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

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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

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·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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“behavior change interventions based on cognitive– behavioral skills-building [34] andpeer-based interventions [35] have been evaluated, those studies included non-IDU or IDU who were not recent initiates.”

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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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