Continued high risk behaviors in HIV infected drug abusers

Maria Jose Miguez-Burbano, Luisamaria Pineda-Medina, Robert Lecusay, J. Bryan Page, Gloria Castillo, Ximena Burbano, Allan Rodriguez, Noaris Rodriguez, Gail Shor-Posner

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

To characterize current risk behaviors of HIV drug abusers in the highly active antiretroviral therapy (HAART) era, socio-demographic, medical and behavioral information were obtained and immune measurements determined. High-risk sexual practices were prevalent. Participants diagnosed before 1995 were 6 times more likely to have unprotected sex with HIV+ partners (p = 0.05) and 11 times more likely to use contaminated needles (p = 0.05) than participants with later diagnosis. Consistent condom use was reported by only 7% of the cohort. Many (43%) of the participants reported multiple HIV+ and HIV-concurrent partners. Most (65%), particularly women (OR = 3, p = 0.02), did so for drugs or money. Despite detectable viral loads, 36% reported unprotected anal sex. Antiretroviral-treated men, compared to non-treated, tended to have unprotected anal sex (OR = 2, p = 0.07). The continued high-risk behaviors of HIV drug users, particularly those diagnosed before 1995 and/or on antiretroviral therapy, indicates an urgent need for new public health strategies.

Original languageEnglish (US)
Pages (from-to)67-80
Number of pages14
JournalJournal of Addictive Diseases
Volume21
Issue number4
DOIs
StatePublished - Nov 1 2002

Keywords

  • Drug abusers
  • HAART
  • HIV
  • Long-term survivors
  • Relapse

ASJC Scopus subject areas

  • Medicine (miscellaneous)

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    Miguez-Burbano, M. J., Pineda-Medina, L., Lecusay, R., Bryan Page, J., Castillo, G., Burbano, X., Rodriguez, A., Rodriguez, N., & Shor-Posner, G. (2002). Continued high risk behaviors in HIV infected drug abusers. Journal of Addictive Diseases, 21(4), 67-80. https://doi.org/10.1300/J069v21n04_07