Sexual risk behavior associated with transition to injection among young non-injecting heroin users.
The aim of this study was to investigate the effects of transitioning from non-injection heroin use to injection drug use on sexual risk behavior. Non-injecting heroin users age 16-30 were enrolled from 2002 to 2005, and were re-interviewed at 6-month intervals for up to three years; 561 participants completed at least one follow-up interview. The majority of participants were non-Hispanic (NH) Black (54 %), 23 % were Hispanic, and 21 % were NH white. During follow-up, 154 participants (27.5 %) transitioned to injecting drugs. Logistic regression analyses were conducted using generalized estimating equations (GEE) to estimate the effect of transition to injection drug use on changes in sexual risk behavior during follow-up. Transition to injection drug use during follow-up was associated with increased likelihood of sexual risk behavior, especially for men. Harm reduction efforts that focus on preventing initiation or return to injection among non-injecting drug users may also ameliorate HIV sexual risk behaviors.
Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, 1603 W. Taylor Street, Chicago, IL 60612, USA. mmamiti@uic.edu
Mary Ellen
ME
Mackesy-Amiti
Basmattee
B
Boodram
Chyvette
C
Williams
Lawrence J
LJ
Ouellet
Dita
D
Broz
D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data; D002641:Chicago; D003430:Cross-Sectional Studies; D057915:Drug Substitution; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000208:ethnology / Q000517:prevention & control / Q000635:transmission; D003932:Heroin / Q000008:administration & dosage*; D006556:Heroin Dependence / Q000453:epidemiology* / Q000208:ethnology / Q000523:psychology; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D012959:Socioeconomic Factors; D015819:Substance Abuse, Intravenous / Q000453:epidemiology* / Q000208:ethnology / Q000523:psychology; D047568:Unsafe Sex / Q000187:drug effects / Q000208:ethnology / Q000523:psychology / Q000706:statistics & numerical data*; D044465:White People / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult
D003932:Heroin