Reducing HIV needle risk behaviors among injection-drug users in the Midwest: an evaluation of the efficacy of standard and enhanced interventions.
This study compares the impact of a standard and an enhanced intervention on the needle-use behaviors reported by injection-drug users (IDUs) living in a low-seroprevalence area in the Midwest. Data on the drug- and needle-use practices of 381 IDUs completing a standard (n = 232) or an enhanced (n = 149) intervention who were followed-up five to nine months after a baseline interview were analyzed using bivariate and multivariate techniques. The results indicate that IDUs who participated in the enhanced intervention reported safer needle practices than standard intervention IDUs at follow-up. In addition, less frequent injectors were much more likely to adopt safer needle-use practices than were daily drug injectors, regardless of intervention track. The results suggest that more intensive interventions have advantages over minimalist efforts--in specific contexts. This finding has important implications for the HIV needle risk-reduction efforts targeting IDUs.
Siegal
H A
HA
Wright State University, School of Medicine, Substance Abuse Intervention Programs, Dayton, Ohio 45401, USA.
Falck
R S
RS
Carlson
R G
RG
Wang
J
J
D000328:Adult; D001521:Behavior Therapy / Q000379:methods; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D015528:HIV Seroprevalence / Q000639:trends; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D013287:Illicit Drugs; D008297:Male; D016485:Needle Sharing / Q000009:adverse effects*; D009820:Ohio / Q000453:epidemiology; D015397:Program Evaluation; D011619:Psychotropic Drugs; D012307:Risk Factors; D016896:Treatment Outcome; D014505:Urban Population / Q000706:statistics & numerical data
D013287:Illicit Drugs; D011619:Psychotropic Drugs