Risk behaviors and perceptions of aids among street injection drug users

FRANÇAIS :
Description d'une analyse statistique d'un échantillon de 325 sujets, toxicomanes par voie intraveineuse, portant sur les types d'usage et pratiques d'injection, l'activité sexuelle et la perception des risques d'infection par le VIH, les connaissances et les attitudes face au Sida. Des différences dans l'usage de drogues, les pratiques sexuelles et le parcours thérapeutique ont été observeés en fonction du sexe, de l'éthnie, de l'âge et du type de drogue injectée. Discussion des résultats et présentation des implications dans le développement des programmes de réduction du risque.
ENGLISH :
Standardized survey interviews (n=325) and guided in-depth interviews (n=22) were conducted with injection drug users (IDUs) in Long Beach, California, to document drug usage and injection patterns, sexual practices, perceived risk of HIV infection, sources of health information, and knowledge and attitudes about Aids. Most IDUs reported sharing needles (87,9 %), and a large minority reported regular sterilization of needles / syringes (40,3 %). Lower rates of needle sharing were reported among cocaine users than among heroin and speedball users. HIV seroprevalence was 5,7 percent (11/194). Sexually active female (60,7 %) and male (20,5 %) IDUs reported exchanging sex for money or drugs. Overall, 48,3 % of IDUs reported having made changes in their injection practices and one-third reported modifying their sexual behavior in order to avoid HIV infection. Differences in drug use, sexual practices and drug treatment history were found with regards to gender, ethnicity, age and type of drug injected. Implications of findings for the development of Aids risk-reduction programs are presented. (Authors'abstract).