Predictors of Sharing Drugs Among Injection Drug Users in the South Bronx: Implications for HIV Transmission

Fernando, Daniel; Schilling, Robert F.; Fontdevila, Jorge; El-Bassel, Nabila
April 2003
Journal of Psychoactive Drugs;Apr-Jun2003, Vol. 35 Issue 2, p227
Academic Journal
HIV may be transmitted in the process of sharing injected drugs, even if all participants have their own syringes. In an effort to gain understanding of the extent and predictors of drug sharing, data were obtained via personal interviews with 1,024 injection drug users from four neighborhoods in the South Bronx. The relationship between drug-sharing and demographic, sexual, and drug-related variables was first examined in a bivariate analysis, and then via multiple logistic regression. Individuals who split drugs were more likely to be female, have had sex with a casual partner, exchanged sex for drugs or other needs, recently smoked crack cocaine, and shared needles. They were less likely to live or inject at their own home or have used a new needle the last time they injected. In a final logistic model, correlates of drug sharing included trading sex, injecting outside one's home, and using borrowed, rented or shared needles. Despite the lack of significance for gender in the final logistic model, females were at high risk of drug sharing because they constituted the great majority of those who exchanged sex. Continuing research is needed to understand how drug-sharing contributes to the spread of HIV and other infections, as are studies of approaches to reducing drug sharing. Prevention strategists and outreach organizations should be aware of the HIV risks inherent in the widespread practice of drug sharing.


Related Articles

  • Covariates of Multiplicity of Risk Behavior Among Injecting Drug Users in Nepal. Singh, S.; Malviya, Alankar; Sharma, Santosh; Sharma, Nidhi; Pandey, Vipul // Sexuality & Culture;Mar2016, Vol. 20 Issue 1, p111 

    Drug abuse, needle sharing, and high-risk sexual behaviour are often compounded to increase the risk of human immunodeficiency virus (HIV) transmission. This paper analyzes covariates of multiplicity of risk behavior among injecting drug users (IDUs). Findings are based on data from 1471 IDUs...

  • Prescribing Syringes to Injection Drug Users: What the Family Physician Should Know. Rich, Josiah D.; Taylor, Lynn; Mehrotra, Meenakshi; Mason, Rachel; Stozek, Michelle; Stancliff, Sharon // American Family Physician;7/1/2003, Vol. 68 Issue 1, p45 

    Editorial. Offers observation on injection drug use (IDU), which contributed to the spread of human immunodeficiency virus infection in the U.S. Health risks facing IDU; Information on the needle/syringe exchange programs; Solution to the problem of disease transmission through syringe sharing.

  • Correlates of Needle Sharing Among Injection Drug Users. Mandell, Wallace; Vlahov, David; Latkin, Carl; Oziemkowska, Maria; Cohn, Sylvia // American Journal of Public Health;Jun94, Vol. 84 Issue 6, p920 

    Objectives. The sharing of contaminated injection equipment is the primary mode of human immunodeficiency virus (HIV) transmission for injection drug users. This study examined demographic factors, life events, and drug use practices that are potential risk factors for sharing injection...

  • HIV and STD Prevention Update. Makulowich, Gail S. // AIDS Patient Care & STDs;Feb1998, Vol. 12 Issue 2, p151 

    Focuses on syringe exchange programs (SEP) which prevent transmission of human immunodeficiency virus (HIV) from needles which are infected by providing intravenous drug users (IDU) with ones that are sterile. Estimated number of SEPs in the United States; Information on studies conducted by...

  • Perceived Serosorting of Injection Paraphernalia Sharing Networks among Injection Drug users in Baltimore, MD. Yang, C.; Tobin, K.; Latkin, C. // AIDS & Behavior;Jan2011, Vol. 15 Issue 1, p16 

    We examined perceived serosorting of injection paraphernalia sharing networks among a sample of 572 injection drug users (IDUs). There was evidence for serosorting of high-risk injection behaviors among HIV-negative IDUs, as 94% of HIV-negative IDUs shared injection paraphernalia exclusively...

  • HIV in injecting drug users in Asian countries. Wodak, Alex; Ali, Robert; Farrell, Michale // BMJ: British Medical Journal (International Edition);9/25/2004, Vol. 329 Issue 7468, p697 

    Presents an editorial on the need to implement effective HIV interventions in Asian countries. The percent of HIV infected people in the region who were infected through the sharing of needles; Statistics on the expected number of HIV positive persons in India and China by the year 2010;...

  • Psychosocial risk factors for HIV transmission in male drug abusers. Brook, Judith S.; Brook, David W. // Genetic, Social & General Psychology Monographs;Aug93, Vol. 119 Issue 3, p371 

    Examines the psychosocial risk factors for HIV transmission in male drug abusers. Needle-sharing behavior with familiar individuals and with strangers; Comparison of risks among black, Hispanic and white male drug users; Personality characteristics; Self-esteem; Mental problems; Deviance;...

  • Risk of prevalent HIV infection associated with incarceration among injecting drug users in Bangkok, Thailand: case-controlled study. Buavirat, Aumphornpun; Page-Shafer, Kimberly; van Griensven, G J P; Mandel, J S; Evans, J; Chuaratanaphong, J; Chiamwongpat, S; Sacks, R; Moss, A // BMJ: British Medical Journal (International Edition);2/8/2003, Vol. 326 Issue 7384, p308 

    Objectives: To identify risks for HIV infection related to incarceration among injecting drug users in Bangkok, Thailand. Design: Case-control study of sexual and parenteral exposures occurring before, during, and after the most recent incarceration. Setting: Metropolitan Bangkok. Participants:...

  • Hawaii's Statewide Syringe Exchange Program. Vogt, Richard L.; Breda, Mark C.; Des Jarlais, Don C.; Gates, Sena; Witicar, Peter // American Journal of Public Health;Sep98, Vol. 88 Issue 9, p1403 

    Focuses on the syringe exchange program in Hawaii. History of the program; Effectiveness of the program; Increase in the number of syringes exchanged through the program; Drug treatment referral system developed by the program; Other services offered by the program to drug users.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics