Although some AIDS risk reduction has been reported among intravenous drug users (IVDUs) and their sexual partners (SPs), high levels of drug and sex-related risk behaviors continue. Building on previous research, the proposed field study will test the efficacy of a refined intervention designed to reduce AIDS risk behaviors in East Harlem (a community at high risk for HIV). After recruitment by street outreach, IVDUs and their SPs will be randomly assigned to participate in a Standard or Enhanced intervention. The Standard intervention will consist of (a) one AIDS education session and (b) the opportunity to participate in the project's referral service. The Enhanced intervention is based on a social learning skills training model and uses methods of popular education. The Enhanced intervention consists of (a) eight sessions focusing on developing specific skills related to AIDS risk reduction and general health improvement and (b) a required assessment by the project's referral service. In addition, subjects who have completed their second follow-up interview in a current risk reduction study will be eligible to work on the proposed study as peer facilitators and assist in the Project's AIDS reduction efforts. Both quantitative and qualitative implementation and process data will be collected during all phases of the intervention, and outcome data (focusing on AIDS risk behaviors) will be assessed through the use of baseline and 6-month follow-up interviews. Several substudies will be undertaken using selected portions of this sample. These will be designed to test the efficacy of single-sex groups, couples groups, and various incentives for group participation. Six-month and one-year follow-up interviews will be completed with subjects currently participating in the last phase of a research project underway in the community, permitting an assessment of the levels and determinants of risk reduction and its maintenance.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project--Cooperative Agreements (U01)
Project #
5U01DA007286-02
Application #
3550406
Study Section
Special Emphasis Panel (SRCD (30))
Project Start
1991-07-01
Project End
1996-06-30
Budget Start
1992-07-15
Budget End
1993-06-30
Support Year
2
Fiscal Year
1992
Total Cost
Indirect Cost
Name
National Development & Research Institutes
Department
Type
DUNS #
City
New York
State
NY
Country
United States
Zip Code
10010
Johnson, Mark E; Pratt, Deborah K; Neal, David B et al. (2010) Drug users' test-retest reliability of self-reported alcohol use on the risk behavior assessment. Subst Use Misuse 45:925-35
Edwards, Jordan W; Fisher, Dennis G; Johnson, Mark E et al. (2007) Test-retest reliability of self-reported drug treatment variables. J Subst Abuse Treat 33:7-11
Deren, S; Robles, R; Andia, J et al. (2001) Trends in HIV seroprevalence and needle sharing among Puerto Rican drug injectors in Puerto Rico and New York: 1992-1999. J Acquir Immune Defic Syndr 26:164-9
Des Jarlais, D C; Marmor, M; Friedmann, P et al. (2000) HIV incidence among injection drug users in New York City, 1992-1997: evidence for a declining epidemic. Am J Public Health 90:352-9
Rhodes, F; Deren, S; Wood, M M et al. (1999) Understanding HIV risks of chronic drug-using men who have sex with men. AIDS Care 11:629-48
Beardsley, M; Deren, S; Tortu, S et al. (1999) Trends in injection risk behaviors in a sample of New York City injection drug users: 1992-1995. J Acquir Immune Defic Syndr Hum Retrovirol 20:283-9
Des Jarlais, D C; Perlis, T; Friedman, S R et al. (1998) Declining seroprevalence in a very large HIV epidemic: injecting drug users in New York City, 1991 to 1996. Am J Public Health 88:1801-6
Wood, M M; Tortu, S; Rhodes, F et al. (1998) Differences in condom behaviors and beliefs among female drug users recruited from two cities. Women Health 27:137-60
Tortu, S; McCoy, H V; Beardsley, M et al. (1998) Predictors of HIV infection among women drug users in New York and Miami. Women Health 27:191-204
Tortu, S; Goldstein, M; Deren, S et al. (1998) Urban crack users: gender differences in drug use, HIV risk and health status. Women Health 27:177-89

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