People Who Inject Drugs in Intimate Relationships: It Takes Two to Combat HIV
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We reviewed papers published during the past 18 months (2012-2013) focusing on micro-social contexts of gender and power inequalities as drivers of HIV risks among people who inject drugs (PWID) in intimate heterosexual relationships. Although there has been a proliferation of social and behavioral research on the micro-social contexts of drug injection in heterosexual intimate relationships, there is still a gap in knowledge of these issues, particularly in low- and middle-income countries. Research has identified couple-based approaches for PWID in intimate relationships as an effective HIV prevention strategy to address micro-social contexts driving HIV risks. While HIV incidence has declined in many countries, prevalence remains at troubling levels among PWID and transmission from PWID to their sex partners is increasing in many parts of the world. HIV prevention among drug-using couples must address the importance of the relationship dyad and micro-social contexts.
KeywordsInjection drug use Intimate partners HIV/AIDS Couple based prevention Couple-based approaches People who inject drugs PWID HIV prevention HIV Science of prevention Sex partners HIV Sex partners Prevention HIV risk Intimate heterosexual relationships
Nabila El-Bassel acknowledges the partial institutional support received from R01 (R01DA033168 funded by the National Institute of Drug Abuse.
Anindita Dasgupta acknowledges institutional support received from National Institute on Drug Abuse Grant T32DA023356 (pre-doctoral training grant; PI: Steffanie Strathdee).
Steffanie A. Strathdee acknowledges the partial institutional support from the National Institute on Drug Abuse (R37 DA019829) and from the National Institute of Health through HIV Prevention Trials Network (UM1 068619).
Compliance with Ethics Guidelines
Conflict of Interest
Nabila El-Bassel, Stacey A. Shawa, Anindita Dasguptab, and Steffanie A. Strathdeeb declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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