Skip to main content

Advertisement

Log in

Risk Practices Among Aboriginal People Who Inject Drugs in New South Wales, Australia

  • Original Paper
  • Published:
AIDS and Behavior Aims and scope Submit manuscript

Abstract

This paper describes patterns of injecting drug use and blood borne virus (BBV)-related risk practices among Australian Aboriginal and non-Aboriginal people who inject drugs (PWID). A total of 588 participants, 120 of whom self-identified as Aboriginal completed a questionnaire. Aboriginal participants were more likely to have been in prison (37.6 vs. 16.5 %), to inject daily (72.7 vs. 55.0 %), to share ancillary equipment (64.9 vs. 44.8 %) and less likely to know about BBV transmission (72.0 vs. 87.7 %) and treatment (47.2 vs. 67.6 %). Aboriginal participants used services such as BBV testing and drug treatment at a comparable rate to non-Aboriginal participants. The findings suggest that Aboriginal PWID are at greater risk for acquiring BBV. The prison setting should be used to deliver health promotion information and risk reduction messages. More information is needed on Aboriginal people’s access and use of services to ensure beneficial services are received in the most appropriate settings.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Australian Government Department of Health and Ageing. Third national hepatitis C strategy 2010–2013. Barton: Commonwealth of Australia; 2010.

    Google Scholar 

  2. Australian Government Department of Health and Ageing. Sixth national HIV strategy 2010–2013. Barton: Commonwealth of Australia; 2010.

    Google Scholar 

  3. Australian Government Department of Health and Ageing. Aboriginal and Torres Strait Islander blood borne viruses and sexually transmitted infections strategy 2010–2013. Barton: Commonwealth of Australia; 2010.

    Google Scholar 

  4. Australian Bureau of Statistics. Population characteristics, Aboriginal and torres strait islander Australians, 2006. 2010. http://www.ausstats.abs.gov.au/ausstats/subscriber.nsf/0/526FE126443EBCC6CA257718001D547F/$File/47130_2006_reissue.pdf. Accessed 4 May 2010, 7 Dec 2010.

  5. Day C, Ross J, Dolan K. Characteristics of Aboriginal injecting drug users in Sydney, Australia: prison history, hepatitis C status and drug treatment experiences. J Ethn Subst Abuse. 2003;2(3):51–8.

    Article  Google Scholar 

  6. Roberts C, Crofts N. Hitting up in the top end: characteristics of needle exchange clients in Darwin. Aust NZ J Public Health. 2000;24(1):82–5.

    Article  CAS  Google Scholar 

  7. Maher L, Chant K, Jalaludin B, Sargent P. Risk behaviors and antibody hepatitis B and C prevalence among injecting drug users in south-western Sydney, Australia. J Gastroenterol Hepatol. 2004;19(10):1114–20.

    Article  PubMed  Google Scholar 

  8. Iversen J, Wand H, Gonnermann A, Maher L. Gender differences in hepatitis C antibody prevalence and risk behaviours amongst people who inject drugs in Australia 1998–2008. Int J Drug Policy. 2010;21:471–6.

    Article  PubMed  Google Scholar 

  9. National Centre in HIV Epidemiology and Clinical Research. Bloodborne viral and sexually transmitted infections in Aboriginal and torres strait islander people: surveillance and evaluation report 2010. Sydney: The University of New South Wales; 2010.

    Google Scholar 

  10. van der Poorten D, Kenny DT, George J. Prevalence of and risk factors for hepatitis C in Aboriginal and non-Aboriginal adolescent offenders. Med J Aust. 2008;188(10):610–4.

    PubMed  Google Scholar 

  11. Dolan K, Teutsch S, Scheuer N, Levy M, Rawlinson W, Kaldor J, et al. Incidence and risk for acute hepatitis C infection during imprisonment in Australia. Eur J Epidemiol. 2010;25(2):143–8.

    Article  PubMed  Google Scholar 

  12. Macalino GE, Hou JC, Kumar MS, Taylor LE, Sumantera IG, Rich JD. Hepatitis C infection and incarcerated populations. Int J Drug Policy. 2004;15(2):103–14.

    Article  Google Scholar 

  13. Ward J, Topp L, Iversen J, Wand H, Akre S, Kaldor J, et al. Higher HCV antibody prevalence among Indigenous clients of needle and syringe programs. Aust NZ J Public Health. 2011;35(5):421–6.

    Article  Google Scholar 

  14. Larson A, Shannon C, Eldridge C. Indigenous Australians who inject drugs: results from a Brisbane study. Drug Alcohol Rev. 1999;18(1):53–62.

    Article  Google Scholar 

  15. Bryant J, Wilson H, Hull P, Treloar C. Pharmacy needle and syringe survey, New South Wales 2006–2008. Sydney: National Centre in HIV Social Research, The University of New South Wales; 2010.

    Google Scholar 

  16. Parker EJ, Jamieson LM. Associations between indigenous Australian oral health literacy and self-reported oral health outcomes. BMC Oral Health. 2010;10:3. doi:10.1186/1472-6831-10-3.

  17. Beckwith CG, Zaller ND, Fu JJ, Montague BT, Rich JD. Opportunities to diagnose, treat, and prevent HIV in the criminal justice system. J Acquir Immune Defic Syndr. 2010;55(Suppl. 1):S49–55.

    Article  PubMed  Google Scholar 

  18. Abou-Saleh MT, Foley S. Prevalence and incidence of hepatitis C in drug users: a review. Addict Disord Treat. 2008;7(4):190–8.

    Article  Google Scholar 

  19. Junga-Williams R. For all Australians? Natl AIDS Bull. 1998;12(3):10–3.

    Google Scholar 

  20. Ward J, Bryant J, Worth H, Hull P, Solar S, Bailey S. Use of health services for sexually transmitted and blood-borne viral infections by young Aboriginal people in New South Wales. doi:10.1071/PY11032.

  21. Balsam KF, Huang B, Fieland KC, Simoni JM, Walters KL. Culture, trauma, and wellness: a comparison of heterosexual and lesbian, gay, bisexual, and two-spirit native Americans. Cultur Divers Ethnic Minor Psychol. 2004;10(3):287–301.

    Article  PubMed  Google Scholar 

  22. Gilley BJ. Native sexual inequalities: american indian cultural conservative homophobia and the problem of tradition. Sexualities. 2010;13(1):47–68.

    Article  Google Scholar 

  23. Lehavot K, Walters KL, Simoni JM. Abuse, mastery, and health among lesbian, bisexual, and two-spirit American Indian and Alaska native women. Cultur Divers Ethnic Minor Psychol. 2009;15(3):275–84.

    Article  PubMed  Google Scholar 

  24. National Centre in HIV Epidemiology and Clinical Research. Australian NSP survey national data report 2005–2009. Sydney: National Centre in HIV Epidemiology and Clinical Research, The University of New South Wales; 2010.

    Google Scholar 

Download references

Acknowledgments

The authors acknowledge the excellent support and advice provided by the projects’ Aboriginal Advisory Group, including James Ward, Peter Pattison, Peter Waples-Crowe, and Kristie Harrison. The project was financially supported by the Consortium for Social Policy Research on HIV, HCV and Related Diseases. The authors thank Sofia Lema and Sallie Cairnduff for their contributions to the manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joanne Bryant.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Paquette, D., McEwan, M. & Bryant, J. Risk Practices Among Aboriginal People Who Inject Drugs in New South Wales, Australia. AIDS Behav 17, 2467–2473 (2013). https://doi.org/10.1007/s10461-012-0226-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10461-012-0226-x

Keywords

Navigation