhanced intervention improved outcomes in this early stage of follow-up, and no beneficial effect was detected of delaying AIDS education for clients entering detoxification.
AIDSHow effective are risk-reduction interventions targeting injecting drug users?
90 Citations1994Robert E. Booth, John K. Watters
American Journal of Public HealthEffects of an intervention program on AIDS-related drug and needle behavior among intravenous drug users.
86 Citations1991Richard C. Stephens, Thomas E. Feucht +1 more
The findings suggest that intravenous drug users conform to a model of rational choice when confronted with accurate information about the devastating consequences of HIV infection.
AIDS Education and PreventionOutcomes of a Risk-Reduction Intervention with High-Risk Populations: The Harlem AIDS Project
51 Citations1995Sherry Deren, W. Rees Davis +3 more
A study conducted in Harlem, New York, recruiting 1,770 injection drug users and sex partners of IDUs, randomly assigned to two interventions indicated that all groups reported significant reductions in risk behaviors, with no group effect.
American Journal of Public HealthChanges in multiple sexual partnerships, HIV testing, and condom use among US heterosexuals 18 to 49 years of age, 1990 and 1992.
37 Citations1996Kyung–Hee Choi, Joseph A. Catania
Overall, consistent condom use significantly increased from 11% in 1990/91 to 20% in 1992, but this increase was limited to selected demographic groups, and a continuing need for HIV education among heterosexual adults is suggested.
The Journal of Sex ResearchChanges in condom use among Black, Hispanic, and White heterosexuals in San Francisco: The AMEN cohort survey
37 Citations1993Joseph A. Catania, Thomas J. Coates +6 more
This study is the first to examine changes in condom use based on a random household probability sample of heterosexuals in high risk neighborhoods of a major HIV epicenter and finds the young and highly educated were the most likely to maintain their condom use.
PubMedInterpreting HIV seroprevalence data from a street-based outreach program.
29 Citations1994Martin Y. Iguchi, Donald A. Bux +4 more
It is argued that observed differences in HIV infection and HIV-risk behavior among sampled subjects result from a systematic sampling bias inherent in outreach-driven sampling procedures, which initially favored recruitment of IDUs with greater behavioral and demographic risk for HIV.
PubMedEffects of a community outreach program in HIV risk behaviors among injection drug users in San Juan, Puerto Rico: an analysis of trends.
25 Citations1995Colón Hm, Hardeo Sahai +2 more
British Journal of AddictionChanges in HIV risk behaviors among intravenous drug users in San Juan, Puerto Rico
18 Citations1992Héctor M. Colón, Rafaela R. Robles +2 more
The present paper analyzes changes occurring in HIV transmission risk behaviors among 778 IVDUs not in treatment, in the city of San Juan, Puerto Rico, and suggests the need to understand the factors facilitating/inhibiting change in specific behaviors and theneed to study the stability of these changes over longer periods of time.
Journal of Drug IssuesWomen at High Risk for HIV: Pregnancy and Risk Behaviors
15 Citations1995Sherry Deren, William R. Davis +3 more
Pregnancy may provide an opportunity for behavior change among women at high risk for HIV and innovative outreach efforts and increases in treatment options are needed.
AIDS Education and PreventionTime Trends in High-Risk Injection Practices in a Multi-Site Study in Massachusetts: Effects of Enrollment Site and Residence
11 Citations1992Jane McCusker, Anne M. Stoddard +4 more
As avoidance of sharing is likely to be more effective than bleaching for the prevention of human immunodeficiency virus (HIV) transmission, the subpopulation not in treatment should be targeted for prevention programs.