Differences in HIV risk behavior of injection drug users in New York City by health care setting

Datos Bibliográficos

ID19440167
AutoresAlezandria K Turner (0009-0000-8996-8699, autor de correspondencia), Katherine Harripersaud (0000-0002-0078-3362, Columbia University), Natalie D Crawford (0000-0002-4859-6304, University of Michigan), Alexis Rivera (0000-0001-7735-8498, Columbia University), A V Rivera, Crystal M Fuller (Columbia University)
Año2013
Volumen25
Número10
Páginas1321-1329
Fecha de publicación2013-10-01
Open AccessNo
TipoARTICLE
RevistaAIDS Care (JOURNAL)
Identificadores de la revistaISSN: 0954-0121 • E-ISSN: 1360-0451
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2013.772275
PMID23451991
PMCIDPMC3728172
OpenAlexW2078776618
IdiomaEN
Citas recibidas2
Referencias citadas31

The purpose of this study is to examine the HIV risk behaviors and demographic characteristics of injection drug users (IDUs) by type of health care setting, which can inform development of tailored structural interventions to increase access to HIV prevention and medical treatment services. IDU syringe customers were recruited from pharmacies as part of the "Pharmacist As Resources Making Links to Community Services" (PHARM-Link) study, a randomized community-based intervention in New York City (NYC) aimed at connecting IDUs to HIV prevention, medical, and social services. An ACASI survey ascertained demographics, risk behavior, health-care utilization, and location where health care services were received in the past year. Data were analyzed using logistic regression. Of 602 participants, 34% reported receiving health care at a community clinic, 46% a private medical office, 15% a mobile medical unit, and 59% an emergency room (ER). After adjustment, participants who attended a community clinic were significantly more likely to have health insurance, report syringe sharing, and be HIV positive. Whites, nondaily injectors, insured, and higher income IDUs were more likely to attend a private medical office. Participants who recently used a case manager and had multiple sexual partners were more likely to use a mobile medical unit. ER attendees were more likely to be homeless and report recent drug treatment use. These findings show that IDU demographics and risk behaviors differ by health care setting, suggesting that risk reduction interventions should be tailored to health care settings. Specifically, these data suggest that community clinics and mobile medical units serve high-risk IDUs, highlighting the need for more research to develop and test innovative prevention and care programs within these settings

Environmental health · Family medicine · Health care · Pharmacist · Psychiatry · Psychological intervention · Syringe · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Homelessness and Social Issues · Medicine · Nursing · Psychology · Gerontology · Pharmacy