Recruiting and Retaining Out-of-Treatment Injecting Drug Users in the Puerto Rico AIDS Prevention Project

In 1988 the National Institute on Drug Abuse (NIDA) funded the Puerto Rico AIDS Prevention Project (PRAPP), one of 41 national AIDS demonstration research programs. These projects target out-of-treatment injecting drug users (IDUs), and attempt through community-based interventions to reduce high-ri...

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Bibliographic Details
Published in:Human organization 1993-07, Vol.52 (2), p.169-175
Main Authors: FINLINSON, H. ANN, ROBLES, RAFAELA R., COLÓN, HÉCTOR M., PAGE, J. BRYAN
Format: Article
Language:English
Subjects:
Acquired Immune Deficiency Syndrome
AIDS
Communities
Disease prevention
Drug abuse
Drug Addiction
Drug dealers
Drugs
Employee recruitment
Ethnography
HIV
Human immunodeficiency virus
Illicit drugs
Intravenous drug addicts
Medical syringes
Native peoples
Outreach work
Police
Prevention
Preventive programmes
Puerto Rico
Recruitment
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Summary:In 1988 the National Institute on Drug Abuse (NIDA) funded the Puerto Rico AIDS Prevention Project (PRAPP), one of 41 national AIDS demonstration research programs. These projects target out-of-treatment injecting drug users (IDUs), and attempt through community-based interventions to reduce high-risk behaviors associated with HIV transmission. From May 1989 through July 1990, outreachers working in PRAPP recruited 1702 out-of-treatment IDUs from four high drug-use areas in metropolitan San Juan. Outreachers encountered diverse recruitment and retention problems: 1) out-of-treatment IDUs are sometimes difficult to contact; 2) IDUs are recruited frequently in high-crime areas; 3) some IDUs feel uncomfortable being tested for HIV and revealing personal information on high-risk behaviors; 4) some IDUs do not wish to obtain HIV test results; and 5) it may be difficult to maintain subjects' participation over several months from time of initial contact to follow-up interview and HIV test. This paper describes recruitment and retention problems that arose in PRAPP, and the critical role of indigenous outreach workers in resolving these problems. Solutions devised by project personnel have broader application to the question of how to deliver health care services to hard-to-reach populations.
ISSN:0018-7259
1938-3525
DOI:10.17730/humo.52.2.l7g2x26606330252