Journal of Immigrant and Minority Health

, Volume 14, Issue 2, pp 251–258 | Cite as

Conducting Peer Outreach to Migrants: Outcomes for Drug Treatment Patients

  • Sherry Deren
  • Sung-Yeon Kang
  • Milton Mino
  • Honoria Guarino
Original Paper

Abstract

Peer outreach models have been successful in addressing HIV risk behaviors of drug users. Patients in methadone maintenance treatment programs who were migrants from Puerto Rico and/or familiar with drug use there were trained to conduct HIV-related peer outreach. A group randomized design was implemented; patients in the Experimental (E) condition (n = 80) received training and conducted 12 weeks of outreach. Half of the patients completed the training and outreach. At follow-up, patients in the E condition who conducted outreach felt they were more helpful to their community, showed a trend for engaging in more vocational activities, and were more likely to talk with others about HIV, compared to those who did not conduct outreach and those in the Control condition (n = 78). Drug treatment patients who are migrants can be trained as peer outreach workers and short-term benefits were found. Longer term maintenance of benefits should be assessed.

Keywords

Methadone maintenance patients Peer outreach Drug users Migrants HIV risk Puerto Rico 

References

  1. 1.
    Sanchez MA, Lemp GF, Magis-Rodriguez C, Bravo-Garcia E, Carter S, Ruiz JD. The epidemiology of HIV among Mexican migrants and recent immigrants in California and Mexico. J Acquir Immune Defic Syndr. 2004;37(Suppl 4):S204–14.PubMedGoogle Scholar
  2. 2.
    Del Amo J, Broring G, Hamers FF, Infuso A, Fenton K. Monitoring HIV/AIDS in Europe’s migrant communities and ethnic minorities. AIDS. 2004;18(4):1867–73.PubMedCrossRefGoogle Scholar
  3. 3.
    Lurie MN, Williams BG, Zuma K, Mkaya-Mwamburi D, Garnett G, Sturm AW, Sweat MD, Gittelsohn J, Abdool Karim SS. The impact of migration on HIV-1 transmission in South Africa: a study of migrant and nonmigrant men and their partners. Sex Transm Dis. 2003;30(2):149–56.PubMedCrossRefGoogle Scholar
  4. 4.
    Rachlis B, Brouwer KC, Mills EJ, Hayes M, Kerr T, Hogg RS. Migration and transmission of blood-borne infections among injection drug users: understanding the epidemiologic bridge. Drug Alcohol Depend. 2007;90(2–3):107–19.PubMedCrossRefGoogle Scholar
  5. 5.
    Kaplan EH, Soskolne V, Adler B, Leventhal A, Shtarkshall RA. A model-based evaluation of a cultural mediator outreach program for HIV+ Ethiopian immigrants in Israel. Eval Rev. 2002;26(4):382–94.PubMedCrossRefGoogle Scholar
  6. 6.
    UNAIDS, UNESCO. Migrant populations and HIV/AIDS. The development and implementation of programmes: theory methodology and practice. Paris, France: UNESCO; 2000.Google Scholar
  7. 7.
    Haour-Knipe M, Fleury F, Dubois-Arber F. HIV/AIDS prevention for migrants and ethnic minorities: three phases of evaluation. Soc Sci Med. 1999;49(10):1357–72.PubMedCrossRefGoogle Scholar
  8. 8.
    Latkin CA, Sherman S, Knowlton A. HIV prevention among drug users: outcome of a network-oriented peer outreach intervention. Health Psychol. 2003;22(4):332–9.PubMedCrossRefGoogle Scholar
  9. 9.
    Needle RH, Burrows D, Friedman SR, et al. Effectiveness of community-based outreach in preventing HIV/AIDS among injecting drug users. Int J Drug Policy. 2005;16(Suppl 1):S45–57.CrossRefGoogle Scholar
