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Some Data-Driven Reflections on Priorities in AIDS Network Research

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Abstract

Risk networks can transmit HIV or other infections; social networks can transmit social influence and thus help shape norms and behaviors. This primarily-theoretical paper starts with a review of network concepts, and then presents data from a New York network study to study patterns of sexual and injection linkages among IDUs and other drug users and nonusers, men who have sex with men, women who have sex with women, other men and other women in a high-risk community and the distribution of HIV, sex at group sex events, and health intravention behaviors in this network. It then discusses how risk network microstructures might influence HIV epidemics and urban vulnerability to epidemics; what social and other forces (such as “Big Events” like wars or ecological disasters) might shape networks and their associated norms, intraventions, practices and behaviors; and how network theory and research have and may continue to contribute to developing interventions against HIV epidemics.

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References

  • Amirkhanian, Y., Kelly, J. A., Kabakchieva, E., Kirsanova, A.,Vassileva, S., Takacs, J., DiFranceisco, W., McAuliffe, T., Khoursine, R., & Mocsonaki, L. (2005). A randomized social network HIV prevention trial with young men who have sex with men in Russia and Bulgaria. AIDS, 19(16), 1897–1905.

    Article  PubMed  Google Scholar 

  • Aral, S. O. (2002). Determinants of STD epidemics: Implications for phase appropriate intervention strategies. Sexually Transmitted Infections, 78, 3–13.

    Article  Google Scholar 

  • Blankenship, K. M., Friedman, S. R., Dworkin, S., & Mantell, J. E. (2006). Structural interventions: concepts, challenges and opportunities for research. Journal of Urban Health, 83, 59–72.

    Article  PubMed  CAS  Google Scholar 

  • Costenbader, E. C. (2005). The dynamics of injection drug users’ social networks. Unpublished doctoral dissertation. Baltimore: The Johns Hopkins University Bloomberg School of Public Health.

    Google Scholar 

  • Costenbader, E. C., Latkin, C., & Astone, N. (2006). The dynamics of injection drug users’ personal networks and HIV risk behaviors. Addiction, 101(7), 1003–1013.

    Article  PubMed  Google Scholar 

  • Curtis, R., Friedman, S. R., Neaigus, A., Jose, B., Goldstein, M., & Ildefonso, G. (1995). Street-Level Drug Market Structure and HIV Risk. Social Networks, 17, 219–228.

    Article  Google Scholar 

  • Des Jarlais, D. C., Marmor, M., Perlis, T., Friedmann, P., Titus, S., Aviles, E., Deren, S., Torian, L. V., Glebatis, D., Murrill, C., Monterroso, E., & Friedman, S. R. (2000). HIV incidence among injecting drug users in New York City, 1992 to 1997: Evidence for a declining epidemic. American Journal of Public Health, 90, 352–359.

    PubMed  CAS  Google Scholar 

  • Flom, P. L., Friedman, S. R., Kottiri, B. J., Neaigus, A., Curtis, R., Des Jarlais, D. C., Sandoval, M., & Zenilman, J. M. (2001). Stigmatized drug use, sexual partner concurrency, and other sexual risk network and behavioral characteristics of 18–24 year old youth in a high-risk neighborhood. Sexually Transmitted Diseases, 28, 598–607.

    Article  PubMed  CAS  Google Scholar 

  • Friedman, S. R. (1996). Theoretical bases for understanding drug users’ organizations. International Journal of Drug Policy, 7, 212–219.

    Google Scholar 

  • Friedman, S. R., & Knight, K. (2003). What is the role of structural interventions in HIV prevention? Fact Sheet 46. San Francisco: Center for AIDS Prevention Studies.

    Google Scholar 

  • Friedman, S. R., & Reid, G. (2002). The need for dialectical models as shown in the response to the HIV/AIDS epidemic. International Journal of Sociology and Social Policy, 22, 177–200.

    Article  Google Scholar 

  • Friedman, S. R., Neaigus, A., Jose, B., Curtis, R., Goldstein, M., Ildefonso, G., Rothenberg, R. B., & Des Jarlais, D. C. (1997). Sociometric Risk Networks and HIV Risk. American Journal of Public Health, 87(8), 1289–1296.

