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Injection and sexual HIV/HCV risk behaviors associated with nonmedical use of prescription opioids among young adults in New York City.

Abstract

Prevalence of nonmedical prescription opioid (PO) use has increased markedly in the U.S. This qualitative study explores the drug-use and sexual experiences of nonmedical PO users as they relate to risk for HIV and HCV transmission. Forty-six New York City young adult nonmedical PO users (ages 18-32) completed in-depth, semi-structured interviews. Despite initial perceptions of POs as less addictive and safer than illegal drugs, PO misuse often led to long-term opioid dependence and transition to heroin use and drug injection. Injectors in the sample reported sporadic syringe-sharing, frequent sharing of non-syringe injection paraphernalia and selective sharing with fellow injectors who are presumed "clean" (uninfected). Participants reported little knowledge of HCV injection-related risks and safer injection practices. They also reported engaging in unprotected sex with casual partners, exchange sex and group sex, and that PO misuse increases the risk of sexual violence. Prevention efforts addressing HIV/HCV risk should be targeted to young nonmedical PO users.

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  • Authors+Show Affiliations

    ,

    National Development and Research Institutes, Inc., New York, NY, USA. Electronic address: mateu-gelabert@ndri.org.

    ,

    National Development and Research Institutes, Inc., New York, NY, USA.

    ,

    National Development and Research Institutes, Inc., New York, NY, USA.

    National Development and Research Institutes, Inc., New York, NY, USA.

    Source

    MeSH

    Adolescent
    Adult
    Analgesics, Opioid
    Female
    HIV Infections
    Health Knowledge, Attitudes, Practice
    Hepatitis C
    Heroin Dependence
    Humans
    Male
    Needle Sharing
    New York City
    Opioid-Related Disorders
    Prescription Drug Misuse
    Risk-Taking
    Substance Abuse, Intravenous
    Substance-Related Disorders
    Unsafe Sex
    Young Adult

    Pub Type(s)

    Journal Article
    Research Support, N.I.H., Extramural

    Language

    eng

    PubMed ID

    25124258

    Citation

    TY - JOUR T1 - Injection and sexual HIV/HCV risk behaviors associated with nonmedical use of prescription opioids among young adults in New York City. AU - Mateu-Gelabert,Pedro, AU - Guarino,Honoria, AU - Jessell,Lauren, AU - Teper,Anastasia, Y1 - 2014/07/11/ PY - 2014/03/02/received PY - 2014/06/30/revised PY - 2014/07/01/accepted PY - 2014/8/16/entrez PY - 2014/8/16/pubmed PY - 2015/8/4/medline KW - HIV/HCV risk KW - Injection risk behavior KW - Prescription opioid misuse KW - Sexual risk behavior SP - 13 EP - 20 JF - Journal of substance abuse treatment JO - J Subst Abuse Treat VL - 48 IS - 1 N2 - Prevalence of nonmedical prescription opioid (PO) use has increased markedly in the U.S. This qualitative study explores the drug-use and sexual experiences of nonmedical PO users as they relate to risk for HIV and HCV transmission. Forty-six New York City young adult nonmedical PO users (ages 18-32) completed in-depth, semi-structured interviews. Despite initial perceptions of POs as less addictive and safer than illegal drugs, PO misuse often led to long-term opioid dependence and transition to heroin use and drug injection. Injectors in the sample reported sporadic syringe-sharing, frequent sharing of non-syringe injection paraphernalia and selective sharing with fellow injectors who are presumed "clean" (uninfected). Participants reported little knowledge of HCV injection-related risks and safer injection practices. They also reported engaging in unprotected sex with casual partners, exchange sex and group sex, and that PO misuse increases the risk of sexual violence. Prevention efforts addressing HIV/HCV risk should be targeted to young nonmedical PO users. SN - 1873-6483 UR - https://www.unboundmedicine.com/medline/citation/25124258/Injection_and_sexual_HIV/HCV_risk_behaviors_associated_with_nonmedical_use_of_prescription_opioids_among_young_adults_in_New_York_City_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0740-5472(14)00117-2 ER -