  10. 10.
    Dickson-Gomez JB, Knowlton A, Latkin C. Values and identity: the meaning of work for injection drug users involved in volunteer HIV prevention outreach. Subst Use Misuse. 2004;39(8):1259–86.PubMedCrossRefGoogle Scholar
  11. 11.
    Deren S, Oliver-Velez D, Finlinson A, Robles RR, Andia J, Colon HM, Kang S-Y, Shedlin M. Integrating qualitative and quantitative methods: comparing HIV-related risk behaviors among Puerto Rican drug users in Puerto Rico and New York. Subst Use Misuse. 2003;38(1):1–24.PubMedCrossRefGoogle Scholar
  12. 12.
    Lopez LM, Zerden Lde S, Fitzgerald TC, Lundgren LM. Puerto Rican injection drug users: prevention implications in Massachusetts and Puerto Rico. Eval Program Plann. 2008;31(1):64–73.PubMedCrossRefGoogle Scholar
  13. 13.
    Finlinson HA, Oliver-Velez D, Deren S, Cant JGH, Colón HM, Robles RR, Kang S-Y, Andia JF. A longitudinal study of syringe acquisition by Puerto Rican injection drug users in New York and Puerto Rico: implications for syringe exchange and distribution programs. Subst Use Misuse. 2006;41(9):1313–36.PubMedCrossRefGoogle Scholar
  14. 14.
    Deren S, Kang S-Y, Colón HM, Andia JF, Robles RR, Oliver-Velez D, Finlinson HA. Migration and HIV risk behaviors: Puerto Rican drug injectors in New York City and Puerto Rico. Am J Public Health. 2003;93(5):812–6.PubMedCrossRefGoogle Scholar
  15. 15.
    Deren S, Kang S-Y, Colón HM, Robles RR. The Puerto Rico-New York airbridge for drug users: description and relationship to HIV risk behaviors. J Urban Health. 2007;84(2):243–54.PubMedCrossRefGoogle Scholar
  16. 16.
    Colón R, Deren S, Guarino H, Mino M, Kang S-Y. Challenges in recruiting and training drug treatment patients as peer outreach workers: a perspective from the field. Subst Use Misuse. 2010;45(12):1892–908.PubMedCrossRefGoogle Scholar
  17. 17.
    Latkin CA, Hua W, Davey MA. Factors associated with peer HIV prevention outreach in drug-using communities. AIDS Educ Prev. 2004;16(6):499–508.PubMedCrossRefGoogle Scholar
  18. 18.
    Sherbourne CD, Stewart AL. The MOS social support survey. Soc Sci Med. 1991;32(6):705–14.PubMedCrossRefGoogle Scholar
  19. 19.
    Guarino H, Deren S, Mino M, Kang S-Y, Shedlin M. Using ethnography to assess the impact of an HIV/AIDS intervention on peer outreach workers. Presented at the NorthEastern anthropological association conference, Albany, New York; 2006.Google Scholar
  20. 20.
    Guarino H, Deren S, Mino M, Kang S-Y. Training drug treatment patients to conduct peer-based HIV outreach: an ethnographic perspective of peers’ experiences. Subst Use Misuse. 2010;45:414–36.PubMedCrossRefGoogle Scholar
  21. 21.
    Des Jarlais DC, Semaan S. Interventions to reduce the sexual risk behaviour of injecting drug users. Int J Drug Policy. 2005;16(Suppl 1):S58–66.CrossRefGoogle Scholar
  22. 22.
    Strathdee SA, Sherman SG. The role of sexual transmission of HIV infection among injection and non-injection drug users. J Urban Health. 2003;80(4 Suppl 3):iii7–14.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Sherry Deren
    • 1
  • Sung-Yeon Kang
    • 2
  • Milton Mino
    • 3
  • Honoria Guarino
    • 4
  1. 1.NYU College of NursingNew YorkUSA
  2. 2.Independent ConsultantWestfieldUSA
  3. 3.Fund for Public Health in New YorkNew YorkUSA
  4. 4.NDRI, Inc.New YorkUSA

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