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Injection Practices and Sexual Behaviors Among Persons with Diagnosed HIV Infection Who Inject Drugs — United States, 2015–2017

Supporting Files Public Domain
File Language:
English


Details

  • Journal Article:
    Morbidity and Mortality Weekly Report (MMWR)
  • Personal Author:
  • Description:
    During 2016, 6% of persons in the United States who received a Diagnosis of human immunodeficiency Virus (HIV) infection had their HIV infection attributed to injection drug use (1). Injection practices and sexual behaviors among HIV-positive persons who inject drugs, such as injection equipment sharing and condomless sex, can increase HIV Transmission risk; nationally representative estimates of the prevalences of these behaviors are lacking. The Medical Monitoring Project (MMP) is an annual, cross-sectional survey that reports nationally representative estimates of clinical and behavioral characteristics among U.S. adults with diagnosed HIV (2). CDC used MMP data to assess high-risk injection practices and sexual behaviors among HIV-positive persons who injected drugs during the preceding 12 months and compared their HIV Transmission risk behaviors with those of HIV-positive persons who did not inject drugs. During 2015-2017, approximately 10% (weighted percentage estimate) of HIV-positive persons who injected drugs engaged in distributive injection equipment sharing (giving used equipment to another person for use); nonsterile syringe acquisition and unsafe disposal Methods were common. Overall, among HIV-positive persons who injected drugs, 80% received no treatment, and 57% self-reported needing drug or alcohol treatment. Compared with HIV-positive persons who did not inject drugs, those who injected drugs were more likely to have a detectable viral load (48% versus 35%; p = 0.008) and engage in high-risk sexual behaviors (p<0.001). Focusing on interventions that reduce high-risk injection practices and sexual behaviors and increase rates of viral suppression might decrease HIV Transmission risk among HIV-positive persons who inject drugs. Successful substance use treatment could also lower risk for Transmission and overdose through reduced injection.
  • Subjects:
  • Source:
    MMWR Morbidity Mortal Weekly Rep. 68(30):653-657
  • Series:
    Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
  • DOI:
  • ISSN:
    0149-2195 (print) ; 1545-861X (digital)
  • Pubmed ID:
    31369525
  • Pubmed Central ID:
    PMC6677170
  • Document Type:
    Journal Article
  • Place as Subject:
    United States
  • Pages in Document:
    5 pdf pages
  • Volume:
    68
  • Issue:
    30
  • Collection(s):
  • Main Document Checksum:
    urn:sha-512:6c9b9af4a9071703bc4b69652a49bcdf343ae5f060142958faf45540c8385c1946817e96f6572b78266991a8fc746163797d566557993e7a69ec5d54d8bdcf09
  • Download URL:
  • File Type:
    Filetype[PDF - 170.23 KB ]
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