AIDS and Self-Organization among Intravenous Drug Users

Friedman, Samuel R.; Jarlais, Don C. Des; Sotheran, Jo L.; Garber, Jonathan; Cohen, Henry; Smith, Donald W.

doi:10.3109/10826088709027425

Cited by 184 publications

(57 citation statements)

References 10 publications

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“…Early in the HIV/AIDS epidemic, research on drug use patterns demonstrated the relationship between adolescent drug use and peer influence (Brooks et al, 1989;Elliot et al, 1985;Friedman et al 1987). In a study of behavior change among IDUs in four countries (Brazil, Thailand, Scotland, and the U.S.), talking about AIDS with drug using friends was consistently associated with reduction in self-reported risk behaviors (Des Jarlais et al, 1995).…”

Section: Network-oriented Interventionsmentioning

confidence: 96%

Behavioral Interventions for HIV-Positive and HCV-Positive Drug users

Strathdee

Patterson

2006

AIDS Behav

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The nature, context and frequency of use of various licit and illicit non-injection drugs associated with an elevated risk of HIV infection. Beyond HIV, a high proportion of HIV-infected IDUs are co-infected with HCV (hepatitis C virus). In this review, we provide a brief review of the epidemiology of these problems, discuss behavioral interventions that can reduce ongoing high risk behaviors among HIV-seropositive IDUs and MSM-DUs, and review the literature which has evaluated their effectiveness. The majority of these interventions have focused on HIV-seronegative heterosexuals and therefore need to be considered in this larger context; however, where possible we discuss the potential impact of these interventions among HIV-seropositive persons. In addition, we briefly discuss interventions which have the potential to simultaneously reduce ongoing transmission of both HIV and HCV. Finally, given the dearth of information on the effectiveness of behavioral interventions in reducing the burden of the HIV and HCV epidemics among persons already infected with either or both viruses, we describe some newer, promising interventions and offer suggestions for future studies.

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Section: Network-oriented Interventionsmentioning

confidence: 96%

Behavioral Interventions for HIV-Positive and HCV-Positive Drug users

Strathdee

Patterson

2006

AIDS Behav

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“…[16][17][18] Using a mixedmethod approach, Friedman et al conducted an exploratory assessment of the relationship between IDU behaviors and the behaviors of their drug acquaintances. 19 The results indicated significant unadjusted relationships between participants_ and acquaintances_ needle sharing and use of cleaned or sterile needles.…”

Section: Introductionmentioning

confidence: 94%

Gender Differences in Social Network Influence among Injection Drug Users: Perceived Norms and Needle Sharing

Davey‐Rothwell

Latkin

2007

J Urban Health

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Whereas substantial research has linked perceived norms and HIV sexual risk behavior, less attention has been given to the relationship between perceived norms and injection drug practices. This study investigated the relationship between needle sharing and perceived norms in a sample of injection drug users. Data were collected through face-to-face interviews with 684 injectors from the STEP Into Action (STEP) project in Baltimore, Maryland. Logistic regression was used to assess the associations between perceived norms (descriptive and injunctive norms) and needle sharing. Results were stratified by gender. Descriptive norms were significantly related to needle sharing among males (AOR=1.58, 95%CI=1.20-2.40) and females (AOR=1.78; 95%CI=1.24-2.55). Whereas injunctive norms were significantly associated with needle sharing among men (AOR=1.30 95%CI=1.05-1.61), this association was not significant among women (AOR=0.99; 95%CI=0.74-1.31). These findings suggest the utility of peer education interventions that promote norms regarding risk reduction among injection drug users. The data also provide support for gender-specific HIV prevention interventions.

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“…Various studies, 1,4-13 including a long-term cohort study in the Bronx, have monitored a pattern that began with rapid spread of the virus during the late 1970s through the early 1980s. Early studies 14,15 indicate that IDUs had become aware of AIDS risk; by 1983, they had begun to reduce risk behavior. During the 1980s, there were approximately 10 years between HIV infection and diagnosis of AIDS.…”

Section: Introductionmentioning

confidence: 99%