TY - JOUR
T1 - Continued high risk behaviors in HIV infected drug abusers
AU - Miguez-Burbano, Maria Jose
AU - Pineda-Medina, Luisamaria
AU - Lecusay, Robert
AU - Bryan Page, J.
AU - Castillo, Gloria
AU - Burbano, Ximena
AU - Rodriguez, Allan
AU - Rodriguez, Noaris
AU - Shor-Posner, Gail
N1 - Funding Information:
Sources of financial support: NIDA RO1DA12792 (GSP) NIH-FOGARTY D4 3TWOO17 (GSP).
PY - 2002
Y1 - 2002
N2 - 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.
AB - 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.
KW - Drug abusers
KW - HAART
KW - HIV
KW - Long-term survivors
KW - Relapse
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U2 - 10.1300/J069v21n04_07
DO - 10.1300/J069v21n04_07
M3 - Article
C2 - 12296503
AN - SCOPUS:0036403010
VL - 21
SP - 67
EP - 80
JO - Journal of Addictive Diseases
JF - Journal of Addictive Diseases
SN - 1055-0887
IS - 4
ER -