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. 1998 Jun;113(Suppl 1):140–150.

The network approach and interventions to prevent HIV among injection drug users.

A Neaigus 1
PMCID: PMC1307736  PMID: 9722819

Abstract

OBJECTIVE: To review human immunodeficiency virus (HIV) risk reduction interventions among injecting drug users (IDUs) that have adopted a network approach. METHODS: The design and outcomes of selected network-based interventions among IDUs are reviewed using the network concepts of the dyad (two-person relationship), the personal risk network (an index person and all of his or her relationship), and the "sociometric" network (the complete set of relations between people in a population) and community. RESULTS: In a dyad intervention among HIV-serodiscordant couples, many of which included IDUs, there were no HIV seroconversions. Participants in personal risk network interventions were more likely to reduce drug risks and in some of these interventions, sexual risks, than were participants in individual-based interventions. Sociometric network interventions reached more IDUs and may be more cost-effective than individual-based interventions. CONCLUSION: Network-based HIV risk reduction interventions among IDUs, and others at risk for HIV, hold promise and should be encouraged.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abdul-Quader A. S., Tross S., Friedman S. R., Kouzi A. C., Des Jarlais D. C. Street-recruited intravenous drug users and sexual risk reduction in New York City. AIDS. 1990 Nov;4(11):1075–1079. doi: 10.1097/00002030-199011000-00004. [DOI] [PubMed] [Google Scholar]
  2. Auerbach D. M., Darrow W. W., Jaffe H. W., Curran J. W. Cluster of cases of the acquired immune deficiency syndrome. Patients linked by sexual contact. Am J Med. 1984 Mar;76(3):487–492. doi: 10.1016/0002-9343(84)90668-5. [DOI] [PubMed] [Google Scholar]
  3. Barnard M. A. Needle sharing in context: patterns of sharing among men and women injectors and HIV risks. Addiction. 1993 Jun;88(6):805–812. doi: 10.1111/j.1360-0443.1993.tb02094.x. [DOI] [PubMed] [Google Scholar]
  4. Becker M. H. AIDS and behavior change. Public Health Rev. 1988;16(1-2):1–11. [PubMed] [Google Scholar]
  5. Booth R. E., Watters J. K. How effective are risk-reduction interventions targeting injecting drug users? AIDS. 1994 Nov;8(11):1515–1524. doi: 10.1097/00002030-199411000-00001. [DOI] [PubMed] [Google Scholar]
  6. Des Jarlais D. C., Friedman S. R., Friedmann P., Wenston J., Sotheran J. L., Choopanya K., Vanichseni S., Raktham S., Goldberg D., Frischer M. HIV/AIDS-related behavior change among injecting drug users in different national settings. AIDS. 1995 Jun;9(6):611–617. doi: 10.1097/00002030-199506000-00013. [DOI] [PubMed] [Google Scholar]
  7. Des Jarlais D. C., Friedman S. R., Sotheran J. L., Wenston J., Marmor M., Yancovitz S. R., Frank B., Beatrice S., Mildvan D. Continuity and change within an HIV epidemic. Injecting drug users in New York City, 1984 through 1992. JAMA. 1994 Jan 12;271(2):121–127. [PubMed] [Google Scholar]
  8. Friedman S. R., Des Jarlais D. C., Sotheran J. L., Garber J., Cohen H., Smith D. AIDS and self-organization among intravenous drug users. Int J Addict. 1987 Mar;22(3):201–219. doi: 10.3109/10826088709027425. [DOI] [PubMed] [Google Scholar]
  9. Friedman S. R., Neaigus A., Jose B., Curtis R., Goldstein M., Ildefonso G., Rothenberg R. B., Des Jarlais D. C. Sociometric risk networks and risk for HIV infection. Am J Public Health. 1997 Aug;87(8):1289–1296. doi: 10.2105/ajph.87.8.1289. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Friedman S. R., de Jong W., Wodak A. Community development as a response to HIV among drug injectors. AIDS. 1993;7 (Suppl 1):S263–S269. [PubMed] [Google Scholar]
  11. Holmberg S. D. The estimated prevalence and incidence of HIV in 96 large US metropolitan areas. Am J Public Health. 1996 May;86(5):642–654. doi: 10.2105/ajph.86.5.642. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Kelly J. A., Murphy D. A., Sikkema K. J., McAuliffe T. L., Roffman R. A., Solomon L. J., Winett R. A., Kalichman S. C. Randomised, controlled, community-level HIV-prevention intervention for sexual-risk behaviour among homosexual men in US cities. Community HIV Prevention Research Collaborative. Lancet. 1997 Nov 22;350(9090):1500–1505. doi: 10.1016/s0140-6736(97)07439-4. [DOI] [PubMed] [Google Scholar]
