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Title: Drug Injection-Related and Sexual Behavior Changes in Drug Injecting Networks after the Transmission Reduction Intervention Project (TRIP): A Social Network-Based Study in Athens, Greece
Authors: Giallouros, George 
Pantavou, Katerina G. 
Pampaka, Despina 
Pavlitina, Eirini 
Piovani, Daniele 
Bonovas, Stefanos 
Nikolopoulos, Georgios K. 
Major Field of Science: Medical and Health Sciences
Field Category: Clinical Medicine
Keywords: HIV;PWID;Injecting-related behaviors;Networks;Recent infection;Sexual behaviors
Issue Date: 2-Jan-2021
Source: International Journal of Environmental Research and Public Health, 2021, vol. 18, no. 5, articl. no. 2388
Volume: 18
Issue: 5
Journal: International Journal of Environmental Research and Public Health 
Abstract: The Transmission Reduction Intervention Project (TRIP) was a network-based, enhanced contact tracing approach, targeting recently HIV-infected people who inject drugs (PWID) in Athens, Greece (2013-2015). This analysis examines behavioral changes of participants in TRIP and their determinants between baseline and follow-up visits to the program. All participants of TRIP were tested for HIV and interviewed using a questionnaire with items on drug injection-related and sexual behaviors. Multivariable logistic regression models were used to examine potential relationships between participants' behaviors and sociodemographic or other characteristics. The analysis included 292 participants. At follow-up, the percentage of participants who injected drugs decreased [92.5%, n = 270 versus 72.3%, n = 211 (p < 0.001)], and more participants adopted safer behaviors. Employment, age, and gender were significantly associated with some behavioral changes. For instance, unemployed participants were half as likely as the employed to stop drug injection [adjusted odds ratio (aOR): 0.475, 95% confidence interval (CI): 0.228, 0.988]. Increasing age was associated with lower probability of sharing syringes at follow-up (aOR: 0.936, 95%CI: 0.887, 0.988). Finally, females were less likely than males to improve their behavior related to sharing cookers, filters, or rinse water (aOR: 0.273, 95% CI: 0.100, 0.745). In conclusion, adoption of safer behaviors was observed following TRIP implementation. Future prevention programs should focus on younger PWID and especially females. Social efforts to support employment of PWID are also important.
ISSN: 1660-4601
DOI: 10.3390/ijerph18052388
Rights: This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution
Attribution-NonCommercial-NoDerivatives 4.0 International
Type: Article
Affiliation : University of Cyprus 
Cyprus University of Technology 
Humanitas University 
IRCCS Humanitas Research Hospital 
Appears in Collections:Άρθρα/Articles

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