HIV/AIDS-related behavior change among injecting drug users in different national settings

D. C. Des Jarlais, S. R. Friedman, Patricia Friedmann, J. Wenston, J. L. Sotheran, K. Choopanya, S. Vanichseni, S. Raktham, D. Goldberg, M. Frischer, S. Green, E. S. Lima, F. I. Bastos, P. R. Telles

Research output: Contribution to journalArticle

76 Citations (Scopus)

Abstract

Objectives: To identify factors associated with effective AIDS behavior change among injecting drug users (IDU) in different national settings. Design: Cross-sectional surveys of IDU, with determination of HIV status. Trends in city HIV seroprevalence among IDU also used to validate effectiveness of behavior change. Setting and participants: Subjects recruited from drug-use treatment programs and outreach efforts in Bangkok, Thailand (n = 601), Glasgow, Scotland (n = 919), New York City, USA (n = 2539), and Rio de Janeiro, Brazil (n = 466). Results: Evidence for the effectiveness of self-reported risk reduction was available for all cities. Univariate followed by multiple logistic regression analyses were used to identify factors associated with self-reported AIDS behavior change. Separate analyses were conducted for each city. Talking about AIDS with drug-using friends was significantly associated with behavior change in all four cities. Talking with sex partners about AIDS, educational level, knowing that someone can be HIV-infected and still look healthy, and having been tested previously for HIV were each significantly associated with behavior change in three of the four cities. Conclusions: Despite the substantial differences in these national settings, there were common factors associated with effective risk reduction. In particular, risk reduction appears to occur through social processes rather than through individual attitude change. HIV prevention programs need to explicitly incorporate social processes into their work.

Original languageEnglish (US)
Pages (from-to)611-617
Number of pages7
JournalAIDS
Volume9
Issue number6
StatePublished - 1995
Externally publishedYes

Fingerprint

Drug Users
Acquired Immunodeficiency Syndrome
HIV
Risk Reduction Behavior
HIV Seroprevalence
Anti-HIV Agents
Scotland
Thailand
Brazil
Cross-Sectional Studies
Logistic Models
Regression Analysis
Pharmaceutical Preparations
Therapeutics

Keywords

  • AIDS
  • Behavior change
  • HIV prevention
  • Injecting drug users
  • Risk reduction

ASJC Scopus subject areas

  • Immunology
  • Immunology and Allergy

Cite this

Des Jarlais, D. C., Friedman, S. R., Friedmann, P., Wenston, J., Sotheran, J. L., Choopanya, K., ... Telles, P. R. (1995). HIV/AIDS-related behavior change among injecting drug users in different national settings. AIDS, 9(6), 611-617.

HIV/AIDS-related behavior change among injecting drug users in different national settings. / Des Jarlais, D. C.; Friedman, S. R.; Friedmann, Patricia; Wenston, J.; Sotheran, J. L.; Choopanya, K.; Vanichseni, S.; Raktham, S.; Goldberg, D.; Frischer, M.; Green, S.; Lima, E. S.; Bastos, F. I.; Telles, P. R.

In: AIDS, Vol. 9, No. 6, 1995, p. 611-617.

Research output: Contribution to journalArticle

Des Jarlais, DC, Friedman, SR, Friedmann, P, Wenston, J, Sotheran, JL, Choopanya, K, Vanichseni, S, Raktham, S, Goldberg, D, Frischer, M, Green, S, Lima, ES, Bastos, FI & Telles, PR 1995, 'HIV/AIDS-related behavior change among injecting drug users in different national settings', AIDS, vol. 9, no. 6, pp. 611-617.
Des Jarlais DC, Friedman SR, Friedmann P, Wenston J, Sotheran JL, Choopanya K et al. HIV/AIDS-related behavior change among injecting drug users in different national settings. AIDS. 1995;9(6):611-617.
Des Jarlais, D. C. ; Friedman, S. R. ; Friedmann, Patricia ; Wenston, J. ; Sotheran, J. L. ; Choopanya, K. ; Vanichseni, S. ; Raktham, S. ; Goldberg, D. ; Frischer, M. ; Green, S. ; Lima, E. S. ; Bastos, F. I. ; Telles, P. R. / HIV/AIDS-related behavior change among injecting drug users in different national settings. In: AIDS. 1995 ; Vol. 9, No. 6. pp. 611-617.
@article{fccfd67c245a4f1c88b3e6030c1011c1,
title = "HIV/AIDS-related behavior change among injecting drug users in different national settings",
abstract = "Objectives: To identify factors associated with effective AIDS behavior change among injecting drug users (IDU) in different national settings. Design: Cross-sectional surveys of IDU, with determination of HIV status. Trends in city HIV seroprevalence among IDU also used to validate effectiveness of behavior change. Setting and participants: Subjects recruited from drug-use treatment programs and outreach efforts in Bangkok, Thailand (n = 601), Glasgow, Scotland (n = 919), New York City, USA (n = 2539), and Rio de Janeiro, Brazil (n = 466). Results: Evidence for the effectiveness of self-reported risk reduction was available for all cities. Univariate followed by multiple logistic regression analyses were used to identify factors associated with self-reported AIDS behavior change. Separate analyses were conducted for each city. Talking about AIDS with drug-using friends was significantly associated with behavior change in all four cities. Talking with sex partners about AIDS, educational level, knowing that someone can be HIV-infected and still look healthy, and having been tested previously for HIV were each significantly associated with behavior change in three of the four cities. Conclusions: Despite the substantial differences in these national settings, there were common factors associated with effective risk reduction. In particular, risk reduction appears to occur through social processes rather than through individual attitude change. HIV prevention programs need to explicitly incorporate social processes into their work.",
keywords = "AIDS, Behavior change, HIV prevention, Injecting drug users, Risk reduction",
author = "{Des Jarlais}, {D. C.} and Friedman, {S. R.} and Patricia Friedmann and J. Wenston and Sotheran, {J. L.} and K. Choopanya and S. Vanichseni and S. Raktham and D. Goldberg and M. Frischer and S. Green and Lima, {E. S.} and Bastos, {F. I.} and Telles, {P. R.}",
year = "1995",
language = "English (US)",
volume = "9",
pages = "611--617",
journal = "AIDS",
issn = "0269-9370",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - HIV/AIDS-related behavior change among injecting drug users in different national settings

