A comparison of the determinants of safe injecting and condom use among injecting drug users
Myers, T.; Millson, M.; Rigby, J.; Ennis, M.; Rankin, J.; Mindell, W.; Strathdee, S.
Addiction 90(2): 217-226
1995
ISSN/ISBN: 0965-2140 PMID: 7703815 DOI: 10.1046/j.1360-0443.1995.9022177.xDocument Number: 293565
A sample of 582 injecting drug users were interviewed as part of an evaluation of an AIDS prevention programme for drug users. This paper examines the biographic and predispositional determinants of five HIV preventive behaviors - equipment sharing (not receiving and not giving) and condom use (with regular partners, causal partners and sex clients). A two-stage sequential approach was adopted for a logistic regression analysis. Initially, to model each of the five preventive behaviors, biographical and drug use variables were entered. In a second set of models, behavioural predisposition factors were included. Age, drug use and prison experience correlate with variables in both models, although not consistently in the same direction. While a predisposition to reject sharing correlates with safer injecting and condom use, the predisposition to safer sex only correlates with condom use. Needle exchange programmes that only target the individual would seem to be inadequate. To enhance targeted interventions changes in public and agency policy that create a social environment conducive to behaviour change are required.