HIV risk behaviors and alcohol intoxication among injection drug users in Puerto Rico

Matos, Tomás D.; Robles, Rafaela R.; Sahai, Hardeo; Colón, Héctor M.; Reyes, Juan C.; Marrero, C A; Calderón, José Meneses; Shepard, Elizabeth

doi:10.1016/j.drugalcdep.2004.05.007

Cited by 31 publications

(32 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This result is consistent with the results of previous studies that reported a statistically significant relationship between alcohol use and needle sharing (Matos et al, 2004;Stein, Hanna, Natarajan, Clarke, & Marisi, 2000). Perhaps alcohol use is a behaviour that is not commonly addressed by HIV prevention interventions for IDUs in Nepal.…”

Section: Discussionsupporting

confidence: 93%

Correlates of sharing injection equipment among male injecting drug users in Kathmandu, Nepal

Poudel

Poudel‐Tandukar

Yasuoka

et al. 2010

International Journal of Drug Policy

View full text Add to dashboard Cite

a b s t r a c tBackground: HIV prevalence is high and risky injection practices occur frequently among injecting drug users (IDUs) in Nepal. We explored the correlates of sharing injection equipment (having injected with a needle or syringe previously used by another) among male IDUs in Kathmandu, Nepal. Methods: From August to September 2007, we anonymously interviewed 296 male IDUs in Kathmandu, Nepal, using a structured questionnaire. We performed bivariate and multivariable logistic regression analysis and identified variables associated with sharing injection equipment. Results: Over half (n = 152) of the participants reported injecting drugs with a needle or syringe previously used by another in the past year. Of these, 70% reported engaging in sharing injection equipment with multiple persons. The unavailability of new needles and drinking alcohol were independently associated with sharing injection equipment among the study participants. Conclusions: IDUs who drank alcohol or who could not obtain new needles when needed were more likely to share injection equipment. Our results suggest that reducing alcohol use and increasing the availability of new needles and syringes might improve safer injection practices among male IDUs in Kathmandu, Nepal.

show abstract

Section: Discussionsupporting

confidence: 93%

Correlates of sharing injection equipment among male injecting drug users in Kathmandu, Nepal

Poudel

Poudel‐Tandukar

Yasuoka

et al. 2010

International Journal of Drug Policy

View full text Add to dashboard Cite

show abstract

“…Further, with consideration of recent recommendations by Schaefer et al (2004) that HCV treatment not be limited by active injection drug use or depression, heavy, untreatable alcohol use may soon be considered one of the few significant contraindications to treatment for HCV. Finally, if alcohol use is more than a mere marker for high-risk behavior and, in fact, contributes to unsafe injection practices (Matos et al, 2004;Stein et al, 2000), addressing alcohol use in this young IDU population may have the added benefit of decreasing HCV transmission.…”

Section: Discussionmentioning

confidence: 99%

High prevalence of alcohol use among hepatitis C virus antibody positive injection drug users in three US cities

Campbell

Hagan

Latka

et al. 2006

Drug and Alcohol Dependence

View full text Add to dashboard Cite

Injection drug users (IDUs) acquire the majority of new hepatitis C virus (HCV) infections and frequently use alcohol. Alcohol abuse accelerates liver disease among HCV-infected persons, can reduce the effectiveness of treatment for HCV infection and may be a contraindication for HCV treatment. HCV seropositive, HIV-negative IDUs aged 18-35 years in Baltimore, New York City and Seattle who were enrolled in a behavioral risk-reduction intervention trial underwent computerized self-interviews to assess baseline alcohol use and dependence and medical history. We measured problem alcohol use using the 10-item Alcohol Use Disorders Identification Test (AUDIT) scale. Of 598 participants, 84% responded "false" to: "it is safe for a person with HCV to drink alcohol". Problem drinking, defined as score ≥ 8 on AUDIT, was identified in 37%. Correlates of scoring ≥ 8 on AUDIT included homelessness, male gender, primarily injecting speedballs, having injected with used needles, prior alcohol treatment and depression. Although most HCV seropositive IDUs in our sample appear informed about their increased risk of liver disease from alcohol, twofifths screened positive for problem alcohol use. These findings underscore the importance of referring HCV-positive persons to effective alcohol treatment programs to reduce future liver damage and improve eligibility for and effectiveness of treatment of HCV.

show abstract

“…Among IDUs, alcohol consumption and binge drinking in particular have been found to be associated with needle sharing (Arasteh and Des Jarlais, 2009;Matos et al, 2004;Poudel et al, 2010;Stein et al, 2000), multiple sex partners (Arasteh and Des Jarlais, 2009Chan et al, 2010Matos et al, 2004Poudel et al, 2010), sex under the influence of alcohol and/or drugs (Chan et al, 2010), sex with CSWs (Arasteh and Des Jarlais, 2009), sex with a paying customer (Matos et al, 2004), unprotected sex (Arasteh and Des Jarlais, 2009;Chan et al, 2010;Jenness et al, 2010;Matos et al, 2004), and injecting three or more times a day (Matos et al, 2004). For example, the odds ratio for sharing needles while intoxicated (compared to being sober) was 2.1 (CI 1.1-4.3) in a sample of 557 IDUs (89.4% male) (Matos et al, 2004). In the same sample, alcohol intoxication is associated with exchanging sex for money or drugs (Matos et al, 2004).…”

Section: Injecting Drug Usersmentioning

confidence: 99%

“…For example, the odds ratio for sharing needles while intoxicated (compared to being sober) was 2.1 (CI 1.1-4.3) in a sample of 557 IDUs (89.4% male) (Matos et al, 2004). In the same sample, alcohol intoxication is associated with exchanging sex for money or drugs (Matos et al, 2004). Increasing alcohol use and alcohol addiction was associated with more frequent needle sharing and increased HIV transmission in a population of 196 (68% male, 85% white) active IDUs in care (Stein et al, 2000).…”

Section: Injecting Drug Usersmentioning

confidence: 99%

The Relationship Between Alcohol Consumption and Human Immunodeficiency Virus Infection and Risk Behaviour: A Systematic Literature Review of High-Risk Groups, with a Focus on South Africa

Neuman¹,

Schneider²,

Nanau³

et al. 2012

Public Health - Social and Behavioral Health

View full text Add to dashboard Cite

HIV risk behaviors and alcohol intoxication among injection drug users in Puerto Rico

Cited by 31 publications

References 20 publications

Correlates of sharing injection equipment among male injecting drug users in Kathmandu, Nepal

Correlates of sharing injection equipment among male injecting drug users in Kathmandu, Nepal

High prevalence of alcohol use among hepatitis C virus antibody positive injection drug users in three US cities

The Relationship Between Alcohol Consumption and Human Immunodeficiency Virus Infection and Risk Behaviour: A Systematic Literature Review of High-Risk Groups, with a Focus on South Africa

Contact Info

Product

Resources

About