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M9460723.TXT
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1994-06-25
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Document 0723
DOCN M9460723
TI Longitudinal changes in injection behaviors in a cohort of injection
drug users.
DT 9408
AU Saxon AJ; Calsyn DA; Jackson TR; Seattle Veterans Affairs Medical
Center, Washington 98108.
SO Addiction. 1994 Feb;89(2):191-202. Unique Identifier : AIDSLINE
MED/94227715
AB To determine how the injecting behaviors of injection drug users (IDUs)
change over time in the context of the epidemic of acquired
immunodeficiency syndrome (AIDS) and what factors may be associated with
such changes, a cohort of IDUs (n = 313) initially in treatment provided
structured interviews regarding drug injecting behaviors. Repeat
interviews in 18 months assessed behavior change in subjects who could
be contacted for follow-up (n = 220, 70.3%). The study occurred in a
state where sterile syringes can be purchased without prescription in
drug stores. Injection drug use occurred for 180 (81.8%) of the 220
subjects in the 12 months prior to the initial interview but in only 121
(55.0%) in the 10 months prior to the follow-up interview (p < 0.0001).
Similarly, sharing of equipment decreased from 63.1% to 31.8% (p <
0.0001). Sharing with multiple partners declined from 41.9% to 10.6% (p
< 0.0001). Factors associated with ongoing risk included use of injected
and non-injected psychoactive substances, less time in drug dependence
treatment during follow-up interval, having a sexual partner who was an
IDU and not using a drug store as the primary source of syringes.
Factors associated with multiple-partner sharing included use of
psychoactive substances, younger age and nonwhite race.
DE Cohort Studies Follow-Up Studies Human HIV Infections/PREVENTION &
CONTROL/PSYCHOLOGY/*TRANSMISSION HIV Seroprevalence/*TRENDS Knowledge,
Attitudes, Practice Longitudinal Studies Narcotic
Dependence/EPIDEMIOLOGY/PSYCHOLOGY/REHABILITATION Needle
Sharing/ADVERSE EFFECTS/STATISTICS & NUMER DATA *Psychotropic Drugs
Sexual Partners/PSYCHOLOGY *Street Drugs Substance Abuse,
Intravenous/*EPIDEMIOLOGY/PSYCHOLOGY/ REHABILITATION Support, U.S.
Gov't, Non-P.H.S. Support, U.S. Gov't, P.H.S. Washington/EPIDEMIOLOGY
JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).