HIV risk behaviors associated with the injection process: Multiperson use of drug injection equipment and paraphernalia in injection drug user networks

Richard H. Needle; Susan Coyle; Helen Cesari; Robert Trotter; Michael Clatts; Stephen Koester; Laurie Price; Eleanor McLellan; Ann Finlinson; Ricky N. Bluthenthal; Todd Pierce; Jay Johnson; T. Stephen Jones; Mark Williams

doi:10.3109/10826089809059332

HIV risk behaviors associated with the injection process: Multiperson use of drug injection equipment and paraphernalia in injection drug user networks

Richard H. Needle, Susan Coyle, Helen Cesari, Robert Trotter, Michael Clatts, Stephen Koester, Laurie Price, Eleanor McLellan, Ann Finlinson, Ricky N. Bluthenthal, Todd Pierce, Jay Johnson, T. Stephen Jones, Mark Williams

Anthropology

Research output: Contribution to journal › Article › peer-review

68 Scopus citations

Abstract

This study examines drug acquisition and multiperson use of paraphernalia, drugs, and needles/syringes. Ethnographers observed 54 injection episodes in which IDUs were linked by HIV risk behaviors, and developed a typology of higher-risk, lower-risk, and nonsharing-risk networks. Multiperson use of injection paraphernalia or drug solution occurred in most injection events (94%). Serial use of syringes/needles occurred infrequently (14%) relative to 'backloading' (37%) and reuse of paraphernalia (cookers 84%, cotton 77%, water 77%). Higher-risk injection networks were characterized by larger size and pooling of resources for drugs. Prevention messages must include avoiding reuse of injection paraphernalia and transfer of drug solution.

Original language	English (US)
Pages (from-to)	2403-2423
Number of pages	21
Journal	Substance Use and Misuse
Volume	33
Issue number	12
DOIs	https://doi.org/10.3109/10826089809059332
State	Published - 1998

Keywords

Drug sharing
Ethnography
HIV/AIDS
Injection drug users
Injections networks

ASJC Scopus subject areas

Health(social science)
Medicine (miscellaneous)
Public Health, Environmental and Occupational Health
Psychiatry and Mental health

Access to Document

10.3109/10826089809059332

Cite this

Needle, R. H., Coyle, S., Cesari, H., Trotter, R., Clatts, M., Koester, S., Price, L., McLellan, E., Finlinson, A., Bluthenthal, R. N., Pierce, T., Johnson, J., Jones, T. S., & Williams, M. (1998). HIV risk behaviors associated with the injection process: Multiperson use of drug injection equipment and paraphernalia in injection drug user networks. Substance Use and Misuse, 33(12), 2403-2423. https://doi.org/10.3109/10826089809059332

Needle, RH, Coyle, S, Cesari, H, Trotter, R, Clatts, M, Koester, S, Price, L, McLellan, E, Finlinson, A, Bluthenthal, RN, Pierce, T, Johnson, J, Jones, TS & Williams, M 1998, 'HIV risk behaviors associated with the injection process: Multiperson use of drug injection equipment and paraphernalia in injection drug user networks', Substance Use and Misuse, vol. 33, no. 12, pp. 2403-2423. https://doi.org/10.3109/10826089809059332

@article{76b3648396fb4b34888ad5e7eec6bca0,

title = "HIV risk behaviors associated with the injection process: Multiperson use of drug injection equipment and paraphernalia in injection drug user networks",

abstract = "This study examines drug acquisition and multiperson use of paraphernalia, drugs, and needles/syringes. Ethnographers observed 54 injection episodes in which IDUs were linked by HIV risk behaviors, and developed a typology of higher-risk, lower-risk, and nonsharing-risk networks. Multiperson use of injection paraphernalia or drug solution occurred in most injection events (94%). Serial use of syringes/needles occurred infrequently (14%) relative to 'backloading' (37%) and reuse of paraphernalia (cookers 84%, cotton 77%, water 77%). Higher-risk injection networks were characterized by larger size and pooling of resources for drugs. Prevention messages must include avoiding reuse of injection paraphernalia and transfer of drug solution.",

keywords = "Drug sharing, Ethnography, HIV/AIDS, Injection drug users, Injections networks",

