Evidence map›Paper›PMID 14577743›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique

Requiring help injecting as a risk factor for HIV infection in the Vancouver epidemic: implications for HIV prevention.

Evan Wood, Patricia M Spittal, Thomas Kerr, Will Small, Mark W Tyndall, Michael V O'Shaughnessy, Martin T Schechter

Abstract readComparative Study
In one paragraph

Article in Canadian journal of public health = Revue canadienne de sante publique. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  18. Decreasing Impact of Requiring Assistance Injecting on HIV Incidence.Journal of acquired immune deficiency syndromes (1999) · 2015
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Evan WoodBritish Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver. ewood@hivnet.ubc.ca
Patricia M Spittal
Thomas Kerr
Will Small
Mark W Tyndall
Michael V O'Shaughnessy
Martin T Schechter

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRequiring help injecting was recently associated with syringe sharing, and later HIV-1 and HCV seroconversion among injection drug users (IDU) in Vancouver. This risk factor remains poorly understood. The present study investigates this risk factor among Vancouver IDUs.

methodsWe evaluated factors associated with requiring help injecting among participants enrolled in the Vancouver Injection Drug User Study (VIDUS) using univariate and logistic regression analyses. VIDUS participants who were followed-up during the period December 2000 to December 2001 were eligible for the present analyses. We also evaluated self-reported reasons for requiring help injecting.

resultsOverall, 661 active injection drug users were interviewed during the study period. Among this population, 151 (22.8%) had required help injecting during the last six months, whereas 510 (77.2%) indicated that they had not. Variables that were independently associated with requiring help injecting included borrowing a used syringe (adjusted odds ratio [AOR] = 2.18), frequent cocaine injection (AOR = 1.57), and female gender (AOR = 2.29). Among males, the most common reasons for requiring help injecting were: having no viable veins (77.1%), and anxiousness or being drug sick (42.9%). Among females, the most common reasons reported were: having no viable veins (71.6%), jugular injection or 'jugging' (45.7%), and being anxious or drug sick (27.2%). Almost twice as many females (13.6% vs 7.1%) reported not knowing how to inject as their reason for requiring help injecting.

conclusionAlthough current public health approaches, such as needle exchange, are unable to address the concerns associated with requiring help injecting, available evidence suggests that safer injecting facilities have the potential to substantially mitigate this risk behaviour.

Indexed as

Risk-TakingBritish ColumbiaCohort StudiesEquipment ContaminationFemaleHelping BehaviorHIV-1HIV InfectionsHumansLogistic ModelsMaleNeedle SharingRisk FactorsSubstance Abuse, Intravenous

Identifiers

PMID14577743
PMCPMC6979944

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.