Factors associated with client-reported HIV infection among clients entering methadone treatment.
To determine demographic and behavioral factors associated with client-reported HIV infection among new enrollees in methadone maintenance treatment programs (MMTPs) in Massachusetts and Connecticut, we examined ethnographic data and interview data from MMTP clients (N=674).
Clients responded to questions about behaviors in the 30 days before drug treatment.
ETHNOGRAPH was used to analyze qualitative data, and logistic regression analysis was used to identify variables associated with client-reported HIV infection.
Statistical significance was set at p<. 05.
The client-reported HIV infection rate was 20% (132/674).
Odds ratios for factors associated with client-reported HIV infection were being white (0.53), increase in age (1.07), use of non-injected heroin (0.12), use of injected heroin (6.24), cocaine injection (1.78), sharing of « works » with strangers (2.15), and « safer sex » behavior (4.04).
Additionally, 35% of those who did not use any illicit drugs reported being seropositive.
The qualitative data suggested HIV positive clients were concerned about protecting sex partners, and learning of HIV infection motivated some to stop using drugs.
Although some clients engaged in low-risk behaviors, others did not, and therefore the potential for HIV transmission among injection drug users (IDUs) in Connecticut and Massachusetts exists. (...)
Mots-clés Pascal : SIDA, Virose, Infection, Toxicomanie, Traitement substitutif, Méthadone, Chimiothérapie, Voie intraveineuse, Comportement, Prise risque, Facteur risque, Massachusetts, Etats Unis, Amérique du Nord, Amérique, Connecticut, Homme, Epidémiologie, Opiacés, Immunopathologie, Immunodéficit, Facteur sociodémographique
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Drug addiction, Replacement therapy, Methadone, Chemotherapy, Intravenous administration, Behavior, Risk taking, Risk factor, Massachusetts, United States, North America, America, Connecticut, Human, Epidemiology, Opiates, Immunopathology, Immune deficiency, Sociodemographic factor
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0416636
Code Inist : 002B06D01. Création : 19/12/1997.