A peer-education intervention to reduce injection risk behaviors for HIV and hepatitis C virus infection in young injection drug users

Garfein, Richard S; Golub, Elizabeth T; Greenberg, Alan E; Hagan, Holly; Hanson, Debra L; Hudson, Sharon M; Kapadia, Farzana; Latka, Mary H; Ouellet, Lawrence J; Purcell, David W; Strathdee, Steffanie A; Thiede, Hanne

doi:10.1097/qad.0b013e32823f9066

Cited by 159HIV, Drug Use, Sexual RiskSubstance Abuse Treatment and OutcomesHIV/AIDS Research and Interventions

A peer-education intervention to reduce injection risk behaviors for HIV and hepatitis C virus infection in young injection drug users

Garfein, Richard S, Golub, Elizabeth T, Greenberg, Alan E, Hagan, Holly, Hanson, Debra L, Hudson, Sharon M, Kapadia, Farzana, Latka, Mary H +4 more·2007·AIDS

DOI 10.1097/qad.0b013e32823f9066

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Abstract

OBJECTIVES: To evaluate whether a behavioral intervention, which taught peer education skills, could reduce injection and sexual risk behaviors associated with primary HIV and hepatitis C virus infection (HCV) among young injection drug users (IDU). DESIGN: We conducted a randomized controlled trial involving HIV and HCV antibody-negative IDU, aged 15-30 years, recruited in five United States cities. A six-session, small-group, cognitive behavioral, skills-building intervention in which participants were taught peer education skills (n = 431) was compared with a time-equivalent attention control (n = 423). Baseline visits included interviews for sociodemographic, psychosocial, and behavioral factors during the previous 3 months; HIV and HCV antibody testing; and pre/posttest counselling. Procedures were repeated 3 and 6 months postintervention. RESULTS: The intervention produced a 29% greater decline in overall injection risk 6 months postintervention relative to the control [proportional odds ratio 0.71; 95% confidence limit (CL) 0.52, 0.97], and a 76% decrease compared with baseline. Decreases were also observed for sexual risk behaviors, but they did not differ by trial arm. Overall HCV infection incidence (18.4/100 person-years) did not differ significantly across trial arms (relative risk 1.15; 95% CL 0.72, 1.82). No HIV seroconversions were observed. CONCLUSION: Interventions providing information, enhancing risk-reduction skills, and motivating behavior change through peer education training can reduce injection risk behaviors, although risk elimination might be necessary to prevent HCV transmission.

