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Cited by 78HIV, Drug Use, Sexual RiskSubstance Abuse Treatment and OutcomesOpioid Use Disorder Treatment

Reduced injection risk and sexual risk behaviours after drug misuse treatment: Results from the National Treatment Outcome Research Study

Gossop, M., Marsden, J., Stewart, D., Treacy, S.·2002·AIDS Care
DOI 10.1080/09540120220097955
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Abstract

This paper investigates injecting, shared use of needles/syringes and sexual risk behaviours at intake to treatment and at one-year follow-up among 753 drug users recruited to the National Treatment Outcome Research Study (NTORS). Injecting, sharing and having unprotected sex were substantially reduced among clients admitted to methadone programmes and among those admitted to residential treatments. The overall levels of risk fell after treatment, and the majority of those who were engaged in high risk behaviours at intake had stopped at follow-up. The results also show the variability of individual outcomes. A minority persisted with their risk behaviour, and others who were not at risk at intake who had started to engage in risky behaviours at follow-up. The behaviour of these clients creates a focal point for risk as well as being a threat to public health. Several social and psychological factors were predictive of health risk behaviours. These included frequency and duration of heroin use, polydrug use, alcohol use, gender, ethnicity, having a drug-using partner, anxiety and depression. The results indicate the important role that can be played by treatment services in helping to reduce the risk of blood-borne infections. We suggest that risk reduction interventions are an important and effective component of treatment programmes.

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Crossref · 10.1080/09540120220097955

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57 of 57 references verified0 citation errors · 0 not checkable

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  • Some studies of alcohol and cocaine abuse treatment found that sexual risk behaviours fell after substance misuse fell, without any intervention specifically targeting sexual risk behaviours.

    “there are some studies (of treatment for alcohol and for cocaine abuse) that found that sexual risk behaviours did reduce once substance misuse reduced, without any treatment specific to the sexual risk behaviours (Metzger et al., 1998;Gossop et al., 2002).”

    From Screening and Brief Intervention for Substance Misuse: Does It Reduce Aggression and HIV-Related Risk Behaviours? (2015) · cites this paper as Gossop et al., 2002

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Related

Authors
Gossop, M., Marsden, J., Stewart, D., & Treacy, S.
Affiliations
a National Addiction Centre , The Maudsley, London , UK
ORCID
Venue
AIDS Care
Publisher
Informa UK Limited
Published
2002-02
Volume
14
Issue
1
Pages
77-93
ISSN
  • 0954-0121 (ISSN-L)
  • 1360-0451
DOI
10.1080/09540120220097955
OpenAlex
W2011235590
Cited by
78
References
59
Citations by year
2026: 1 · 2024: 1 · 2022: 1 · 2021: 1 · 2020: 2 · 2017: 2 · 2016: 3 · 2015: 5 · 2014: 4 · 2013: 2 · 2012: 1
FWCI
4.52
Type
journal article
Language
en
Open access
closed
Locations
  • AIDS Care (publishedVersion)
  • PubMed (publishedVersion)
  • Research Portal (King's College London) (submittedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords
drug misuse treatment, intravenous drug use, needle sharing, sexual risk behavior, unprotected sex, methadone maintenance treatment, residential drug treatment, bloodborne infections, risk reduction interventions, heroin use, polydrug use, alcohol consumption, anxiety and depression, treatment outcomes
MeSH terms
Adult, Heroin Dependence, Humans, Longitudinal Studies, Prospective Studies, Regression Analysis, Risk Factors, Risk-Taking, Sexual Behavior, Cohort Studies, Substance Abuse, Intravenous, Treatment Outcome, Needle-Exchange Programs

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