  13. Kelly J. A., St Lawrence J. S., Diaz Y. E., Stevenson L. Y., Hauth A. C., Brasfield T. L., Kalichman S. C., Smith J. E., Andrew M. E. HIV risk behavior reduction following intervention with key opinion leaders of population: an experimental analysis. Am J Public Health. 1991 Feb;81(2):168–171. doi: 10.2105/ajph.81.2.168. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Kelly J. A., St Lawrence J. S., Stevenson L. Y., Hauth A. C., Kalichman S. C., Diaz Y. E., Brasfield T. L., Koob J. J., Morgan M. G. Community AIDS/HIV risk reduction: the effects of endorsements by popular people in three cities. Am J Public Health. 1992 Nov;82(11):1483–1489. doi: 10.2105/ajph.82.11.1483. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Klovdahl A. S., Potterat J. J., Woodhouse D. E., Muth J. B., Muth S. Q., Darrow W. W. Social networks and infectious disease: the Colorado Springs Study. Soc Sci Med. 1994 Jan;38(1):79–88. doi: 10.1016/0277-9536(94)90302-6. [DOI] [PubMed] [Google Scholar]
  16. Klovdahl A. S. Social networks and the spread of infectious diseases: the AIDS example. Soc Sci Med. 1985;21(11):1203–1216. doi: 10.1016/0277-9536(85)90269-2. [DOI] [PubMed] [Google Scholar]
  17. Latkin C. A., Mandell W., Vlahov D., Oziemkowska M., Celentano D. D. The long-term outcome of a personal network-oriented HIV prevention intervention for injection drug users: the SAFE Study. Am J Community Psychol. 1996 Jun;24(3):341–364. doi: 10.1007/BF02512026. [DOI] [PubMed] [Google Scholar]
  18. Magura S., Grossman J. I., Lipton D. S., Siddiqi Q., Shapiro J., Marion I., Amann K. R. Determinants of needle sharing among intravenous drug users. Am J Public Health. 1989 Apr;79(4):459–462. doi: 10.2105/ajph.79.4.459. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Magura S., Shapiro J. L., Siddiqi Q., Lipton D. S. Variables influencing condom use among intravenous drug users. Am J Public Health. 1990 Jan;80(1):82–84. doi: 10.2105/ajph.80.1.82. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. McCusker J., Stoddard A. M., Zapka J. G., Morrison C. S., Zorn M., Lewis B. F. AIDS education for drug abusers: evaluation of short-term effectiveness. Am J Public Health. 1992 Apr;82(4):533–540. doi: 10.2105/ajph.82.4.533. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Neaigus A., Friedman S. R., Curtis R., Des Jarlais D. C., Furst R. T., Jose B., Mota P., Stepherson B., Sufian M., Ward T. The relevance of drug injectors' social and risk networks for understanding and preventing HIV infection. Soc Sci Med. 1994 Jan;38(1):67–78. doi: 10.1016/0277-9536(94)90301-8. [DOI] [PubMed] [Google Scholar]
  22. Neaigus A., Friedman S. R., Jose B., Goldstein M. F., Curtis R., Ildefonso G., Des Jarlais D. C. High-risk personal networks and syringe sharing as risk factors for HIV infection among new drug injectors. J Acquir Immune Defic Syndr Hum Retrovirol. 1996 Apr 15;11(5):499–509. doi: 10.1097/00042560-199604150-00011. [DOI] [PubMed] [Google Scholar]
  23. Neaigus A., Sufian M., Friedman S. R., Goldsmith D. S., Stepherson B., Mota P., Pascal J., Des Jarlais D. C. Effects of outreach intervention on risk reduction among intravenous drug users. AIDS Educ Prev. 1990 Winter;2(4):253–271. [PubMed] [Google Scholar]
  24. Padian N. S., O'Brien T. R., Chang Y., Glass S., Francis D. P. Prevention of heterosexual transmission of human immunodeficiency virus through couple counseling. J Acquir Immune Defic Syndr. 1993 Sep;6(9):1043–1048. [PubMed] [Google Scholar]
  25. Power C., McArthur J. C., Johnson R. T., Griffin D. E., Glass J. D., Dewey R., Chesebro B. Distinct HIV-1 env sequences are associated with neurotropism and neurovirulence. Curr Top Microbiol Immunol. 1995;202:89–104. doi: 10.1007/978-3-642-79657-9_7. [DOI] [PubMed] [Google Scholar]
  26. Stephens R. C., Feucht T. E., Roman S. W. Effects of an intervention program on AIDS-related drug and needle behavior among intravenous drug users. Am J Public Health. 1991 May;81(5):568–571. doi: 10.2105/ajph.81.5.568. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Strathdee S. A., Patrick D. M., Archibald C. P., Ofner M., Cornelisse P. G., Rekart M., Schechter M. T., O'Shaughnessy M. V. Social determinants predict needle-sharing behaviour among injection drug users in Vancouver, Canada. Addiction. 1997 Oct;92(10):1339–1347. [PubMed] [Google Scholar]
  28. Watkins K. E., Metzger D., Woody G., McLellan A. T. Determinants of condom use among intravenous drug users. AIDS. 1993 May;7(5):719–723. doi: 10.1097/00002030-199305000-00017. [DOI] [PubMed] [Google Scholar]
  29. Woodhouse D. E., Rothenberg R. B., Potterat J. J., Darrow W. W., Muth S. Q., Klovdahl A. S., Zimmerman H. P., Rogers H. L., Maldonado T. S., Muth J. B. Mapping a social network of heterosexuals at high risk for HIV infection. AIDS. 1994 Sep;8(9):1331–1336. doi: 10.1097/00002030-199409000-00018. [DOI] [PubMed] [Google Scholar]
  30. el-Bassel N., Schilling R. F. Social support and sexual risk taking among women on methadone. AIDS Educ Prev. 1994 Dec;6(6):506–513. [PubMed] [Google Scholar]

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