A Social Network Profile and HIV Risk Among Men on Methadone: Do Social Networks Matter?
- First Online:
- 118 Downloads
The paper describes structural and HIV-related network characteristics and examines associations between these various social network domains and HIV risk behaviors among a sample of 356 men randomly selected from a methadone maintenance treatment program (MMTP) in New York City. Multiple logistic regression analyses suggest that (1) a higher level of perceived sexual risk among network members, referred to as “alters” in this study, was associated with an increased likelihood of the participant engaging in sexual risk behaviors; (2) participants who indicated that they exchanged encouragement with a higher number of network alters about using condoms were less likely to report engaging in unprotected sex; and (3) participants who indicated that they talked about HIV risks with a higher number of network alters were less likely to engage in unprotected sex in the past 6 months. Collectively, these findings support the notion that networks may influence the adoption of risk reduction strategies in this population. Implications of the findings for HIV prevention network interventions for men in MMTPs are discussed.
KeywordsHIV Methadone Social networks
- 1.Des Jarlais D, Friedman S. Fifteen years of research on preventing HIV infection among injecting drug users: What we have learned, what we have not learned, what we have done, what we have not done. Public Health Reports. 1998;133(Suppl. 1):182–188.Google Scholar
- 5.Neaigus A, Friedman SR, Goldstein M, Ildefonso G, Curtis R, Jose B. Using dyadic data for a network analysis of HIV infection and risk behaviors among injecting drug users. NIDA Res Monogr. 1995;151:20–37.Google Scholar
- 6.Friedman SR. Promising social network research results and suggestions for a research agenda. NIDA Res Monogr. 1995;151:196–215.Google Scholar
- 8.Latkin CA. A personal network approach to AIDS prevention: an experimental peer group intervention for street-injecting drug users: the SAFE study. NIDA Res Monogr. 1995;151:181–195.Google Scholar
- 11.Friedman S, Curtis R, Neaigus A, Jose B, Des Jarlais D. Social Networks, Drug Injectors Lives, and HIV/AIDS. New York: Kluwer Academic/Plenum Publishers; 1999.Google Scholar
- 22.Coleman J. Foundations of Social Theory. Chicago: University of Chicago; 1990.Google Scholar
- 30.Kelly JA. HIV Prevention Among Gay and Bisexual Men in Small Cities. New York: Plenum Press; 1994.Google Scholar