Journal article
The influence of the perceived consequences of refusing to share injection equipment among injection drug users: Balancing competing risks
Addictive behaviors, v 36(8), pp 835-842
Aug 2011
PMID: 21498004
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Injection drug users (IDUs) are at risk for HIV and other bloodborne pathogens through receptive syringe sharing (RSS) and receptive paraphernalia sharing (RPS). Research into the influence of the perceived risk of HIV infection on injection risk behavior has yielded mixed findings. One explanation may be that consequences other than HIV infection are considered when IDUs are faced with decisions about whether or not to share equipment. We investigated the perceived consequences of refusing to share injection equipment among 187 IDUs recruited from a large syringe exchange program in Los Angeles, California, assessed their influence on RSS and RPS, and evaluated gender differences. Two sub-scales of perceived consequences were identified: structural/external consequences and social/internal consequences. In multiple linear regression, the perceived social/internal consequences of refusing to share were associated with both RSS and RPS, after controlling for other psychosocial constructs and demographic variables. Few statistically significant gender differences emerged. Assessing the consequences of refusing to share injection equipment may help explain persistent injection risk behavior, and may provide promising targets for comprehensive intervention efforts designed to address both individual and structural risk factors.
► We identify the perceived consequences of refusing to share injection equipment. ► Social/internal consequences were associated with injection risk behavior. ► Structural/external consequences and perceived risk of HIV were not associated. ► Interventions that address competing concerns may help reduce HIV risk behavior.
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Details
- Title
- The influence of the perceived consequences of refusing to share injection equipment among injection drug users: Balancing competing risks
- Creators
- Karla D Wagner - Institute for Health Promotion and Disease Prevention Research, University of Southern California; 1000 South Fremont Avenue, Unit 8, Alhambra, CA 91803, USAStephen E Lankenau - Department of Community Health and Prevention, School of Public Health, Drexel University; 1505 Race St., Bellet Building, 11th Floor, Philadelphia, PA 19102–1192, USALawrence A Palinkas - School of Social Work, University of Southern California, Montgomery Ross Fisher Building, Room 339, Los Angeles, CA 90089–0411, USAJean L Richardson - Institute for Health Promotion and Disease Prevention Research, University of Southern California; 1000 South Fremont Avenue, Unit 8, Alhambra, CA 91803, USAChih-Ping Chou - Institute for Health Promotion and Disease Prevention Research, University of Southern California; 1000 South Fremont Avenue, Unit 8, Alhambra, CA 91803, USAJennifer B Unger - Institute for Health Promotion and Disease Prevention Research, University of Southern California; 1000 South Fremont Avenue, Unit 8, Alhambra, CA 91803, USA
- Publication Details
- Addictive behaviors, v 36(8), pp 835-842
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000291456200007
- Scopus ID
- 2-s2.0-79955731549
- Other Identifier
- 991014877839604721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychology, Clinical
- Substance Abuse