author = "Needle, {Richard H.} and Susan Coyle and Helen Cesari and Robert Trotter and Michael Clatts and Stephen Koester and Laurie Price and Eleanor McLellan and Ann Finlinson and Bluthenthal, {Ricky N.} and Todd Pierce and Jay Johnson and Jones, {T. Stephen} and Mark Williams",

note = "Funding Information: This research was conducted under contract to the National Institute on Drug Abuse (NIDA Contract 27 1-90-8400) with investigators engaged in the NIDA{\textquoteright}s Cooperative Agreement for AIDS Community-Based Outreach/Intervention Research Program. The authors would like to thank Mitchell Ratner, Ph.D., for his helpful review of procedures used to protect the rights of research subjects as well as his comments on an earlier draft of this paper.",

year = "1998",

doi = "10.3109/10826089809059332",

language = "English (US)",

volume = "33",

pages = "2403--2423",

journal = "Substance Use and Misuse",

issn = "1082-6084",

publisher = "Informa Healthcare",

number = "12",

}

TY - JOUR

T1 - HIV risk behaviors associated with the injection process

T2 - Multiperson use of drug injection equipment and paraphernalia in injection drug user networks

AU - Needle, Richard H.

AU - Coyle, Susan

AU - Cesari, Helen

AU - Trotter, Robert

AU - Clatts, Michael

AU - Koester, Stephen

AU - Price, Laurie

AU - McLellan, Eleanor

AU - Finlinson, Ann

AU - Bluthenthal, Ricky N.

AU - Pierce, Todd

AU - Johnson, Jay

AU - Jones, T. Stephen

AU - Williams, Mark

N1 - Funding Information: This research was conducted under contract to the National Institute on Drug Abuse (NIDA Contract 27 1-90-8400) with investigators engaged in the NIDA’s Cooperative Agreement for AIDS Community-Based Outreach/Intervention Research Program. The authors would like to thank Mitchell Ratner, Ph.D., for his helpful review of procedures used to protect the rights of research subjects as well as his comments on an earlier draft of this paper.

PY - 1998

Y1 - 1998

N2 - This study examines drug acquisition and multiperson use of paraphernalia, drugs, and needles/syringes. Ethnographers observed 54 injection episodes in which IDUs were linked by HIV risk behaviors, and developed a typology of higher-risk, lower-risk, and nonsharing-risk networks. Multiperson use of injection paraphernalia or drug solution occurred in most injection events (94%). Serial use of syringes/needles occurred infrequently (14%) relative to 'backloading' (37%) and reuse of paraphernalia (cookers 84%, cotton 77%, water 77%). Higher-risk injection networks were characterized by larger size and pooling of resources for drugs. Prevention messages must include avoiding reuse of injection paraphernalia and transfer of drug solution.

AB - This study examines drug acquisition and multiperson use of paraphernalia, drugs, and needles/syringes. Ethnographers observed 54 injection episodes in which IDUs were linked by HIV risk behaviors, and developed a typology of higher-risk, lower-risk, and nonsharing-risk networks. Multiperson use of injection paraphernalia or drug solution occurred in most injection events (94%). Serial use of syringes/needles occurred infrequently (14%) relative to 'backloading' (37%) and reuse of paraphernalia (cookers 84%, cotton 77%, water 77%). Higher-risk injection networks were characterized by larger size and pooling of resources for drugs. Prevention messages must include avoiding reuse of injection paraphernalia and transfer of drug solution.

KW - Drug sharing

KW - Ethnography

KW - HIV/AIDS

KW - Injection drug users

KW - Injections networks

UR - http://www.scopus.com/inward/record.url?scp=18144443114&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=18144443114&partnerID=8YFLogxK

U2 - 10.3109/10826089809059332

DO - 10.3109/10826089809059332

M3 - Article

C2 - 9781822

AN - SCOPUS:18144443114

SN - 1082-6084

VL - 33

SP - 2403

EP - 2423

JO - Substance Use and Misuse

JF - Substance Use and Misuse

IS - 12

ER -

HIV risk behaviors associated with the injection process: Multiperson use of drug injection equipment and paraphernalia in injection drug user networks

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this