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Continued high risk behaviors in HIV infected drug abusers
Division of Disease Prevention, Department of Psychiatry and Behavioral Sciences, University of Miami School of Medicine, Miami, United States.
Division of Disease Prevention, Department of Psychiatry and Behavioral Sciences, University of Miami School of Medicine, Miami, United States.
Division of Disease Prevention, Department of Psychiatry and Behavioral Sciences, University of Miami School of Medicine, Miami, United States.
Division of Disease Prevention, Department of Psychiatry and Behavioral Sciences, University of Miami School of Medicine, Miami, FL, United States.
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2002 (English)In: Journal of Addictive Diseases, ISSN 1055-0887, E-ISSN 1545-0848, Vol. 21, no 4, p. 67-80Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2002. Vol. 21, no 4, p. 67-80
Keywords [en]
relapse, drug abusers, HIV, long-term survivors, HAART
National Category
Substance Abuse
Identifiers
URN: urn:nbn:se:hj:diva-27955DOI: 10.1300/J069v21n04_07ISI: 000178711900007PubMedID: 12296503Scopus ID: 2-s2.0-0036403010OAI: oai:DiVA.org:hj-27955DiVA, id: diva2:854395
Available from: 2015-09-16 Created: 2015-09-16 Last updated: 2017-12-04Bibliographically approved

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