    PubMed  CAS  Google Scholar 

  • Friedman, S. R., Curtis, R., Neaigus, A., Jose, B., & Des Jarlais, D. C. (1999a). Social networks, drug injectors’ lives, and HIV/AIDS. New York: Kluwer/Plenum.

    Google Scholar 

  • Friedman, S. R., Neaigus, A., Jose, B., Curtis, R., Ildefonso, G., Goldstein, M., & Des Jarlais D. C. (1999b). Networks, Norms, and Solidaristic/Altruistic Action against AIDS among the Demonized. Sociological Focus, 32, 127–142.

    Google Scholar 

  • Friedman, S. R., Jose, B., Neaigus, A., Curtis, R., Vermund, S. H., & Des Jarlais, D. C. (2000). Network-related mechanisms may help explain long-term HIV-1-seroprevalence levels that remain high but do not approach population-group saturation. American Journal of Epidemiology, 152(10), 913–922.

    Article  PubMed  CAS  Google Scholar 

  • Friedman, S. R., Flom, P. L., Kottiri, B. J., Neaigus, A., Sandoval, M., Curtis, R., Zenilman, J. M., & Des Jarlais, D. C. (2001). Prevalence and correlates of anal sex with men among young adult women in an inner city minority neighborhood. AIDS, 15, 2057–2060.

    Article  PubMed  CAS  Google Scholar 

  • Friedman, S. R., Flom, P. L., Kottiri, B. J., Sandoval, M., Neaigus, A., Maslow, C., Mateu-Gelabert, P., Zenilman, J., Des Jarlais, D. C., & Barth-Jones, D. C. (2002a). Networks, norms and HIV risk in New York City. In: The network paradigm in research on drug abuse, HIV, and other blood-borne and sexually transmitted infections: New perspectives, approaches, and applications, meeting proceedings (pp. 41–49). National Institute on Drug Abuse.

  • Friedman, S. R., Neaigus, A., Sandoval, M., Mateu-Gelabert, P., Flom, P., Kottiri, B. J., et al. (2002b). What risk networks and social networks can contribute to understanding and preventing the potential spread of HIV. 2001 Global research network meeting on HIV prevention in drug-using populations. Fourth annual meeting report. Melbourne, Australia.

  • Friedman, S. R., Flom, P. L., Kottiri, B. J., Neaigus, A., Sandoval, M., Fuld, J., Curtis, R., Zenilman, J. M., & Des Jarlais, D. C. (2002c). Consistent condom use among drug-using youth in a high-HIV-risk neighborhood. AIDS Care, 14, 493–507.

    Article  CAS  Google Scholar 

  • Friedman, S. R., Flom, P. L., Kottiri, B. J., Zenilman, J. M., Curtis, R., Neaigus, A., Sandoval, M., Quinn, T., & Des Jarlais, D. C. (2003a). Drug use patterns and infection with sexually transmissible agents among young adults in a high-risk neighborhood in New York City. Addiction, 98, 159–169.

    Article  Google Scholar 

  • Friedman, S. R., Ompad, D. C., Maslow, C., Young, R., Case, P., Hudson, S. M., Diaz, T., Morse, E., Bailey, S., Des Jarlais, D. C., Perlis, T., Hollibaugh, A., & Garfein, R. S. (2003b). HIV prevalence, risk behaviors, and high-risk sexual and injection networks among young women injectors who have sex with women. American Journal of Public Health, 93, 902–906.

    Article  Google Scholar 

  • Friedman, S. R., Maslow, C., Bolyard, M., Sandoval, M., Mateu-Gelabert, P., & Neaigus, A. (2004). Urging others to be healthy: “Intravention” by injection drug users as a community prevention goal. AIDS Education and Prevention, 16, 250–263.

    Article  PubMed  Google Scholar 

  • Friedman, S. R., Bolyard, M., Maslow, C., Mateu-Gelabert, P., & Sandoval, M. (2005). Networks, risk-reduction communication, and norms., Focus, 20(January), 5–6.

