HIV risk behaviors associated with the injection process: Multiperson use of drug injection equipment and paraphernalia in injection drug user networks

Richard H. Needle, Susan Coyle, Helen Cesari, Robert T Trotter II, Michael Clatts, Stephen Koester, Laurie Price, Eleanor McLellan, Ann Finlinson, Ricky N. Bluthenthal, Todd Pierce, Jay Johnson, T. Stephen Jones, Mark Williams

Research output: Contribution to journalArticle

61 Scopus citations

Abstract

This study examines drug acquisition and multiperson use of paraphernalia, drugs, and needles/syringes. Ethnographers observed 54 injection episodes in which IDUs were linked by HIV risk behaviors, and developed a typology of higher-risk, lower-risk, and nonsharing-risk networks. Multiperson use of injection paraphernalia or drug solution occurred in most injection events (94%). Serial use of syringes/needles occurred infrequently (14%) relative to 'backloading' (37%) and reuse of paraphernalia (cookers 84%, cotton 77%, water 77%). Higher-risk injection networks were characterized by larger size and pooling of resources for drugs. Prevention messages must include avoiding reuse of injection paraphernalia and transfer of drug solution.

Original languageEnglish (US)
Pages (from-to)2403-2423
Number of pages21
JournalSubstance Use and Misuse
Volume33
Issue number12
StatePublished - 1998

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Keywords

  • Drug sharing
  • Ethnography
  • HIV/AIDS
  • Injection drug users
  • Injections networks

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Medicine (miscellaneous)
  • Psychology(all)

Cite this

Needle, R. H., Coyle, S., Cesari, H., Trotter II, R. T., Clatts, M., Koester, S., Price, L., McLellan, E., Finlinson, A., Bluthenthal, R. N., Pierce, T., Johnson, J., Jones, T. S., & Williams, M. (1998). HIV risk behaviors associated with the injection process: Multiperson use of drug injection equipment and paraphernalia in injection drug user networks. Substance Use and Misuse, 33(12), 2403-2423.