HIV Prevention Among Injection Drug Users: The Need for Integrated Models

Metzger, David S.

doi:10.1093/jurban/jtg083

Cited by 44 publications

(33 citation statements)

References 36 publications

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“…Counselors and other staff could include a history of incarceration in their clinical assessment, and use this as a marker for HIV risk. Peer-led prevention interventions, a successful approach among IDUs (Latkin 1998), could target previously incarcerated men, which would move the focus beyond the individual level to social network and community norms (Metzger and Navaline 2003).…”

Section: Discussionmentioning

confidence: 99%

Increased HIV Risk Associated with Criminal Justice Involvement among Men on Methadone

et al. 2007

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This paper examines the relationship between HIV risk and criminal justice involvement among a random sample of 356 men enrolled in methadone maintenance treatment programs in New York City. Bivariate and logistic regression analyses were performed to estimate the associations between measures of criminal justice involvement and participant HIV risk, controlling for sociodemographic variables. A lifetime history of incarceration was significantly associated with being HIV positive (Adjusted OR = 5.08). Recent arrest was associated with unprotected vaginal sex and having multiple female sexual partners. Sex trading was associated with both arrest and incarceration, and the strongest association was found between selling sex and recent incarceration (Adjusted OR = 5.69). Results suggest that recent criminal justice involvement among men with substance abuse histories is associated with increased HIV risk behaviors. Findings underscore the need for targeted HIV prevention efforts for men on methadone with a recent history of arrest or incarceration.

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Section: Discussionmentioning

confidence: 99%

Increased HIV Risk Associated with Criminal Justice Involvement among Men on Methadone

et al. 2007

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“…Over ten million (78%) live in developing and transitional countries (Eastern Europe and Central Asia, 3.1 mil-The most widely advocated approach for prevention of HIV transmission among drug users has been drug abuse treatment 10 . Early clinical trials have shown that methadone treatment reduces drug use although relapse is frequent 11 .…”

Section: Scope Of the Problemmentioning

confidence: 99%

Access to highly active antiretroviral therapy for injection drug users: adherence, resistance, and death

Vlahov

Celentano

2006

Cad. Saúde Pública

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“…Several studies examined different types of targeted interventions to reduce sexual risks with varying results, but most achieving some level of success (Rietmeijer et al, 1996;Sterk et al, 2003). Nevertheless, in many of the studies, levels of unprotected sex remained high even with reductions (Dolezal et al, 1999), and despite the success of specific interventions, they have not been implemented on any large scale (Metzger and Navaline, 2003;Strathdee and Sherman, 2003).…”

Section: Discussionmentioning

confidence: 99%

“…A recent meta-analysis of sexual behavior interventions among IDUs in the United States concluded that, while an overall moderate decrease in risk behaviors indicated that these interventions can lead to behavior change among IDUs, better programs with stronger effects are needed (Semaan et al, 2002). In addition, a review of sexual risk reduction interventions indicated that while some have found success, there has not been a concerted effort to implement these programs (Metzger and Navaline, 2003;Strathdee and Sherman, 2003).…”

Section: Discussionmentioning

confidence: 99%

Sexual Risk Behavior Among Injection Drug Users Before Widespread Availability of Highly Active Antiretroviral Therapy

et al. 2005

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HIV testing and counseling has been associated with reductions in risk behaviors in some populations. This study examined whether involvement in a long-term study, including exposure to repeated HIV testing and counseling, was associated with increased condom use among injection drug users (IDUs) through a retrospective analysis of an IDU cohort from Baltimore, MD, during 1994-1998. Eligibility included being aged 18 years or older, injecting within 10 years and not having initiated antiretroviral therapy. A logistic model of high versus low risk, based on condom use, was used. Of 322 eligible IDUs, most were male (66%) and African-American (94%). No significant change in the odds of inconsistent condom use was observed with continued study exposure. Condom use remained low, indicating a need for interventions to reduce sexual risks and HIV transmission in this population.

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HIV Prevention Among Injection Drug Users: The Need for Integrated Models

Abstract: Opportunistic infections (OIs) were first recognized among injection drug users (IDUs)

Cited by 44 publications

References 36 publications

Increased HIV Risk Associated with Criminal Justice Involvement among Men on Methadone

Increased HIV Risk Associated with Criminal Justice Involvement among Men on Methadone

Access to highly active antiretroviral therapy for injection drug users: adherence, resistance, and death

Sexual Risk Behavior Among Injection Drug Users Before Widespread Availability of Highly Active Antiretroviral Therapy

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