Preventing HIV transmission among marginalized injection drug users: New insights from a Québec City based research

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• 作者：Franç ; oise Cô ; té ; Gaston Godin ; Sarah-Amé ; lie Mercure ; Lina Noë ; l and Michel Alary
• 关键词：Intention ; Self-efficacy ; Prevention ; IDUs ; Needle exchange ; Shooting galleries
• 刊名：The International Journal of Drug Policy
• 出版年：2006
• 出版时间：September 2006
• 年：2006
• 卷：17
• 期：5
• 页码：411-417
• 全文大小：158 K

文摘

Persons who inject drugs and attend shooting galleries are at high-risk of HIV-seroconversion. However, this population does not easily lend itself to classical HIV-transmission prevention strategies such as increased access to sterile injection material, community outreach and long term drug use treatment. To identify factors likely to be useful in designing specific interventions for this population, a questionnaire assessing social cognitive and sociodemographic variables was administered to 92 injection drug users attending shooting galleries (SG attendees). A follow-up interview was held 6 months later among 40 participants. Factors assessed where used to build models predicting SG attendees’ intention (n = 88) and behaviour (n = 37) not to inject with syringes used by others. SG attendees’ intention to adopt a safe injection practice was determined by self-efficacy and perceived behavioural control whereas behaviour was predicted by self-efficacy. Models were not affected by other variables such as gender, age, HIV serostatus, or past sharing behaviour. Considering the high HIV prevalence found among the study population (22 % ), it is concluded that SG attendees should be given tools to improve their capacity to adopt safe injection practices. Our results suggest that working on their self-efficacy might prove an effective way to intervene among this population.