Correlates of lending needles/syringes among HIV-seropositive injection drug users

Lisa R. Metsch, Margaret Pereyra, David W. Purcell, Carl A. Latkin, Robert Malow, Cynthia A. Gómez, Mary H. Latka

Research output: Contribution to journalArticlepeer-review

28 Scopus citations


Among HIV-positive injection drug users (IDUs), we examined the correlates of lending needles/syringes with HIV-negative and unknown status injection partners. HIV-positive IDUs (N = 738) from 4 cities in the United States who reported injection drug use with other IDUs in the past 3 months participated in an audio computer-assisted self-administered interview. Eighteen percent of study participants self-reported having lent their needles to HIV-negative or unknown status injection partners. Multivariate analyses showed that 6 variables were significantly associated with this high-risk injecting practice. Older IDUs, high school graduates, and those reporting more supportive peer norms for safer drug use were less likely to lend needles/syringes. Admission to a hospital for drug treatment in the past 6 months, having injected with >1 person in the past 3 months, and having more psychiatric symptoms were all associated with more risk. These findings underscore the need for a continued prevention focus on HIV-positive IDUs that recognizes the combination of drug use, mental health factors, and social factors that might affect this high-risk injecting practice, which could be associated with HIV and hepatitis C transmission.

Original languageEnglish (US)
Pages (from-to)S72-S79
JournalJournal of Acquired Immune Deficiency Syndromes
Issue numberSUPPL. 2
StatePublished - Nov 1 2007


  • HIV
  • Injection drug use
  • Injection drug use equipment
  • Injection risk behavior
  • Seropositive

ASJC Scopus subject areas

  • Virology
  • Immunology


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