Gender, Transience, Network Partnerships and Risky Sexual Practices Among Young Persons who Inject Drugs

Hotton, Anna L.; Boodram, Basmattee

doi:10.1007/s10461-016-1555-y

Cited by 13 publications

(7 citation statements)

References 42 publications

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“…We did not find a statistically significant association between the level of risk of contracting DRID and gender (each included DRID together). This data is in contrast to the research of Hill et al (12) and Hotton and Boodram (13), who describe a higher level of risk of getting DRID due to a higher number of sexual partners and the frequency of having sex. Another study placed women at a higher risk than men for contracting DRID (14).…”

Section: Discussioncontrasting

confidence: 99%

Analysis of drug-related infectious diseases in people who inject drugs - Pilsen Region, 2003-2018

Sekera

Frýbert²

2022

Cent Eur J Public Health

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Objectives:The aim of the study is to analyse drug-related infectious diseases (DRID) rates for people who inject drugs (PWID) in the Pilsen Region in order to identify the main determiners of infection risk and also to provide a foundation for comparison between this region and the others in the Czech Republic.Methods: In a descriptive cross-sectional study, we analysed the Pilsen Region's data on PWID. The data was transcribed from the 2003 to 2018 internal database of the Ulice Outreach Programme. In addition to the data regarding the testing of DRID, we analysed commercial sex work (CSW) and the PWID's duration of drug use, age and current address. The statistical analysis was performed using SPSS, primarily employing logistic regression (i.e., backward elimination method) to explore predictors of seropositivity. Moreover, we calculated its prevalence from an epidemiological perspective.Results: In total, 384 PWID were tested, from which 54.7% were males, and 84.1% were from Pilsen. The average age for initiation of using drug was 19.37 years. The most used drug was methamphetamine (64.8%), 77 women (20.1%) were reported to be CSW. The prevalence of DRID was as follows: hepatitis C virus (HCV) 37.24%, syphilis 1.82%, hepatitis B virus (HBV) 0.78%, and HIV infection 0.26%. The analysis showed that men had a lower risk of syphilis than women. Individuals who started their drug use via injection had a 1.365-times higher risk of DRID in comparison to those who initiated intravenous drug use later in their drug-using lives. We identified a significant association between the drug type and the risk of HCV infection: the main predictor of seropositivity was the use of fentanyl, which posed a 1.930-times higher risk than in the case of methamphetamine.Conclusions: This study is the first descriptive cross-sectional study implemented in the Pilsen Region in the Czech Republic with a focus on the subpopulation of PWID with individual data. A high prevalence of HCV infection still persists but the prevalence of HBV and HIV infections in this study (and generally in the Czech Republic) is relatively low compared to foreign studies. Syphilis is not closely associated with injecting-drug use, but rather with the sexual behaviour of the people who use drugs intravenously. The most important predictor of seropositivity for syphilis was CSW. We also found the duration of being a CSW to be significant influence. The women who had been CSWs for less than 5 years had a significantly lower risk of syphilis than those who had prostituted for more than 5 years.

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Section: Discussioncontrasting

confidence: 99%

Analysis of drug-related infectious diseases in people who inject drugs - Pilsen Region, 2003-2018

Sekera

Frýbert²

2022

Cent Eur J Public Health

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“…We conducted a cross-sectional personal (egocentric) network study of 164 young PWID and their injection, social support, and sexual networks. Detailed descriptions of sample recruitment, study design, and data collection methods are previously described [29,30].…”

Section: Subjects and Recruitmentmentioning

confidence: 99%

High-Risk Geographic Mobility Patterns among Young Urban and Suburban Persons who Inject Drugs and their Injection Network Members

et al. 2017

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Young people in the USA who inject drugs, particularly those at a risk of residence instability, experience the highest incidence of hepatitis C (HCV) infections. This study examined associations between geographic mobility patterns and sociodemographic, behavioral, and social network characteristics of 164 young (ages 18-30) persons who inject drugs (PWID). We identified a potential bridge sub-population who reported residence in both urban and suburban areas in the past year (crossover transients) and higher-risk behaviors (receptive syringe sharing, multiple sex partners) compared to their residentially localized counterparts. Because they link suburban and urban networks, crossover transients may facilitate transmission of HIV and HCV between higher and lower prevalence areas. Interventions should address risk associated with residential instability, particularly among PWID who travel between urban and suburban areas.

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“…Models commonly used to explain individual variation in risky behavior have included factors such as knowledge, beliefs, attitudes, and behavioral skills as predictors (Bandura, 1994;Fishbein & Middlestadt, 1989;Fisher, Fisher, & Harman, 2003). Environmental and contextual factors are also important (Boodram, Golub, & Ouellet, 2010;Boodram, Hotton, Shekhtman, Gutfraind, & Dahari, 2018;Boodram, Mackesy-Amiti, & Latkin, 2015;German, Davey, & Latkin, 2007;Hotton & Boodram, 2017;Roy et al, 2011), especially in relation to planning public health responses, including harm reduction, increased testing, linkage to care, and availability of curative direct-acting antiviral (DAA) HCV therapy (Boodram et al, 2020;National Academies of Sciences Engineering and Medicine, 2016;Platt et al, 2018). The role of affect and emotion regulation in determining injection risk behavior, on the other hand, has received little attention.…”

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confidence: 99%

Negative affect, affect-related impulsivity, and receptive syringe sharing among people who inject drugs

Mackesy‐Amiti¹,

Boodram²,

Donenberg³

2019

Preprint

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Receptive syringe sharing (RSS) among people who inject drugs (PWID) is a risk factor for hepatitis C virus and HIV infections. PWID with borderline personality disorder (BPD) have increased risk of RSS, but it remains unclear what drives this association. This study used ecological momentary assessment (EMA) to study characteristics associated with BPD, and RSS among PWID. We recruited PWID, age 18-35, through two Community Outreach Intervention Projects syringe service program sites in Chicago, Illinois, USA. After a baseline interview, participants used a mobile phone app to respond to momentary surveys on mood, substance use, and injection risk behavior for two weeks. For each momentary assessment, ratings on negative mood descriptors were combined to create measures of total negative affect (NA), and NA components of dejection, shame, anger, irritability, and worry. RSS was defined by participant responses indicating that they had used a syringe that someone else had used. We estimated mixed effects logistic models, regressing RSS on baseline affect-related impulsivity, lagged momentary NA, and the interaction term. Out of 163 participants who completed at least two EMA assessments, 152 (93%) reported at least one injection event and had valid pre-injection mood assessments required to be included in the analysis. We found that affect-related impulsivity, combined with worried mood in the hours preceding the injection episode, predicted increased risk of RSS. PWID having difficulties with emotion regulation may be at increased risk of RSS during periods of anxiety or tension.

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Gender, Transience, Network Partnerships and Risky Sexual Practices Among Young Persons who Inject Drugs

Cited by 13 publications

References 42 publications

Analysis of drug-related infectious diseases in people who inject drugs - Pilsen Region, 2003-2018

Analysis of drug-related infectious diseases in people who inject drugs - Pilsen Region, 2003-2018

High-Risk Geographic Mobility Patterns among Young Urban and Suburban Persons who Inject Drugs and their Injection Network Members

Negative affect, affect-related impulsivity, and receptive syringe sharing among people who inject drugs

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