    PubMed  Google Scholar 

  • Friedman, S. R., Cooper, H. L. F., Tempalski, B., Keem, M., Friedman, R., Flom, P. L., & Des Jarlais, D. C. (2006). Relationships of deterrence and law enforcement to drug-related harms among drug injectors in U.S.A. metropolitan areas, AIDS, 20, 93–99.

    PubMed  Google Scholar 

  • Friedman, S. R., Kippax, S. C., Phaswana-Mafuya, N., Rossi, D., & Newman, C. E. (2006). Emerging future issues in HIV/AIDS Social Research. AIDS, 20, 959–965.

    Article  PubMed  Google Scholar 

  • Gisselquist, D. (2005). Impact of long-term civil disorders and wars on the trajectory of HIV epidemics in sub-Saharan Africa. Journal of Social Aspects of HIV/AIDS Research Alliance, 1, 114–127.

    Google Scholar 

  • Gorbach, P., Drumright, L., & Holmes, K. (2005). Discord, discordance, and concurrency: Comparing individual and partnership-level analyses of new partnerships of young adults at risk of sexually transmitted infections. Sexually Transmitted Diseases, 32(1), 7–12.

    Article  PubMed  Google Scholar 

  • Hankins, C., Friedman, S. R., Zafar, T., & Strathdee, S. (2002). Transmission and prevention of HIV and STD in war settings: implications for current and future armed conflicts. AIDS, 16, 2245–2252.

    Article  PubMed  Google Scholar 

  • Kelly, J. A. (2004). Popular opinion leaders and HIV prevention peer education: Resolving discrepant findings, and implications for the development of effective community programmes. AIDS Care, 16(2), 139–150.

    Article  PubMed  CAS  Google Scholar 

  • Kretzschmar, M., & Morris, M. (1996). Measures of concurrency in networks and the spread of infectious disease. Math and Bioscience, 15, 133(2), 165–195.

    Article  CAS  Google Scholar 

  • Latkin, C. A., Sherman, S., & Knowlton, A. (2003). HIV prevention among drug users: outcome of a network-oriented peer outreach intervention. Health Psychology, 22(4), 332–339.

    Article  PubMed  Google Scholar 

  • Latkin, C. A., Forman, V., Knowlton, A., & Sherman, S. (2003) Norms, social networks, and HIV-related risk behaviors among urban disadvantaged drug users. Social Science and Medicine, 56, 465–476.

    Article  PubMed  Google Scholar 

  • Latkin, C. A., Hua, W., & Davey, M. A. (2004). Factors associated with peer HIV prevention outreach in drug-using communities. AIDS Education and Prevention, 16(6), 499–508.

    Article  PubMed  Google Scholar 

  • Manhart, L. E., Aral, S. O., Holmes, K. K., & Foxman, B. (2002). Sex partner concurrency: measurement, prevalence, and correlates among urban 18–39-year-olds. Sexually Transmitted Diseases, 29(3), 133–143.

    Article  PubMed  Google Scholar 

  • Potterat, J. J., Muth, S. Q., Rothenberg, R. B., Zimmerman-Rogers, H., Green, D. L., Taylor, J. E., Bonney, M. S., & White, H. A. (2002). Sexual network structure as an indicator of epidemic phase. Sexually Transmitted Infections, 78, 152–158.

    Article  Google Scholar 

  • Potterat, J. J., Zimmerman-Rogers, H., Muth, S. Q., Rothenberg, R. B., Green, D. L., Taylor J. E., Bonney, M. S., & White, H. A. (1999a). Chlamydia transmission: Concurrency, reproduction number, and the epidemic trajectory. American Journal of Epidemiology, 150, 1331–1339.

    CAS  Google Scholar 

  • Potterat, J. J., & Rothenberg, R. B. (1999b). Network structural dynamics and infectious disease propagation. International Journal of STD and AIDS, 10, 182–185.

    Article  CAS  Google Scholar 

  • Remien, R. H., Stirratt, M., Dolezal, C., Dognin, J., Wagner, G., Carballo-Dieguez, A., El-Bassel, N., & Jung, T. (2005). Couple-focused support to improve HIV medication adherence: A randomized controlled trial. AIDS, 19, 807–814.

