Perceived risk, peer influences, and injection partner type predict receptive syringe sharing among young adult injection drug users in five U.S. cities

Bailey, Susan L.; Ouellet, Lawrence J.; Mackesy‐Amiti, Mary Ellen; Golub, Elizabeth T.; Hagan, Holly; Hudson, Sharon; Latka, Mary H.; Gao, Weihua; Garfein, Richard S.

doi:10.1016/j.drugalcdep.2007.02.014

Cited by 74 publications

(64 citation statements)

References 89 publications

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“…Similar to previous reports on young IDUs who inject illicit drugs (Bailey et al 2007; Evans et al 2003), the present study findings demonstrate the close relationship between risky injection and sexual behaviors: almost half of participants reported unsafe injection behavior with their sex partner. As previous research has found that risky sexual behavior may be more influential for HIV transmission among IDUs (Kral et al 2001; Strathdee et al 2001), further research and prevention efforts are needed to identify the most effective strategies among IDUs who misuse prescription drugs.…”

Section: Discussionsupporting

confidence: 90%

“…For example, a greater proportion of females in our sample reported needle sharing compared to males, which is consistent with findings from studies on injectors of illicit drugs (Evans et al 2003; Frajzyngier et al 2007; Iversen et al 2010). Further, previous research has indicated that a lack of access to clean syringes is a primary factor for syringe sharing when using illicit drugs (Bailey et al 2007). The present study supports this association in the context of prescription drug misuse and provides contextual information to highlight the influence of being dope sick and the perception of “clean” and “trustworthy” shooting partners.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to risky injection behavior, risky sexual behavior is also a considerable risk factor for transmission of infections among IDUs (Kral et al 2001; Strathdee et al 2001), and is often intertwined with injection behavior. For example, high rates of needle sharing have been reported among sex partners (Bailey et al 2007), and having sex with an IDU partner carries significant risk for acquisition of HIV infection (Doherty et al 2000). However, it is unknown if and how these injection and sexual risks translate to misuse of prescription drugs among IDUs.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prescription Drug Misuse and Risk Behaviors Among Young Injection Drug Users

Johnson

Fibbi

Langer

et al. 2013

Journal of Psychoactive Drugs

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Prescription drug misuse among young adults, especially opioids, is a substantial public health problem in the United States. Although risks associated with injection of illicit drugs are well established, injection and sexual risks associated with misuse of prescription drugs are under-studied. Forty young injection drug users aged 16 to 25 who reported injection of a prescription drug were recruited in 2008–09 in Los Angeles and New York City. Descriptive quantitative and qualitative data were analyzed to illustrate risky injection and sexual behaviors reported in this sample. Over half of participants engaged in risky injection behavior, three-quarters engaged in risky sexual behavior, nearly half reported both risky behaviors, and five did not report either risk behavior while misusing a prescription drug. Prescription opioids, tranquilizers, and stimulants were misused in the context of risky sexual behaviors while only opioids were misused in the context of injection risk behaviors. Access to clean syringes, attitudes and beliefs regarding hepatitis C, and risk reduction through partner selection were identified as key themes that contextualized risk behaviors. Although these findings help identify areas to target educational campaigns, such as prevention of sexually transmitted infections, risk behaviors specifically associated with prescription drug misuse warrant further study.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prescription Drug Misuse and Risk Behaviors Among Young Injection Drug Users

Johnson

Fibbi

Langer

et al. 2013

Journal of Psychoactive Drugs

View full text Add to dashboard Cite

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“…The potential underestimated risk may result in both increased risk behaviours and reduced frequency of HIV testing. Research indicates the importance of accurate data about the perception and knowledge of HIV risk among people who engage in high-risk behaviours [19]. The aim of this study was to determine the associations between the level of HIV knowledge and both HIV-related risk behaviours and HIV status among persons in Tallinn, Estonia.…”

Section: Introductionmentioning

confidence: 99%

Associations of high-risk behaviour and HIV status with HIV knowledge among persons in Tallinn, Estonia

Parker

2010

Scand J Public Health

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“…Nonetheless, some users do not adopt this safer injection practice. A recent study among young American IDUs has shown that over a three-month period, 45.8% of respondents had lent another person a syringe they had already used [3] and 54% had injected with a syringe already used by someone else [4]. In a Canadian study, one-third of users reported having shared a syringe over a six-month period [5].…”

Section: Introductionmentioning

confidence: 99%

A Randomized Trial to Evaluate the Efficacy of a Computer-Tailored Intervention to Promote Safer Injection Practices Among Drug Users

Gagnon¹,

Godin

Alary

et al. 2009

AIDS Behav

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The aim of this study was to evaluate the efficacy of a theory-based intervention to increase the use of a new syringe for each injection among injection drug users (IDUs). Users of two needle exchange programs (NEPs) were involved. At both sites, participants were assigned at random to either the experimental or the control group. Once a week for four weeks, users reported to the NEPs where they logged onto a computer and received an audiovisual message. A total of 260 IDUs were recruited. At baseline, 52.3% of participants reported that they had not always used new syringes in the previous week. The results indicate that it is possible for IDUs to adopt safer injection practices. One month after the intervention began, participants in the experimental group were using fewer dirty syringes compared to the control group (RR: 0.47 CI(95%) 0.28-0.79; P = .004). This short-term effect was no longer present 3 months later.

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Perceived risk, peer influences, and injection partner type predict receptive syringe sharing among young adult injection drug users in five U.S. cities

Cited by 74 publications

References 89 publications

Prescription Drug Misuse and Risk Behaviors Among Young Injection Drug Users

Prescription Drug Misuse and Risk Behaviors Among Young Injection Drug Users

Associations of high-risk behaviour and HIV status with HIV knowledge among persons in Tallinn, Estonia

A Randomized Trial to Evaluate the Efficacy of a Computer-Tailored Intervention to Promote Safer Injection Practices Among Drug Users

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