Structural interventions to reduce HIV transmission among injecting drug users
Bibliographic Data
| ID | 23325116 |
|---|---|
| Authors | Don C Des Jarlais (0000-0002-0157-8168, Mount Sinai Beth Israel, corresponding author) |
| Year | 2000 |
| Volume | 14 |
| Pages | S41-S46 |
| Publication date | 2000-06-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS (JOURNAL) |
| Journal identifiers | ISSN: 0269-9370 • E-ISSN: 1473-5571 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00002030-200006001-00006 |
| PMID | 10981473 |
| OpenAlex | W1821087999 |
| Language | EN |
| Citations received | 61 |
| References cited | 10 |
OBJECTIVE: To review current knowledge of 'structural' interventions to reduce HIV transmission among injecting drug users. Structural interventions are defined as programs or policies that change the environments in which risk behavior occurs, without attempting to change knowledge, attitudes or social interaction patterns of the persons at risk. Structural interventions may either facilitate enactment of existing motives to avoid HIV transmission or make enacting risk behavior more difficult. METHODS: Nonquantitative literature review. RESULTS AND CONCLUSIONS: Preventing HIV infection among injecting drug users must be considered within the context of the continuing global spread of psychoactive drug use, and injecting drug use in particular. Some policies that are designed to reduce drug use may tend to increase HIV transmission among persons who do inject drugs. Evaluation of structural interventions can be difficult, as populations of drug users are usually the relevant unit of analysis. Typically, pre versus post comparisons must be used, hopefully with multiple pre and post data points. Structural interventions are often associated with 'large effects', increasing confidence that the intervention is the cause of the reduction in HIV-risk behavior. Increasing the availability of sterile injection equipment, through pharmacy sales or syringe exchange or both, is the most common and best-studied structural intervention for injecting drug users. The studies to date indicate that this usually, but not always, leads to large reductions in HIV-risk behavior. Involving drug users in the design and implementation of HIV-prevention programs can be considered a 'meta-structural' intervention that should lead to programs with increased effectiveness.
Context (archaeology) · Drug · Environmental health · Family medicine · Human immunodeficiency virus (HIV) · Intervention (counseling) · Psychiatry · Psychological intervention · Risk analysis (engineering) · Syringe · Transmission (telecommunications) · Computer Science · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Sex work and related issues
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The Utility of the PRECEDE Model in Predicting HIV Risk Behaviors Among Puerto Rican Injection Drug Users
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Greater Drug Injecting Risk for HIV, HBV, and HCV Infection in a City Where Syringe Exchange and Pharmacy Syringe Distribution are Illegal
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Characteristics of Injection Drug Users Who Participate in Drug Dealing
Gender Differences in Crime, Drug Addiction, Abstinence, Personality Characteristics, and Negative Emotions
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Psychosocial factors explaining drug users’ intention to use a new syringe at each injection
Social and Structural Factors Associated with Consistent Condom Use Among Female Entertainment Workers Trading Sex in the Philippines
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Willingness to use microbicides among females who use unregulated drugs in Vancouver, Canada
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Differences in HIV risk behavior of injection drug users in New York City by health care setting
Structural Interventions
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| Citations per year | 2.35 |
|---|---|
| Citation span | 2000 - 2026 (27) |
| Highly cited | No |