    Article  PubMed  Google Scholar 

  • Remien, R. H., Hirky, E., Johnson, M., Weinhardt, L., Whittier, D., & Giang M. (2003). Adherence to medication treatment: a qualitative study of facilitators and barriers among a diverse sample of HIV+ men and women in four U.S. cities. AIDS and Behavior, 7, 61–72.

    Article  PubMed  Google Scholar 

  • Rossi, D., Goltzman, P., Cymerman, P., Touze, G., & Weissenbacher, M. (2003). Human immunodeficiency virus/acquired immunodeficiency syndrome prevention in injection drug users and their partners and children: Lessons learned in latin America–the Argentinean case. Clinical Infectious Diseases, 37, S362–S365.

    Article  PubMed  Google Scholar 

  • Sikkema, K. J., Anderson, E., Kelly, J. A., Winett, R.,Gore-Felton, C., Roffman, R., Heckman, T., Graves, K., Hoffmann, R., & Brondino, M. J. (2005). Outcomes of a randomized, controlled community-level HIV prevention intervention for adolescents in low-income housing developments. AIDS, 19(14), 1509–1516.

    Article  PubMed  Google Scholar 

  • Snead, J., Downing, M., Lorvick, J., Garcia, B., Thawley, R., Kegeles, S., & Edlin, B. R. (2003). Secondary syringe exchange among injection drug users. Journal of Urban Health, 80, 330–348.

    PubMed  Google Scholar 

  • Spiegel, P. B. (2004). HIV/AIDS among conflict-affected and displaced populations: Dispelling myths and taking action. Disasters, 28, 322–339.

    Article  PubMed  Google Scholar 

  • Tarrow, S. (1998). Power in movement: Social movements and contentious politics (2nd ed.). Cambridge: Cambridge University Press.

    Google Scholar 

  • Vivas, L., Radulich, G., & Bruno, D. (2003). Vulnerable among the vulnerable: Drug users in situations of poverty and indigence in Argentina. Clinical Infectious Diseases, 37, S358–S361.

    Article  PubMed  Google Scholar 

  • Weaver, K. E., Llabre, M., Durán, R., Antoni, M., Ironson, G., Penedo, F., & Schneiderman, N. (2005). A stress and coping model of medication adherence and viral load in HIV-positive men and women on highly active antiretroviral therapy (HAART). Health Psychology, 24, 385–392.

    Article  PubMed  Google Scholar 

  • Weeks, M. R., Clair, S., & Borgatti, S. P. (2000, April). High-risk sites and drug user social networks: Linkages for HIV transmission. Paper presented at the 20th Annual Sunbelt International Social Network Conference. Vancouver, BC, Canada.

  • Weeks, M., Clair, S., Borgatti, S., Radda, K., & Schensul, J. (2002). Social networks of drug users in high risk sites: Finding the connections. AIDS and Behavior, 6, 193–206.

    Article  Google Scholar 

  • Wiebel, W. W., Jimenez, A., Johnson, W., Ouellet, L., Jovanovic, B., Lampinen, T., Murray, J., & O’Brien, M. U. (1996). Risk behavior and HIV seroincidence among out-of-treatment injection drug users: A four-year prospective study. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 12, 282–289.

    PubMed  CAS  Google Scholar 

  • Young, R. M., Friedman, S. R., Case, P., Asencio, M., & Clatts, M. (2000). Women injection drug users who have sex with women exhibit increased infection and risk behaviors. Journal of Drug Issues, 30, 499–524.

    Google Scholar 

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Acknowledgments

The authors would like to acknowledge support from US National Institute on Drug Abuse project R01 DA13128 (Networks, Norms, and HIV/STI Risk among Youth) and its supplement (Networks, Norms and Risk in Argentina’s Social Turmoil); P30 DA11041 (Center for Drug Use and HIV Research) and Fogarty International Training and Research project D43 TW001037-06 (Mount Sinai New York State Argentina HIV Prevention).

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Correspondence to Samuel R. Friedman.

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Friedman, S.R., Bolyard, M., Mateu-Gelabert, P. et al. Some Data-Driven Reflections on Priorities in AIDS Network Research. AIDS Behav 11, 641–651 (2007). https://doi.org/10.1007/s10461-006-9166-7

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