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HIV Risk Among Urban and Suburban People Who Inject Drugs: Elevated Risk Among Fentanyl and Cocaine Injectors in Maryland

Drug overdose remains a leading cause of death in the US, with growing rates attributable to illicit fentanyl use. Recent HIV outbreaks among people who inject drugs (PWID) and service disruptions from COVID-19 have renewed concerns on HIV resurgence. We examined the relationship between fentanyl us...

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Autores principales: Park, Ju Nyeong, Owczarzak, Jill, Urquhart, Glenna, Morris, Miles, Weicker, Noelle P., Rouhani, Saba, Sherman, Susan G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8294217/
https://www.ncbi.nlm.nih.gov/pubmed/34287755
http://dx.doi.org/10.1007/s10461-021-03381-y
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author Park, Ju Nyeong
Owczarzak, Jill
Urquhart, Glenna
Morris, Miles
Weicker, Noelle P.
Rouhani, Saba
Sherman, Susan G.
author_facet Park, Ju Nyeong
Owczarzak, Jill
Urquhart, Glenna
Morris, Miles
Weicker, Noelle P.
Rouhani, Saba
Sherman, Susan G.
author_sort Park, Ju Nyeong
collection PubMed
description Drug overdose remains a leading cause of death in the US, with growing rates attributable to illicit fentanyl use. Recent HIV outbreaks among people who inject drugs (PWID) and service disruptions from COVID-19 have renewed concerns on HIV resurgence. We examined the relationship between fentanyl use and three injection-related HIV risk behaviors among PWID in Baltimore City (BC) and Anne Arundel Country (AAC), Maryland. PWID (N = 283) were recruited to the study through targeted sampling at street-based locations in BC and AAC from July 2018 to March 2020. Receptive syringe sharing (RSS) [adjusted odds ratio (AOR): 2.8, 95% confidence interval (CI): 1.2–6.3] and daily injecting (AOR: 1.9, 95% CI: 1.0–3.6) were associated with injecting fentanyl and cocaine together. Fentanyl availability and COVID-19 bring new HIV prevention challenges, particularly among those who inject fentanyl with cocaine, highlighting the importance to expand and sustain harm reduction, prevention, and treatment services for PWID to reduce HIV and overdose burden.
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spelling pubmed-82942172021-07-21 HIV Risk Among Urban and Suburban People Who Inject Drugs: Elevated Risk Among Fentanyl and Cocaine Injectors in Maryland Park, Ju Nyeong Owczarzak, Jill Urquhart, Glenna Morris, Miles Weicker, Noelle P. Rouhani, Saba Sherman, Susan G. AIDS Behav Original Paper Drug overdose remains a leading cause of death in the US, with growing rates attributable to illicit fentanyl use. Recent HIV outbreaks among people who inject drugs (PWID) and service disruptions from COVID-19 have renewed concerns on HIV resurgence. We examined the relationship between fentanyl use and three injection-related HIV risk behaviors among PWID in Baltimore City (BC) and Anne Arundel Country (AAC), Maryland. PWID (N = 283) were recruited to the study through targeted sampling at street-based locations in BC and AAC from July 2018 to March 2020. Receptive syringe sharing (RSS) [adjusted odds ratio (AOR): 2.8, 95% confidence interval (CI): 1.2–6.3] and daily injecting (AOR: 1.9, 95% CI: 1.0–3.6) were associated with injecting fentanyl and cocaine together. Fentanyl availability and COVID-19 bring new HIV prevention challenges, particularly among those who inject fentanyl with cocaine, highlighting the importance to expand and sustain harm reduction, prevention, and treatment services for PWID to reduce HIV and overdose burden. Springer US 2021-07-21 2022 /pmc/articles/PMC8294217/ /pubmed/34287755 http://dx.doi.org/10.1007/s10461-021-03381-y Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Paper
Park, Ju Nyeong
Owczarzak, Jill
Urquhart, Glenna
Morris, Miles
Weicker, Noelle P.
Rouhani, Saba
Sherman, Susan G.
HIV Risk Among Urban and Suburban People Who Inject Drugs: Elevated Risk Among Fentanyl and Cocaine Injectors in Maryland
title HIV Risk Among Urban and Suburban People Who Inject Drugs: Elevated Risk Among Fentanyl and Cocaine Injectors in Maryland
title_full HIV Risk Among Urban and Suburban People Who Inject Drugs: Elevated Risk Among Fentanyl and Cocaine Injectors in Maryland
title_fullStr HIV Risk Among Urban and Suburban People Who Inject Drugs: Elevated Risk Among Fentanyl and Cocaine Injectors in Maryland
title_full_unstemmed HIV Risk Among Urban and Suburban People Who Inject Drugs: Elevated Risk Among Fentanyl and Cocaine Injectors in Maryland
title_short HIV Risk Among Urban and Suburban People Who Inject Drugs: Elevated Risk Among Fentanyl and Cocaine Injectors in Maryland
title_sort hiv risk among urban and suburban people who inject drugs: elevated risk among fentanyl and cocaine injectors in maryland
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8294217/
https://www.ncbi.nlm.nih.gov/pubmed/34287755
http://dx.doi.org/10.1007/s10461-021-03381-y
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