Rural and urban injection drug use in Puerto Rico: Network implications for human immunodeficiency virus and hepatitis C virus infection

J Ethn Subst Abuse. 2018 Apr-Jun;17(2):199-222. doi: 10.1080/15332640.2017.1326864. Epub 2017 Jun 30.

Abstract

Understanding the short- and long-term transmission dynamics of blood-borne illnesses in network contexts represents an important public health priority for people who inject drugs and the general population that surrounds them. The purpose of this article is to compare the risk networks of urban and rural people who inject drugs in Puerto Rico. In the current study, network characteristics are drawn from the sampling "trees" used to recruit participants to the study. We found that injection frequency is the only factor significantly related to clustering behavior among both urban and rural people who inject drugs.

Keywords: HCV; HIV; RDS; injection drug users; network affiliation.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Female
  • HIV Infections / epidemiology*
  • HIV Infections / transmission
  • Hepatitis C / epidemiology*
  • Hepatitis C / transmission
  • Humans
  • Male
  • Middle Aged
  • Puerto Rico / epidemiology
  • Risk
  • Rural Population / statistics & numerical data*
  • Substance Abuse, Intravenous / epidemiology*
  • Urban Population / statistics & numerical data*
  • Young Adult