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Related Experiment Videos

Reaching and enrolling drug users for HIV prevention: a multi-site analysis.

R M Cunningham-Williams1, L B Cottler, W M Compton

  • 1Washington University School of Medicine, Department of Psychiatry, St. Louis, MO 63108, USA. cunning@epi.wustl.edu

Drug and Alcohol Dependence
|April 2, 1999
PubMed
Summary

Community outreach accurately identified some drug users for HIV prevention, but enrollment varied. Vulnerable populations, like those never in treatment, were underrepresented, highlighting the need for refined strategies.

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Area of Science:

  • Public Health
  • Epidemiology
  • Behavioral Science

Background:

  • HIV risk behaviors are prevalent among out-of-treatment drug users.
  • Community-based outreach is crucial for recruiting this population into AIDS research.
  • Previous interventions have shown varying success in HIV risk reduction.

Purpose of the Study:

  • To evaluate the accuracy of community health outreach workers (CHOWs) in identifying eligible participants for HIV prevention studies.
  • To assess the overall effectiveness of community outreach in recruiting and enrolling drug users into AIDS research.
  • To identify factors influencing recruitment and enrollment yields across different metropolitan areas.

Main Methods:

  • A NIDA Cooperative Agreement project involving three metropolitan sites (St. Louis, San Antonio, Durham/Wake Counties).

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  • Focus on out-of-treatment populations, including injection drug users and crack/heroin smokers.
  • Analysis of CHOW accuracy in participant identification and recruitment/enrollment yields.

    • Main Results:

    • Significant cross-site and within-site differences were observed in CHOW accuracy and recruitment yields.
    • Drug users with no prior treatment history and those never tested for HIV were underrepresented.
    • Enrollment challenges suggest potential barriers for reaching specific vulnerable subgroups.

    Conclusions:

    • Community outreach strategies require ongoing evaluation and refinement to effectively engage diverse drug user populations.
    • Improved methods are needed to ensure equitable representation of all vulnerable groups in HIV prevention research.
    • Addressing underrepresentation is critical for comprehensive HIV risk reduction and intervention.