NCJ Number
108620
Date Published
1988
Length
6 pages
Annotation
This report examines the relationship between intravenous (IV) drug use and the spread of acquired immunodeficiency syndrome (AIDS) and describes some educational and prevention strategies currently being used with IV drug users.
Abstract
IV drug users have been the dominant source of heterosexual and perinatal transmission of HIV up to this point in the epidemic. The transmission occurs mainly through the exchange of blood that takes place while sharing hypodermic needles, syringes, cotton, and containers in which the drug is heated or dissolved. The frequency of drug injection and the use of 'shooting galleries' or similar commercial operations are the two factors consistently linked to the spread of the AIDS virus among IV drug users. A large number of female and male IV drug users at least occasionally engage in prostitution to obtain money for drugs, creating the possibility of further spread of the virus. Thus, all geographic areas with any IV drug users should respond with education and outreach efforts. Mass media coverage reaches many IV drug users and combines with the oral communications within the drug-use subculture to spread AIDS information. A variety of AIDS education programs aimed at IV drug users exist throughout the country. In addition, outreach programs provide direct contact to drug users not currently in treatment. Drug users need both the information and the means for changing their behavior. Debate exists over the promotion of 'safer' drug injection practices through the provision of sterile injection equipment, bleach, or alcohol. Concern about AIDS is also now producing some changes in drug users' sexual and needle-sharing behavior. 29 reference notes.