title: Social support and zero sharing risk among hazardously drinking injection drug users.
abstract: We compared the sociodemographic, drug use, and social support characteristics of injection drug users (IDUs) who reported at least 6 months having not "shared needles or works" (zero sharing risk) with those who reported recent equipment sharing. 187 AUDIT-positive (>8), active IDUs were recruited between February 1998 and October 1999 from a needle exchange program in Providence, RI. The sample was 64% male and 87% white, with a mean age of 36 years, and 32% of subjects reported zero sharing risk in the prior 6 months. Variables having significant (P<.05) associations with zero sharing risk included: older age, lower heroin use frequency, lower cocaine use, and increased frequency of needle exchange visits. As social support from friends increased, the likelihood of sharing decreased. Subjects with substance-using friends or partners were significantly more likely to share than those without such associations (OR = 9.4; P<.05). Social support and social network composition influenced sharing behaviors in active, out-of-treatment drug injectors. Interventions that mobilize social support may increase the possibility of zero sharing, an important public health goal.
authors.affiliation: Brown Medical School, Providence, RI 02912, USA. mstein@lifespan.org
authors.forename: Michael D
authors.initials: MD
authors.lastname: Stein
authors.forename: Anthony
authors.initials: A
authors.lastname: Charuvastra
authors.forename: Bradley J
authors.initials: BJ
authors.lastname: Anderson
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000523:psychology*; D005260:Female; D006801:Humans; D016013:Likelihood Functions; D016015:Logistic Models; D008297:Male; D016485:Needle Sharing / Q000523:psychology*; D012237:Rhode Island; D040242:Risk Reduction Behavior; D012931:Social Environment; D012944:Social Support; D015819:Substance Abuse, Intravenous / Q000523:psychology* / Q000534:rehabilitation