Historique
Périodique
A brief intervention for hazardous drinkers in a needle exchange program
(Brève intervention pour des consommateurs d'alcool à risque dans un programme d'échange de seringues)
Auteur(s) :
STEIN, M. D. ;
ANDERSON, B. ;
CHARUVASTRA, A. ;
MAKSAD, J. ;
FRIEDMANN, P. D.
Année
2002
Page(s) :
23-31
Langue(s) :
Anglais
Refs biblio. :
38
Domaine :
Drogues illicites / Illicit drugs
Discipline :
MAL (Maladies infectieuses / Infectious diseases)
Thésaurus géographique
ETATS-UNIS
Thésaurus mots-clés
ALCOOL
;
ECHANGE DE SERINGUES
;
FACTEUR DE RISQUE
;
VIH
;
REDUCTION DES RISQUES ET DES DOMMAGES
Note générale :
Journal of Substance Abuse Treatment, 2002, 22, (1), 23-31
Note de contenu :
tabl.
Résumé :
ENGLISH :
Active injection drug users (IDUs) who are also hazardous alcohol users are at particularly high risk for HIV transmission due to sharing of injection equipment. We recruited AUDIT-positive injectors from the Providence, RI needle exchange program for a randomized clinical trial testing the effect of a brief motivational intervention (MI) on frequency of injection-related HIV risk behavior (IRRB). HIV drug risk behavior was measured as the number of days on which subjects reported sharing works using the 30-day Timeline Followback Method. Overall, 109 subjects reported a mean reduction of IRRB days of 9.1 days from baseline to 6-month follow-up (p < .001). When compared to controls, there was a trend in reduction of IRRB days to zero at follow-up for MI subject (OR = 2.1; 95% CT = 0.9-4.5), and strongly significant reductions in IRRB days across a range of alternative improvement thresholds. Results from this study demonstrate that MI reduces drug-related HIV risk behaviors among active IDUs. As a brief intervention, MI may be a useful adjunct to existing services intended to reduce harm. (Editor's abstract.)
Affiliation :
Div. Gal. Internal Med., Rhode Island Hosp., 593 Eddy st., Providence, RI 02903. E-mail : mstein@lifespan.org
Etats-Unis. United States.
Etats-Unis. United States.