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IVDU and AIDS: more resistance to changing their sexual than their needle-sharing practices.


Int Conf AIDS. 1989 Jun 4-9;5:756 (abstract no. W.D.P.79). Unique

OBJECTIVES: To study the effect of intensive education/prevention program (EPP) on 1) high-risk behavior of IV drug users and their sexual partners and 2) the spread of HIV-1 in this population. METHODS: We started an EPP in Sacramento in 7/87 consisting of education regarding spread of HIV, ways to reduce drug- and sex-related risks, and HIV ab test for IVDU and their sexual partners. The program operates at drug treatment programs (DTP), hospital and jail. Test results are given 1 wk later and safer shooting and safer sex methods are discussed again. IVDU are retested and assessed for behavior modification every 4-6 months. RESULTS: Of the 671 IVDU tested initially, 7% never share and 93% share paraphernalia(P). Of the 93%, only 40% disinfect P often, usually or always. 68% of IVDU never use condoms for vaginal sex and only 22% often, usually or always use them. The average # of sexual partners 1 and 6 mos prior to testing was 3 and 11. 150 IVDU have returned for retesting and, of these, 10% no longer use drugs, 34% do not share and 52% share P. Of the people who share P 52% disinfect P often, usually or always. 64% still do not use condoms for vaginal sex and only 26% often, usually or always use them. The average # of sexual partners in the last 1 and 6 mos was 2 & 5.6. The rate of sero-conversion among returnees was zero. The prevalence rate for HIV-ab among DTP clients has not increased since the EPP was begun. CONCLUSIONS: We believe IVDU can change drug-related high-risk activities, but in our program they are resistant to changing their sexual habits. This type of EPP should be integrated into all DTPs to slow the spread of HIV among IVDU. Better methods to change sexual habits need to be developed.

Acquired Immunodeficiency Syndrome/*PREVENTION & CONTROL Contraceptive Devices, Male/UTILIZATION Health Education Human *Needles *Sex Behavior Sexual Partners *Substance Abuse, Intravenous ABSTRACT


Information in this article was accurate in September 30, 1990. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.