AIDS and Behavior

, Volume 15, Issue 1, pp 16–21 | Cite as

Perceived Serosorting of Injection Paraphernalia Sharing Networks among Injection Drug users in Baltimore, MD

Report

Abstract

We examined perceived serosorting of injection paraphernalia sharing networks among a sample of 572 injection drug users (IDUs). There was evidence for serosorting of high-risk injection behaviors among HIV-negative IDUs, as 94% of HIV-negative IDUs shared injection paraphernalia exclusively with perceived HIV-negative networks. However, 82% of HIV-positive IDUs shared injection paraphernalia with perceived HIV-negative networks. The findings indicate a potential risk of rapid HIV transmission. Future prevention efforts targeting IDUs should address the limitation of serosorting, and focus on preventing injection paraphernalia sharing regardless of potential sharing networks’ perceived HIV status.

Keywords

Serosorting Injection drug use Injection paraphernalia sharing HIV risk Social network 

References

  1. 1.
    Parsons JT, Schrimshaw EW, Wolitski RJ, Halkitis PN, Purcell DW, Hoff CC, et al. Sexual harm reduction practices of HIV-seropositive gay and bisexual men: serosorting, strategic positioning, and withdrawal before ejaculation. AIDS. 2005;19(Suppl 1):S13–25.CrossRefPubMedGoogle Scholar
  2. 2.
    Eaton LA, Kalichman SC, Cain DN, Cherry C, Stearns HL, Amaral CM, et al. Serosorting sexual partners and risk for HIV among men who have sex with men. Am J Prev Med. 2007;33(6):479–85.CrossRefPubMedGoogle Scholar
  3. 3.
    Jin F, Crawford J, Prestage GP, Zablotska I, Imrie J, Kippax SC, et al. Unprotected anal intercourse, risk reduction behaviours, and subsequent HIV infection in a cohort of homosexual men. AIDS. 2009;23(2):243–52.CrossRefPubMedGoogle Scholar
  4. 4.
    Mizuno Y, Purcell DW, Latka MH, Metsch LR, Ding H, Gomez CA, et al. Is sexual serosorting occurring among HIV-positive injection drug users? comparison between those with HIV-positive partners only, HIV-negative partners only, and those with any partners of unknown status. AIDS Behav. 2009;14(1):92–102.CrossRefPubMedGoogle Scholar
  5. 5.
    Metsch LR, Pereyra M, Purcell DW, Latkin CA, Malow R, Gomez CA, et al. Correlates of lending needles/syringes among HIV-seropositive injection drug users. J Acquir Immune Defic Syndr. 2007;46(Suppl 2):S72–9.PubMedGoogle Scholar
  6. 6.
    Parsons JT, VanOra J, Missildine W, Purcell DW, Gomez CA. Positive and negative consequences of HIV disclosure among seropositive injection drug users. AIDS Educ Prev. 2004;16(5):459–75.CrossRefPubMedGoogle Scholar
  7. 7.
    Butler DM, Smith DM. Serosorting can potentially increase HIV transmissions. AIDS. 2007;21(9):1218–20.CrossRefPubMedGoogle Scholar
  8. 8.
    Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1:385–401.CrossRefGoogle Scholar
  9. 9.
    Barrera MA. Social support in the adjustment of pregnant adolescents: assessment issues. In: Gottlieb BH, editor. Social networks and social support. Beverly Hills, CA: Sage, 1981: 69–96.Google Scholar
  10. 10.
    Latkin C, Mandell W, Vlahov D, Oziemkowska M, Celentano D. People and places: behavioral settings and personal network characteristics as correlates of needle sharing. J Acquir Immune Defic Syndr Hum Retrovirol. 1996;13(3):273–80.PubMedGoogle Scholar
  11. 11.
    Orr ST, Celentano DD, Santelli J, Burwell L. Depressive symptoms and risk-factors for HIV acquisition among black-women attending urban health centers in Baltimore. AIDS Educ Prev. 1994;6(3):230–6.PubMedGoogle Scholar
  12. 12.
    Latkin C, Mandell W, Vlahov D, Oziemkowska M, Knowlton A, Celentano D. My place, your place, and no place: behavior settings as a risk factor for HIV-related injection practices of drug users in Baltimore, Maryland. Am J Community Psychol. 1994;22(3):415–30.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Department of Health, Behavior and SocietyJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA

Personalised recommendations