Yale University

Attitudes toward needle-sharing and HIV transmission risk behavior among HIV+ injection drug users in clinical care.

TitleAttitudes toward needle-sharing and HIV transmission risk behavior among HIV+ injection drug users in clinical care.
Publication TypeJournal Article
Year of Publication2008
AuthorsNorton, Wynne E., Rivet K. Amico, William A. Fisher, Michael M. Copenhaver, Michael J. Kozal, Deborah H. Cornman, Gerald Friedland, and Jeffrey D. Fisher
JournalAIDS care
Date Published2008 Apr
KeywordsAdult, Female, Health Knowledge, Attitudes, Practice, HIV Infections, Humans, Logistic Models, Male, Middle Aged, Needle Sharing, Risk-Taking, Substance Abuse, Intravenous
AbstractRisky behavior related to injection drug use accounts for a considerable proportion of incident HIV infection in the United States. Large numbers of injection drug users (IDUs) currently receive antiretroviral therapy in clinical settings and are accessible for risk-reduction interventions to reduce transmission of drug-resistant HIV and spread of HIV to uninfected others. The current study examined attitudes toward needle- or equipment-sharing among 123 HIV-positive IDUs in clinical care in an effort to understand the dynamics of such behavior and to create a basis for clinic-based risk-reduction interventions. Results indicate that at baseline, participants who reported extremely negative attitudes toward needle-sharing were less likely to have shared during the past month than those with less-extreme negative attitudes. Demographic, behavioral, and attitudinal variables were entered into a logistic regression model to examine needle-sharing group membership among HIV-positive IDUs. Being female and having less-extreme negative attitudes toward sharing were independent and significant correlates of sharing behavior. Interventions targeting needle-sharing attitudes deployed within the clinical care setting may be well-positioned to reduce HIV transmission among HIV-positive IDUs.
Alternate JournalAIDS Care

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