Abstract
Nine hundred and nineteen injecting drug users (IDUs) were interviewed in Glasgow, Scotland during 1990 and 1991, as part of a wider study of HIV risk behaviour, about their injecting and sexual behaviour outside the city in the previous two years. Forty-five percent of respondents injected outside Glasgow, 6% shared needles and syringes (n/s) and 20% had sexual intercourse. Much activity occurred outside Scotland but mainly within the UK, particularly London. Predictors of n/s sharing outside Glasgow during the previous two years included current injecting with and passing on of used n/s and sexual intercourse with casual partners. Predictors of sexual behaviour outside Glasgow included passing on used n/s, having sexual intercourse with casual partners and, for females, engaging in prostitution. Glasgow IDUs are a highly mobile group and although HIV prevalence remains low within this population, considerable potential for importation/ exportation of HIV and other bloodborne and sexually transmitted infections exists. Further work is required to establish why IDUs travel to, and engage in high-risk activities in locations outside their home environment, and detailed data about activities such as frequency of condom usage and n/s cleaning practices need to obtained. While there is a widespread network of services for IDUs in the UK, information provided usually relates to local services and may not fully address the needs of this mobile population. Therefore, we recommend that IDUs be provided with details of facilities such as n/s exchange schemes and drug-treatment establishments in centres to where they most commonly travel.
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References
Brettle RP. HIV and harm reduction for injection drug users. AIDS 1991; 5: 125–136.
Des Jarlais DC, Friedman SR, Choopanya K, Vanichseni S, Ward TP. International epidemiology of HIV and AIDS among injecting drug users. AIDS 1992; 6: 1053–1068.
Jones G, Davidson J, Bisset C, Brettle R. Mobility of injection drug users as a means of spread for the human immunodeficiency virus. ANSWER (AIDS News Supplement, CDS Weekly Report) 1988; A76: 1–4.
Frischer M, Haw S, Bloor M, Goldberg D, Green S, McKeganey N, Covell R. Modelling the behaviour and attributes of injecting drug users: A new approach to identifying HIV risk practices. Int J Addict 1993; 28 (2): 129–152.
WHO Collaborative Study Group. An international comparative study of HIV prevalence and risk behaviour among drug injectors in thirteen cities. UN Bulletin on Narcotics 1993; XLV: 19–46.
Frischer M, Bloor M, Goldberg D, Green S, McKeganey N, Covell R, Taylor A. Reduction in needle sharing among community-wide samples of injecting drug users. Int J STD and AIDS 1992; 3: 288–290.
Bath GE, Burns SM, Davies AG, Dominy N, Peters A, Richardson AM. Injecting drug users in Edinburgh: Fewer drug users share needles. Brit Med J 1993; 306: 1414.
Donoghoe MC, Rhodes TJ, Hunter GM, Stimson GV. HIV testing and unreported HIV positivity among injecting drug users in London. AIDS 1993: 7: 1105–1111.
Frischer M, Leyland A, Cormack R, Goldberg D, Bloor M, Green S, Taylor A, Covell R, McKeganey N, Platt S. Estimating the population prevalence of injection drug use and infection with the human immunodeficiency virus among injection drug users in Glasgow, Scotland.
Green S, Taylor A, Bloor M, McKeganey N. Selective increase in condom usage among drug injectors in Glasgow. PoD 5382, VIII Intl. Conference on AIDS, Amsterdam, 1992.
Carr SV, Green ST, Goldberg D, Cameron S, Gruer L, Frischer M, et al. HIV prevalence among female street prostitutes attending a health care drop-in centre in Glasgow. AIDS 1992; 6: 1553–1554.
Green S, Goldberg D, Christie P, Frischer M, et al. Female streetworker prostitutes in Glasgow: A descriptive study of their lifestyle. AIDS Care 1993; 5: 321–325.
Mitchell S, Band B, Bradbeer C, Barlow D. Imported heterosexual HIV infection in London. Brit Med J 1991; 337: 1614–1615.
Ellis CJ. HIV infection and foreign travel. Brit Med J 1990; 301: 984–985.
Cossar JH, Reid D. Immunization and health advice for travellers: The role of the general practioner. Health Bulletin 1992; 50 (6): 428–432.
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Goldberg, D.J., Frischer, M., Taylor, A. et al. Mobility of Scottish injecting drug users and risk of HIV infection. Eur J Epidemiol 10, 387–392 (1994). https://doi.org/10.1007/BF01719661
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DOI: https://doi.org/10.1007/BF01719661