Distributive sharing among HIV-HCV co-infected injecting drug users: the preventive role of trust in one's physician

This study, based on data from the MANIF 2000 cohort study, investigates the relationship between the lending of injecting equipment, drug use, and experience with HIV care. The sample comprised 224 HIV-HCV co-infected patients who reported having injected drugs in the previous six months and their...

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Bibliographic Details
Published in:AIDS care 2012-02, Vol.24 (2), p.232-238
Main Authors: Jauffret-Roustide, Marie, Cohen, Julien, Poisot-Martin, Isabelle, Spire, Bruno, Gossop, Michael, Carrieri, M. Patrizia, the MANIF 2000 Study Group
Format: Article
Language:English
Subjects:
Addictive behaviors
Adjustment
Adult
Adult and adolescent clinical studies
AIDS/HIV
Biological and medical sciences
co-infection HIV/HCV
Cocaine
Cohort analysis
Cohort Studies
Coinfection - prevention & control
Coinfection - transmission
Disease prevention
Doctors
Drug addiction
Drug addicts
Drug use
Drug users
Female
Health behavior
Health Knowledge, Attitudes, Practice
Hepatitis
Hepatitis C - complications
Hepatitis C - prevention & control
Hepatitis C - transmission
high-risk behaviors
HIV
HIV Infections - complications
HIV Infections - prevention & control
HIV Infections - transmission
Human immunodeficiency virus
Human viral diseases
Humans
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunopathology
Infectious diseases
Injections
Intravenous drug addicts
Life Sciences
Longitudinal Studies
Male
Medical sciences
Needle Sharing - statistics & numerical data
Physician-Patient Relations
Prevention
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Regression analysis
Risk
Risk behaviour
Risk Factors
Risk-Taking
Santé publique et épidémiologie
Substance Abuse, Intravenous - complications
Trust
trust in physician
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
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Description
Summary:This study, based on data from the MANIF 2000 cohort study, investigates the relationship between the lending of injecting equipment, drug use, and experience with HIV care. The sample comprised 224 HIV-HCV co-infected patients who reported having injected drugs in the previous six months and their 538 visits to clinical services. Longitudinal data were collected for medical status, and self-reported risk behaviors. A logistic regression GEE model was used to identify correlates of distributive sharing. After multiple adjustment, patients who reported trust in physicians were significantly less likely to report lending injection equipment while cocaine users were at increased risk. Promoting dialog between physicians and injecting drug users (IDUs) may play an important role in HIV-HCV positive prevention.
ISSN:0954-0121
1360-0451
DOI:10.1080/09540121.2011.596515