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AIDS and Behavior

, Volume 23, Issue 6, pp 1604–1611 | Cite as

Role of Social Network Sexual Norms and Behaviors on the HIV Sexual Risk Behaviors of People Who Inject Drugs in HPTN 037

  • Diana M. SheehanEmail author
  • Russell P. Miller
  • Mary Jo Trepka
  • Laramie R. Smith
  • Carl Latkin
Original Paper

Abstract

This study examined the effect of social network descriptive sexual norms and behaviors on the sexual behaviors of people who inject drugs (PWID). Data from HPTN037 of 232 PWID (egos) and 464 network members (alters) were used in multilevel multivariate logistic regression models. Egos whose alters reported multiple sex partners had greater odds of multiple sex partners (aOR 2.20, 1.13–4.29). Egos’ norms of condomless sex with primary (aOR 2.67, 1.15–6.17) and casual (aOR 2.38, 1.01–5.59) partners and egos’ norms of giving (aOR 5.52, 1.87–16.25) and receiving (aOR 7.38, 1.34–40.66) money/drugs for sex were associated with the egos’ respective behaviors. History of sex between an ego and alter was not associated with increased influence of alters’ norms and behaviors on egos’ sexual behavior. Findings provide support for developing interventions that target descriptive norms and selective network behavioral characteristics to decrease sexual HIV risk behavior among PWID.

Keywords

People who inject drugs Sexual risk behavior HIV Social norms Social networks 

Notes

Funding

Research reported in this publication was supported by the HIV Prevention Trials Network (HPTN) Scholars Program through the National Institute of Allergy and Infectious Disease of the National Institutes of Health (UM1AI068619) and through grants from the National Institute on Drug Abuse (NIDA; K01DA039767 and R01DA040488). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Research conducted in this publication was also partially supported by a Florida International University McNair Graduate Fellowship (Miller RP).

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Diana M. Sheehan
    • 1
    • 2
    Email author
  • Russell P. Miller
    • 1
  • Mary Jo Trepka
    • 1
  • Laramie R. Smith
    • 3
  • Carl Latkin
    • 4
  1. 1.Department of Epidemiology, Robert Stempel College of Public Health and Social WorkFlorida International UniversityMiamiUSA
  2. 2.Center for Substance Use and HIV/AIDS Research on Latinos in the United States (C-SALUD)Florida International UniversityMiamiUSA
  3. 3.Division of Global Public HealthUniversity of California San Diego, UCSD School of MedicineLa JollaUSA
  4. 4.Department of Health, Behavior and SocietyJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA

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