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RDS interventions have been shown to be quite effective at reducing risk behavior.
“These RDS interventions have been shown to be quite effective at reducing risk behavior [62].”
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From Agricultural Fields to Urban Asphalt: The Role of Worker Education to Promote California's Heat Illness Prevention Standard
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Injecting behaviour and service use among young injectors in Albania, Moldova, Romania and Serbia
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Psychosocial and behavioral correlates of anxiety symptoms in a sample of HIV-positive, methamphetamine-using men who have sex with men
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Validation of a modified Berger HIV stigma scale for use among patients with hepatitis C virus (HCV) infection
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Characterizing and Improving HIV and Hepatitis Knowledge Among Primary Prescription Opioid Abusers
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Needle Exchange and Sexual Risk Behaviors Among a Cohort of Injection Drug Users in Chicago, Illinois
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Agents of Change: Peer Mentorship as HIV Prevention Among HIV-Positive Injection Drug Users
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Motivators and barriers influencing willingness to participate in candidate HCV vaccine trials: Perspectives of people who inject drugs
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Reviewing the evidence on effectiveness and cost-effectiveness of HIV prevention strategies in Thailand
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Utility of the Beck Depression Inventory to screen for and track depression in injection drug users seeking hepatitis C treatment
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Short-term cessation of sex work and injection drug use: Evidence from a recurrent event survival analysis
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Ignoring the group in group-level HIV/AIDS intervention trials: a review of reported design and analytic methods
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Prevalence and Correlates of Former Injection Drug Use Among Young Noninjecting Heroin Users in Chicago
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Transitions in Latent Classes of Sexual Risk Behavior Among Young Injection Drug Users Following HIV Prevention Intervention
Mackesy‐Amiti, M. E., Ouellet, L. J., Finnegan, L., Hagan, H., Golub, E. T., Latka, M. H., Wagner, K. D., & Garfein, R. S. (2013) · AIDS and Behavior · doi:10.1007/s10461-013-0601-2 · Cited by 13 · see citing works
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Social networks and HCV viraemia in anti-HCV-positive rural drug users
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Intelligent Network DisRuption Analysis (INDRA): A targeted strategy for efficient interruption of hepatitis C transmissions
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The influence of the perceived consequences of refusing to share injection equipment among injection drug users: Balancing competing risks
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Formative Assessment of ARM-U: A Modular Intervention for Decreasing Risk Behaviors Among HIV-Positive and HIV-Negative Methamphetamine- Using MSM
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Community partner perspectives on the implementation of a novel safer supply program in Canada: a qualitative study of the MySafe Project
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Predictors of Injection Cessation and Relapse among Female Sex Workers who Inject Drugs in Two Mexican-US Border Cities
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Gender-specific associations between psychological distress and injecting risk behaviours among people who inject drugs in Montreal, Canada
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What is the volume, diversity and nature of recent, robust evidence for the use of peer support in health and social care? An evidence and gap map
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Training Drug Treatment Patients to Conduct Peer-Based HIV Outreach: An Ethnographic Perspective on Peers' Experiences
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Latent Classes of Polysubstance Use and Associations with HIV Risk and Structural Vulnerabilities among Cisgender Women Who Engage in Street-Based Transactional Sex in Baltimore City
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Peer education: The effects on knowledge of pregnancy related malaria and preventive practices in women of reproductive age in Edo State, Nigeria
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A peer-education intervention to reduce injection risk behaviors for HIV and HCV infection in young injection drug users.
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Self-citation
A Randomized Intervention Trial to Reduce the Lending of Used Injection Equipment Among Injection Drug Users Infected With Hepatitis C
Latka, M. H., Hagan, H., Kapadia, F., Golub, E. T., Bonner, S., Campbell, J. V., Coady, M. H., Garfein, R. S., Pu, M., Thomas, D. L., et al. (2008) · American Journal of Public Health · doi:10.2105/ajph.2007.113415 · Cited by 56 · see citing works
Self-citation
Preventing hepatitis C virus infection in injection drug users: risk reduction is not enough
Page, K. A., Hahn, J. A., & Lum, P. J. (2007) · AIDS · doi:10.1097/qad.0b013e3282ef7701 · Cited by 28 · see citing works
Effects of an HIV peer prevention intervention on sexual and injecting risk behaviors among injecting drug users and their risk partners in Thai Nguyen, Vietnam: A randomized controlled trial
Go, V. F.-L., Frangakis, C., Minh, N. L., Latkin, C. A., Hà, T. V., Mo, T. T., Sripaipan, T., Davis, W., Zelaya, C. E., Vu, P. T., et al. (2013) · Social Science & Medicine · doi:10.1016/j.socscimed.2013.07.006 · Cited by 44 · see citing works
Development, description, and acceptability of a small-group, behavioral intervention to prevent HIV and hepatitis C virus Infections among young adult injection drug users
Purcell, D. W., Garfein, R. S., Latka, M. H., Thiede, H., Hudson, S., Bonner, S., Golub, E. T., & Ouellet, L. J. (2007) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2007.03.004 · Cited by 43 · see citing works
Self-citation

Authors: Garfein, R. S., Golub, E. T., Greenberg, A. E., Hagan, H., Hanson, D. L., Hudson, S. M., Kapadia, F., Latka, M. H., Ouellet, L. J., Purcell, D. W., Strathdee, S. A., & Thiede, H.
Affiliations: Centers for Disease Control and Prevention (US)
Johns Hopkins University (US)
National Development and Research Institutes (US)
New York Academy of Medicine (US)
University of Illinois Chicago (US)
University of California San Diego (US)
Public Health – Seattle & King County (US)
Corresponding author: Garfein, Richard S
ORCID: Golub, Elizabeth T
Greenberg, Alan E
Hagan, Holly
Hudson, Sharon M
Kapadia, Farzana
Ouellet, Lawrence J
Purcell, David W
Strathdee, Steffanie A
Venue: AIDS
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2007-09
Volume: 21
Issue: 14
Pages: 1923-1932
ISSN: 0269-9370 (ISSN-L)
DOI: 10.1097/qad.0b013e32823f9066
OpenAlex: W2065686470
Cited by: 159
References: 59
Citations by year: 2025: 2 · 2024: 6 · 2023: 6 · 2022: 5 · 2021: 7 · 2020: 11 · 2019: 4 · 2018: 7 · 2017: 9 · 2016: 4 · 2015: 7 · 2014: 10 · 2013: 12 · 2012: 13
FWCI: 8.93
Type: journal article
Language: en
Open access: closed
Locations: AIDS (publishedVersion)
PubMed (publishedVersion)
Funders: U.S. Public Health Service (U64 CCU 017615, U64/CCU317662, U64/CCU217659, U64/CCU517656, U64/CCU917655)
Topics: Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Keywords: peer education, people who inject drugs, HIV prevention, hepatitis C virus, injection risk behavior, sexual risk behavior, cognitive-behavioral intervention, young adults, HCV transmission, HIV seroconversion
MeSH terms: Adolescent, Adolescent Behavior, Adult, Behavior Therapy, Female, Health Education, Hepatitis C, Humans, Male, Peer Group, Sexual Behavior, United States, HIV Infections, Substance Abuse, Intravenous, Incidence, Treatment Outcome, Risk Reduction Behavior

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A peer-education intervention to reduce injection risk behaviors for HIV and hepatitis C virus infection in young injection drug users

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