1.
Public Health Rep
; 113 Suppl 1: 4-18, 1998 Jun.
Article
in English
| MEDLINE
| ID: mdl-9722806
Subject(s)
Community-Institutional Relations , HIV Infections/prevention & control , HIV Infections/transmission , Public Health/trends , Substance-Related Disorders/complications , Disease Transmission, Infectious/prevention & control , Humans , Preventive Health Services , Primary Prevention/methods , United States
2.
Subst Use Misuse
; 33(12): 2403-23, 1998 Oct.
Article
in English
| MEDLINE
| ID: mdl-9781822
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.