AIDS and Behavior

, Volume 18, Issue 3, pp 443–451 | Cite as

Combined HIV Prevention, the New York City Condom Distribution Program, and the Evolution of Safer Sex Behavior Among Persons Who Inject Drugs in New York City

  • D. C. Des JarlaisEmail author
  • K. Arasteh
  • C. Mcknight
  • J. Feelemyer
  • H. Hagan
  • H. L. F. Cooper
  • D. C. Perlman
Original Paper


Examine long term sexual risk behaviors among persons who inject drugs (PWID) in New York City following implementation of “combined” prevention programming, including condom social marketing. Quantitative interviews and human immunodeficiency virus (HIV) testing were conducted among PWID entering Beth Israel Medical Center drug treatment programs 1990–2012. Data were analyzed by four time periods corresponding to the cumulative implementation of HIV prevention interventions. 7,132 subjects were recruited from 1990 to 2012; little change in sexual behavior occurred among HIV seronegative subjects, while HIV seropositive subjects reported significant decreases in being sexually active and significant increases in consistent condom use. HIV transmission risk (being HIV positive and engaging in unprotected sex) declined from 14 % in 1990–1995 to 2 % in 2007–2012 for primary sexual partners and from 6 to 1 % for casual partners. Cumulative implementation of combined prevention programming for PWID was associated with substantial decreases in sexual risk behavior among HIV seropositives.


Condom/condom promotion Combined prevention HIV Heterosexual transmission Persons who inject drugs Harm reduction 



This work was grant funded by 5R01DA003574.

Conflict of interest

The authors disclose no financial conflicts of interest.


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • D. C. Des Jarlais
    • 1
    Email author
  • K. Arasteh
    • 1
  • C. Mcknight
    • 1
  • J. Feelemyer
    • 1
  • H. Hagan
    • 2
  • H. L. F. Cooper
    • 3
  • D. C. Perlman
    • 1
  1. 1.Beth Israel Medical CenterThe Baron Edmond de Rothschild Chemical Dependency InstituteNew YorkUSA
  2. 2.College of NursingNew York UniversityNew YorkUSA
  3. 3.Rollins School of Public Health at Emory UniversityAtlantaUSA

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