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1994-08-27
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Document 0663
DOCN M9480663
TI A comparison of male and female intravenous drug users' risk behaviors
for HIV infection.
DT 9410
AU Freeman RC; Rodriguez GM; French JF; Data Analysis and Epidemiology
Unit, Division of Alcoholism, Drug; Abuse, and Addiction Services, New
Jersey State Department of; Health, Newark.
SO Am J Drug Alcohol Abuse. 1994;20(2):129-57. Unique Identifier : AIDSLINE
MED/94317628
AB Despite the central role played by female intravenous drug users (IVDUs)
in the worsening AIDS statistics of states in the northeastern United
States, the relative paucity of research into the HIV risk
behaviors--particularly risky needle practices--of female drug
injections has left significant gaps in researchers' understanding of
how and to what extent such women may differ in their risks from their
better-studied male counterparts. This study, derived from a sample of
769 out-of-treatment IVDUs residing in an area (Paterson, New Jersey)
characterized by high levels of AIDS and HIV infection among drug users,
attempts to address this lacuna in the research literature by comparing
the drug usage, AIDS knowledge, and needle and sexual behaviors of male
and female IVDUs that place them at risk for HIV infection. In this
sample, gender was found to be unrelated to HIV serostatus, injection
frequency and injected drug of choice, and to most dimensions of
knowledge about AIDS and the means of HIV transmission. Overall, it
appears that the average Paterson female IVDU may be at greater risk for
HIV infection as a result of involvement with a drug-using sex partner
than because of especially risky needle practices, for females in this
sample were significantly more likely than males to report injecting
with a sex partner in the previous 6 months, and female IVDUs with one
sex partner were more than twice as likely as males with one partner to
report that this individual was an IVDU. Condom use was relatively rare,
particularly among those with one partner. Moreover, female IVDUs were
significantly more likely than males to be daily users of crack cocaine,
and significantly more likely to report poorer health. However, current
needle and sexual practices were found to be unrelated to HIV
seropositivity among both males and females. In logistic regression
analysis, only length of IV drug involvement was found to be
independently associated with HIV seropositivity for both sexes.
Implications of the data for future prevention efforts aimed at female
IVDUs are discussed.
DE Adolescence Adult Aged Blacks/*PSYCHOLOGY Comparative Study Female
*Gender Identity Health Behavior Human HIV Infections/PREVENTION &
CONTROL/PSYCHOLOGY/*TRANSMISSION Knowledge, Attitudes, Practice Male
Middle Age Needle Sharing/PSYCHOLOGY New Jersey *Risk-Taking Sexual
Partners/PSYCHOLOGY Social Environment Substance Abuse,
Intravenous/*COMPLICATIONS/PSYCHOLOGY/ REHABILITATION Support, U.S.
Gov't, P.H.S. *Urban Population JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).