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Published on: June 7, 2015
Changes in Reported Injection Behaviors Following the Public Health Response to an HIV Outbreak Among People Who
Sharoda Dasgupta1, Dita Broz2, Mary Tanner2
1Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA, 30329, USA. sdasgupta@cdc.gov.
Syringe services programs (SSPs) reduced high-risk behaviors like syringe sharing among people who inject drugs (PWID) following an HIV outbreak. High SSP use, especially by HIV-positive PWID, decreased unsafe practices and contributed to controlling the outbreak.
Area of Science:
- Public Health
- Epidemiology
- Infectious Disease Prevention
Background:
- An HIV outbreak among persons who inject drugs (PWID) in Scott County, Indiana, necessitated public health interventions.
- Understanding pre-outbreak injection behaviors and their association with HIV status is crucial for targeted prevention.
- The establishment of a syringe services program (SSP) aimed to mitigate further transmission.
Purpose of the Study:
- To examine injection behaviors associated with HIV status among Indiana-based PWID.
- To assess the utilization of a newly established SSP by PWID.
- To evaluate changes in injection behaviors after the outbreak response and SSP implementation.
Main Methods:
- A survey of 200 PWID in Indiana assessed injection behaviors before and after the outbreak response (2016).
- Statistical analyses, including Fisher's exact Chi square and McNemar's tests, were used to compare groups and time periods.
- Injection behaviors were analyzed in relation to HIV status and SSP utilization.
Main Results:
- Pre-outbreak behaviors like sharing syringes/cookers and injecting extended release oxymorphone were linked to HIV infection.
- SSP use was high (86%), with greater uptake among HIV-positive (98%) versus HIV-negative (84%) PWID.
- Post-response, injection equipment sharing decreased, and safe syringe disposal increased, particularly among HIV-positive individuals.
Conclusions:
- Injection equipment sharing significantly contributed to the HIV outbreak.
- High SSP utilization, especially by HIV-positive PWID, was associated with reduced high-risk injection practices.
- SSPs are effective in mitigating infectious disease outbreaks among PWID.
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