PMID: 8944860Oct 1, 1996Paper

Methadone maintenance treatment and HIV risk-taking behaviour among injecting drug users in Berlin

Journal of Epidemiology and Community Health
K StarkI Guggenmoos-Holzmann

Abstract

To determine whether methadone maintenance treatment (MMT) is effective in reducing the levels of HIV risk-taking behaviour (borrowing and lending of injection equipment, irregular condom use) among injecting drug users (IDUs), and to identify independent predictors of the borrowing of used syringes. Cross sectional study of IDUs in MMT and not in MMT, using standardised interviews for collection of sociodemographic and behavioural data, and laboratory tests for detecting HIV antibodies. The 612 IDUs were recruited at different services for drug users such as treatment centres, walk in agencies, a hospital, and on the streets. Of all IDUs, 41% had borrowed and 34% had passed on used injection equipment in the previous six months. In univariate analysis, IDUs receiving MMT had injected less frequently and were significantly less likely to borrow and lend syringes. In logistic regression analysis, MMT was protective against the borrowing of syringes (adjusted odds ratio 0.36, 95% confidence interval 0.2, 0.8), but not against syringe lending nor against sexual risk behaviour (i.e., numbers of sex partners, lack of condom use). Important independent predictors of the borrowing of syringes were injecting drug use in prison, use of ...Continue Reading

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Citations

Sep 8, 2000·Journal of Urban Health : Bulletin of the New York Academy of Medicine·H ThiedeC S Murrill
Mar 9, 2000·Drug and Alcohol Dependence·J L Sorensen, A L Copeland
Aug 19, 2005·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Lynn E Sullivan, David A Fiellin
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Oct 13, 2007·Journal of Substance Abuse Treatment·Jessica Willner-ReidKenzie L Preston
Feb 10, 2007·Enfermedades infecciosas y microbiología clínica·Joan Carles MarchManuel Romero
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Jan 4, 2003·Substance Use & Misuse·Elise D RileyDavid Vlahov

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