Social network characteristics and injecting HIV-risk behaviors among street injection drug users

Drug Alcohol Depend. 1997 Aug 25;47(2):137-43. doi: 10.1016/s0376-8716(97)00082-3.

Abstract

As an alternative approach to individually-focused understanding of HIV risk behavior, this study explored the relationship between social network characteristics and HIV-risk injecting behaviors. Subjects were 499 inner-city injection drug users (IDUs) recruited from the streets of Baltimore, Maryland. Analysis of structural and functional network data indicates that a substantial proportion of drug sharing network members also provided social support, often because of family and sexual partner relationships. IDUs with larger drug networks which also provided social support were more likely to share needles, while IDUs with larger drug networks which did not provide social support were more likely to inject in commercial settings. The findings suggest that social support from drug network members has differential effects on injecting HIV-risk behaviors among IDUs. HIV prevention efforts should be expanded to reach drug-sharing networks and should take into account their social support relationships.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Baltimore / epidemiology
  • Female
  • HIV Infections / prevention & control
  • HIV Infections / psychology
  • HIV Infections / transmission*
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Illicit Drugs*
  • Male
  • Middle Aged
  • Needle Sharing / psychology
  • Psychotropic Drugs*
  • Risk-Taking
  • Sexual Partners / psychology
  • Social Support*
  • Substance Abuse, Intravenous / epidemiology
  • Substance Abuse, Intravenous / psychology*
  • Urban Population* / statistics & numerical data

Substances

  • Illicit Drugs
  • Psychotropic Drugs