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Changes in Reported Injection Behaviors Following the Public Health Response to an HIV Outbreak Among People Who Inject Drugs: Indiana, 2016.
AIDS Behav 2019AB

Abstract

A syringe services program (SSP) was established following the Indiana HIV outbreak among persons who inject drugs (PWID) in Scott County. Among Indiana-based PWID, we examined injection behaviors associated with HIV status, SSP use after its establishment, and changes in injection behaviors after the outbreak response. During 2016, we interviewed 200 PWID and assessed injection behaviors before the response by HIV status. We reported injection behaviors prior to the response and used Fisher's exact Chi square tests (P < 0.05) to assess differences by HIV status. Next, among persons who injected both before (July-December 2014) and after (past 30 days) the response, we (1) reported the proportion of persons who used the SSP to obtain sterile syringes, and assessed differences in SSP use by HIV status using Fisher's exact Chi square tests; and (2) compared distributive and receptive sharing of injection equipment and disposal of syringes before and after the outbreak response, and assessed statistical differences using McNemar's test. We also compared injection behaviors before and after the response by HIV status. Injecting extended release oxymorphone (Opana® ER); receptive sharing of syringes and cookers; and distributive sharing of cookers, filters, or water before the response were associated with HIV infection. SSP use was high (86%), particularly among HIV-positive compared with HIV-negative persons (98% vs. 84%). Injection equipment sharing decreased and safe disposal of used syringes increased after the response, especially among HIV-positive persons. Injection equipment sharing contributed to the outbreak. High SSP use following the response, particularly among HIV-positive persons, contributed to decreased high-risk injection practices.

Authors+Show Affiliations

Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA, 30329, USA. sdasgupta@cdc.gov.Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA, 30329, USA.Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA, 30329, USA.Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA, 30329, USA.Indiana State Department of Health, Indianapolis, IN, USA.Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA, 30329, USA.Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA, 30329, USA.Division of Unintentional Injury Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.Indiana State Department of Health, Indianapolis, IN, USA.Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, IN, USA.Indiana State Department of Health, Indianapolis, IN, USA.Indiana State Department of Health, Indianapolis, IN, USA.Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA, 30329, USA.Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, IN, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31313095

Citation

Dasgupta, Sharoda, et al. "Changes in Reported Injection Behaviors Following the Public Health Response to an HIV Outbreak Among People Who Inject Drugs: Indiana, 2016." AIDS and Behavior, 2019.
Dasgupta S, Broz D, Tanner M, et al. Changes in Reported Injection Behaviors Following the Public Health Response to an HIV Outbreak Among People Who Inject Drugs: Indiana, 2016. AIDS Behav. 2019.
Dasgupta, S., Broz, D., Tanner, M., Patel, M., Halleck, B., Peters, P. J., ... Duwve, J. (2019). Changes in Reported Injection Behaviors Following the Public Health Response to an HIV Outbreak Among People Who Inject Drugs: Indiana, 2016. AIDS and Behavior, doi:10.1007/s10461-019-02600-x.
Dasgupta S, et al. Changes in Reported Injection Behaviors Following the Public Health Response to an HIV Outbreak Among People Who Inject Drugs: Indiana, 2016. AIDS Behav. 2019 Jul 16; PubMed PMID: 31313095.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Changes in Reported Injection Behaviors Following the Public Health Response to an HIV Outbreak Among People Who Inject Drugs: Indiana, 2016. AU - Dasgupta,Sharoda, AU - Broz,Dita, AU - Tanner,Mary, AU - Patel,Monita, AU - Halleck,Brandon, AU - Peters,Philip J, AU - Weidle,Paul J, AU - O'Donnell,Julie, AU - Amlung,Joseph, AU - McAlister,Cameron, AU - Chapman,Erika, AU - Bailey,Ayriane, AU - Burnett,Janet, AU - Duwve,Joan, Y1 - 2019/07/16/ PY - 2019/7/18/entrez KW - HIV KW - Outbreak KW - Persons who inject drugs KW - Syringe services program JF - AIDS and behavior JO - AIDS Behav N2 - A syringe services program (SSP) was established following the Indiana HIV outbreak among persons who inject drugs (PWID) in Scott County. Among Indiana-based PWID, we examined injection behaviors associated with HIV status, SSP use after its establishment, and changes in injection behaviors after the outbreak response. During 2016, we interviewed 200 PWID and assessed injection behaviors before the response by HIV status. We reported injection behaviors prior to the response and used Fisher's exact Chi square tests (P < 0.05) to assess differences by HIV status. Next, among persons who injected both before (July-December 2014) and after (past 30 days) the response, we (1) reported the proportion of persons who used the SSP to obtain sterile syringes, and assessed differences in SSP use by HIV status using Fisher's exact Chi square tests; and (2) compared distributive and receptive sharing of injection equipment and disposal of syringes before and after the outbreak response, and assessed statistical differences using McNemar's test. We also compared injection behaviors before and after the response by HIV status. Injecting extended release oxymorphone (Opana® ER); receptive sharing of syringes and cookers; and distributive sharing of cookers, filters, or water before the response were associated with HIV infection. SSP use was high (86%), particularly among HIV-positive compared with HIV-negative persons (98% vs. 84%). Injection equipment sharing decreased and safe disposal of used syringes increased after the response, especially among HIV-positive persons. Injection equipment sharing contributed to the outbreak. High SSP use following the response, particularly among HIV-positive persons, contributed to decreased high-risk injection practices. SN - 1573-3254 UR - https://www.unboundmedicine.com/medline/citation/31313095/Changes_in_Reported_Injection_Behaviors_Following_the_Public_Health_Response_to_an_HIV_Outbreak_Among_People_Who_Inject_Drugs:_Indiana,_2016 L2 - https://doi.org/10.1007/s10461-019-02600-x DB - PRIME DP - Unbound Medicine ER -