HIV risk behaviors associated with the injection process: multiperson use of drug injection equipment and paraphernalia in injection drug user networks |
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Authors: | RH Needle S Coyle H Cesari R Trotter M Clatts S Koester L Price E McLellan A Finlinson RN Bluthenthal T Pierce J Johnson TS Jones M Williams |
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Affiliation: | National Institute on Drug Abuse, Rockville, Maryland 20857, USA. rh28e@nih.gov |
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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. |
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