HIV Risk Behaviors Associated with the Injection Process: Multiperson Use of Drug Injection Equipment and Paraphernalia in Injection Drug User Networks

Autor: Needle, Richard, Coyle, Susan, Cesari, Helen, Trotter, Robert, Clatts, Michael, Koester, Stephen, Price, Laurie, McLellan, Eleanor, Finlinson, Ann, Bluthenthal, Ricky, Pierce, Todd, Johnson, Jay, Jones, T. Stephen, Williams, Mark
Zdroj: Substance Use & Misuse; October 1998, Vol. 33 Issue: 12 p2403-2423, 21p
Abstrakt: This study examines drug acquisition and multiperson use of paraphernalia, drugs, and needles/syringes. Ethnographers observed 54 injection episodes in which IDUs were linked by HIV risk behaviors, and developed a typology of higher-risk, lower-risk, and nonsharing-risk networks. Multiperson use of injection paraphernalia or drug solution occurred in most injection events (94%). Serial use of syringes/needles occurred infrequently (14%) relative to “backloading” (37%) and reuse of paraphernalia (cookers 84%, cotton 77%, water 77%). Higher-risk injection networks were characterized by larger size and pooling of resources for drugs. Prevention messages must include avoiding reuse of injection paraphernalia and transfer of drug solution.
Databáze: Supplemental Index