Changes in the Sharing of Drug Injection Equipment among Street-Recruited Injection Drug Users in Chicago, Illinois, 1994-1996

This study examines changes in the multi-person use of drug injection paraphernalia during the mid-1990s, a time of increasing awareness of HIV transmission modes and availability of prevention programs. Beginning in 1994, 794 street-recruited injection drug users in Chicago were interviewed and fol...

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Bibliographic Details
Published in:Substance use & misuse 2005, Vol.40 (1), p.63-76
Main Authors: Huo, Dezheng, Bailey, Susan L., Garfein, Richard S., Ouellet, Lawrence J.
Format: Article
Language:English
Subjects:
Acquired Immune Deficiency Syndrome
Addictive behaviors
Adolescent
Adult
Adult and adolescent clinical studies
Biological and medical sciences
Changes
Chicago
Chicago, Illinois
Drug Abuse
Drug Injection
Female
Fundamental and applied biological sciences. Psychology
Health Knowledge, Attitudes, Practice
Health Surveys
Hepatitis C - prevention & control
Hepatitis C - transmission
HIV
HIV infections
HIV Infections - prevention & control
HIV Infections - transmission
Humans
Intravenous drug addicts Needle sharing
intravenous substance abuse
Longitudinal studies
Male
Medical sciences
Middle Aged
Needle Sharing
Needle Sharing - trends
needle-exchange program
Needle-Exchange Programs - trends
Prevention
Psychoanalysis
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Substance Abuse
Substance Abuse, Intravenous - epidemiology
Syringes
Urban Population - statistics & numerical data
USA
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Summary:This study examines changes in the multi-person use of drug injection paraphernalia during the mid-1990s, a time of increasing awareness of HIV transmission modes and availability of prevention programs. Beginning in 1994, 794 street-recruited injection drug users in Chicago were interviewed and followed at 6 and 12 months postbaseline. Random-effects, pattern-mixture logistic regression models were used to determine correlates of five injection-equipment sharing practices, while accounting for repeated measurement and study attrition. At baseline, 45.7% of participants reported receptive syringe sharing in the previous 6 months. Syringe-mediated sharing was reported by 28.7% of participants and the sharing of cookers (65.1%), cotton filters (55.7%), and rinse water (46.9%) was common. During follow-up, the proportion of all sharing behaviors decreased significantly, especially receptive syringe sharing. Participation in a syringe exchange program was associated with reductions in receptive syringe sharing and syringe-mediated sharing, but not the sharing of cookers.
ISSN:1082-6084
1532-2491
DOI:10.1081/JA-200030495