title: Linking injection drug users to medical services: role of street outreach referrals.
abstract: Street outreach workers in HIV prevention have expanded their role to include referring injection drug users to medical services. However, little is known about whether drug users act on these referrals. The study discussed in this article examined the level of exposure to street outreach reported by injection drug users, the most common medical referrals acted on as a result of such contacts, and the predictors of acting on these referrals. Findings indicate that injection drug users with four or more contacts with street outreach workers during the preceding six months were more likely to report acting on referrals. To maximize the relevance of outreach for encouraging medical treatment, both street outreach workers and social workers in health care could benefit from cross training that focuses on strengthening the referral process.
authors.affiliation: National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. jbg2@cdc.gov
authors.forename: J B
authors.initials: JB
authors.lastname: Greenberg
authors.forename: R
authors.initials: R
authors.lastname: MacGowan
authors.forename: M
authors.initials: M
authors.lastname: Neumann
authors.forename: A
authors.initials: A
authors.lastname: Long
authors.forename: R
authors.initials: R
authors.lastname: Cheney
authors.forename: D
authors.initials: D
authors.lastname: Fernando
authors.forename: C
authors.initials: C
authors.lastname: Sterk
authors.forename: W
authors.initials: W
authors.lastname: Wiebel
mesh_terms: D000328:Adult; D003159:Community-Institutional Relations; D005260:Female; D015658:HIV Infections / Q000209:etiology / Q000517:prevention & control*; D006297:Health Services Accessibility; D006801:Humans; D016015:Logistic Models; D008297:Male; D016017:Odds Ratio; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012947:Social Work; D015819:Substance Abuse, Intravenous / Q000150:complications*; D011795:Surveys and Questionnaires; D014481:United States