Dual HIV Risk: Receptive Syringe Sharing and Unprotected Sex Among HIV-Negative Injection Drug Users in New York City

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• 作者：Alan Neaigus (1)
  Kathleen H. Reilly (1)
  Samuel M. Jenness (2)
  Holly Hagan (3)
  Travis Wendel (4)
  Camila Gelpi-Acosta (5)
  
• 关键词：HIV ; Injection drug users ; IDU ; Syringe sharing ; Unprotected sex ; New York City
• 刊名：AIDS and Behavior
• 出版年：2013
• 出版时间：September 2013
• 年：2013
• 卷：17
• 期：7
• 页码：2501-2509
• 全文大小：204KB
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• 作者单位：Alan Neaigus (1)
  Kathleen H. Reilly (1)
  Samuel M. Jenness (2)
  Holly Hagan (3)
  Travis Wendel (4)
  Camila Gelpi-Acosta (5)
  
  1. HIV/AIDS Epidemiology and Field Services Program, New York City Department of Health and Mental Hygiene, Gotham Center, 42-09 28th Street, 22nd Floor, New York, NY, 11101-4132, USA
  2. Department of Epidemiology, University of Washington, Seattle, WA, USA
  3. College of Nursing, New York University, New York, NY, USA
  4. Department of Anthropology, John Jay College of Criminal Justice, New York, NY, USA
  5. The New School for Social Research, New York, NY, USA
  

文摘

HIV-negative injection drug users (IDUs) who engage in both receptive syringe sharing and unprotected sex (“dual HIV risk- are at high risk of HIV infection. In a cross-sectional study conducted in New York City in 2009, active IDUs aged ?8?years were recruited using respondent-driven sampling, interviewed, and tested for HIV. Participants who tested HIV-negative and did not self-report as positive were analyzed (N?=?439). Adjusted odds ratios (aOR) and 95?% confidence intervals (95?% CI) were estimated using multinomial logistic regression. The sample was: 77.7?% male; 54.4?% Hispanic, 36.9?% white, and 8.7?% African-American/black. Dual risk was engaged in by 26.2?%, receptive syringe sharing only by 3.2?%, unprotected sex only by 49.4?%, and neither by 21.2?%. Variables independently associated with engaging in dual risk versus neither included Hispanic ethnicity (vs. white) (aOR?=?2.0, 95?% CI?=?1.0-.0), married or cohabiting (aOR?=?6.3, 95?% CI?=?2.5-5.9), homelessness (aOR?=?3.4, 95?% CI?=?1.6-.1), ? sex partners (aOR?=?8.7, 95?% CI?=?4.4-7.3), ? injecting partners (aOR?=?2.9, 95?% CI?=?1.5-.8), and using only sterile syringe sources (protective) (aOR?=?0.5, 95?% CI?=?0.2-.9). A majority of IDUs engaged in HIV risk behaviors, and a quarter in dual risk. Interventions among IDUs should simultaneously promote the consistent use of sterile syringes and of condoms.