ArticleHarm reduction journal2011
Sexual and injection-related risks in Puerto Rican-born injection drug users living in New York City: A mixed-methods analysis.
Article in Harm reduction journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Hepatitis C bio-behavioural surveys in people who inject drugs-a systematic review of sensitivity to the theoretical assumptions of respondent driven sampling.Harm reduction journal · 2017Pooled it
- A Systematic Review of Published Respondent-Driven Sampling Surveys Collecting Behavioral and Biologic Data.AIDS and behavior · 2016Pooled it
- "I don't want to die": a qualitative study of coping strategies to prevent fentanyl-related overdose deaths among people who inject drugs and its implications for harm reduction policies.Harm reduction journal · 2023Article
- Risk of Drug Overdose Mortality for Island-Born and US-Born Puerto Ricans, 2013-2019.Journal of racial and ethnic health disparities · 2022Article
- Dealing with low access to harm reduction: a qualitative study of the strategies and risk environments of people who use drugs in a small Swedish city.Harm reduction journal · 2022Article
- Toward Community Empowerment: The Puerto RicanContemporary drug problems · 2021Article
- Injection risk norms and practices among migrant Puerto Rican people who inject drugs in New York City: The limits of acculturation theory.The International journal on drug policy · 2019Article
- "It Ruined My Life": The effects of the War on Drugs on people who inject drugs (PWID) in rural Puerto Rico.The International journal on drug policy · 2018Article
- Time Since Migration and HIV Risk Behaviors Among Puerto Ricans Who Inject Drugs in New York City.Substance use & misuse · 2016Article
- History of Sex Exchange in Women with a History of Incarceration.Journal of health care for the poor and underserved · 2016Article
- Deren et al. Respond.American journal of public health · 2015Article
- Conceptual framework and research methods for migration and HIV transmission dynamics.AIDS and behavior · 2014Review
- Addressing the HIV/AIDS epidemic among Puerto Rican people who inject drugs: the need for a multiregion approach.American journal of public health · 2014Article
- HCV infection prevalence lower than expected among 18-40-year-old injection drug users in San Diego, CA.Journal of urban health : bulletin of the New York Academy of Medicine · 2013Article
Corrections and comments
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Authors and funding
5 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThese data were collected as part of the National HIV Behavioral Surveillance (NHBS) study. NHBS is a cross-sectional study to investigate HIV behavioral risks among core risk groups in 21 U.S. cities with the highest HIV/AIDS prevalence. This analysis examines data from the NHBS data collection cycle with IDU conducted in New York City in 2009. We explored how the recency of migration from Puerto Rico (PR) to New York City (NYC) impacts both syringe sharing and unprotected sex among injection drug users (IDU) currently living in NYC.
methodsWe used a mixed-methods approach to examine differences in risk between US-born IDU, PR IDU who migrated to NYC more than three years ago (non-recent migrants), and PR IDU who migrated in the last three years (recent migrants). Respondent-driven sampling (RDS) was used to recruit the sample (n = 514). In addition, qualitative individual and group interviews with recent PR migrants (n = 12) and community experts (n = 2) allowed for an in-depth exploration of the IDU migration process and the material and cultural factors behind continued risk behaviors in NYC.
resultsIn multiple logistic regression controlling for confounding factors, recent migrants were significantly more likely to report unprotected sexual intercourse with casual or exchange partners (adjusted odds ratio [AOR]: 2.81; 95% confidence intervals [CI]: 1.37-5.76) and receptive syringe sharing (AOR = 2.44; 95% CI: 1.20-4.97) in the past year, compared to US-born IDU. HIV and HCV seroprevalence were highest among non-recent migrants. Qualitative results showed that risky injection practices are partly based on cultural norms acquired while injecting drugs in Puerto Rico. These same results also illustrate how homelessness influences risky sexual practices.
conclusionsPoor material conditions (especially homelessness) may be key in triggering risky sexual practices. Cultural norms (ingrained while using drugs in PR) around injection drug use are perpetuated in their new setting following an almost natural flow. These norms may have a particular stronghold over risky drug injection practices. These results indicate that culturally appropriate HIV and HCV prevention and education services are needed. In addition, homelessness should be addressed to reduce risky sexual practices.
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Registered trials
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