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UNITED STATES: "Distributive Syringe Sharing Among Young Adult Injection Drug Users in Five US Cities"

  The sharing of needles and syringes is the most common way blood-borne pathogens such as HIV and hepatitis C virus (HCV) are transmitted among injection drug users (IDUs). "Distributive syringe sharing (DSS) (i.e., passing on a used needle/syringe to another IDU) poses the potential risk of transmitting HIV and viral hepatitis to others," the current study notes.

The researchers studied the prevalence and correlates of DSS among IDUs enrolled in a randomized behavioral intervention trial in five cities designed to reduce the behaviors linked to the risk of HIV and HCV transmission.

A total of 3,129 IDUs ages 15 to 30 completed the baseline visit. Of these, 1,432 (45.8 percent) reported having engaged in DSS in the three months preceding baseline. Factors found to be significant correlates of DSS were the perception that peer norms condone needle sharing, frequent injection, not accessing most needles via needle exchanges or pharmacies, injecting most often in shooting galleries and with sex partners, low perceived HIV risk from shared syringes, increased anxiety, low self-esteem, and engaging in unprotected sex.

"Restricting to only those IDUs who reported not injecting with previously used syringes, similar independent correlates of DSS were found. These findings suggest that interventions to reduce ongoing transmission of blood-borne infections should focus on altering peer norms among networks of young IDUs," the authors concluded.
  Drug and Alcohol Dependence Vol. 91; Supplement 1: P. S30-S38 (11..07):: Elizabeth T. Golub; Steffanie A. Strathdee; Susan L. Bailey; Holly Hagan; Mary H. Latka; Sharon M. Hudson; Richard S. Garfein; and for the DUIT Study Team
 
  We are providing the above information as a public service only. Providing synopses of key scientific articles and lay media reports on HIV/AIDS, other sexually transmitted diseases  does not constitute  endorsement. The above summaries were prepared without conducting any additional research or investigation into the facts and statements made in the articles being summarized, and therefore readers are expressly cautioned against relying on the validity or invalidity of any statements made in these summaries. This CDC HIV/STD/TB Prevention News Update also includes information from CDC and other government agencies, such as background on MMWR articles, fact sheets and announcements.
     

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