AU - Des Jarlais, D. C.

AU - Friedman, S. R.

AU - Friedmann, Patricia

AU - Wenston, J.

AU - Sotheran, J. L.

AU - Choopanya, K.

AU - Vanichseni, S.

AU - Raktham, S.

AU - Goldberg, D.

AU - Frischer, M.

AU - Green, S.

AU - Lima, E. S.

AU - Bastos, F. I.

AU - Telles, P. R.

PY - 1995

Y1 - 1995

N2 - Objectives: To identify factors associated with effective AIDS behavior change among injecting drug users (IDU) in different national settings. Design: Cross-sectional surveys of IDU, with determination of HIV status. Trends in city HIV seroprevalence among IDU also used to validate effectiveness of behavior change. Setting and participants: Subjects recruited from drug-use treatment programs and outreach efforts in Bangkok, Thailand (n = 601), Glasgow, Scotland (n = 919), New York City, USA (n = 2539), and Rio de Janeiro, Brazil (n = 466). Results: Evidence for the effectiveness of self-reported risk reduction was available for all cities. Univariate followed by multiple logistic regression analyses were used to identify factors associated with self-reported AIDS behavior change. Separate analyses were conducted for each city. Talking about AIDS with drug-using friends was significantly associated with behavior change in all four cities. Talking with sex partners about AIDS, educational level, knowing that someone can be HIV-infected and still look healthy, and having been tested previously for HIV were each significantly associated with behavior change in three of the four cities. Conclusions: Despite the substantial differences in these national settings, there were common factors associated with effective risk reduction. In particular, risk reduction appears to occur through social processes rather than through individual attitude change. HIV prevention programs need to explicitly incorporate social processes into their work.

AB - Objectives: To identify factors associated with effective AIDS behavior change among injecting drug users (IDU) in different national settings. Design: Cross-sectional surveys of IDU, with determination of HIV status. Trends in city HIV seroprevalence among IDU also used to validate effectiveness of behavior change. Setting and participants: Subjects recruited from drug-use treatment programs and outreach efforts in Bangkok, Thailand (n = 601), Glasgow, Scotland (n = 919), New York City, USA (n = 2539), and Rio de Janeiro, Brazil (n = 466). Results: Evidence for the effectiveness of self-reported risk reduction was available for all cities. Univariate followed by multiple logistic regression analyses were used to identify factors associated with self-reported AIDS behavior change. Separate analyses were conducted for each city. Talking about AIDS with drug-using friends was significantly associated with behavior change in all four cities. Talking with sex partners about AIDS, educational level, knowing that someone can be HIV-infected and still look healthy, and having been tested previously for HIV were each significantly associated with behavior change in three of the four cities. Conclusions: Despite the substantial differences in these national settings, there were common factors associated with effective risk reduction. In particular, risk reduction appears to occur through social processes rather than through individual attitude change. HIV prevention programs need to explicitly incorporate social processes into their work.

KW - AIDS

KW - Behavior change

KW - HIV prevention

KW - Injecting drug users

KW - Risk reduction

UR - http://www.scopus.com/inward/record.url?scp=0028989452&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028989452&partnerID=8YFLogxK

M3 - Article

VL - 9

SP - 611

EP - 617

JO - AIDS

JF - AIDS

SN - 0269-9370

IS - 6

ER -