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

Filetype[PDF-170.23 KB]


  • English
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    Details:

    • Alternative Title:
      MMWR Morb Mortal Wkly Rep
    • 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 Morb Mortal Wkly Rep. 68(30):653-657
    • Pubmed ID:
      31369525
    • Pubmed Central ID:
      PMC6677170
    • Document Type:
      Journal Article
    • Place as Subject:
      United States
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