Evidence map›Paper›PMID 25659895›Full record

ArticleDrug and alcohol dependence2015

Within-prison drug injection among HIV-infected male prisoners in Indonesia: a highly constrained choice.

Gabriel J Culbert, Agung Waluyo, Mariska Iriyanti, Azalia P Muchransyah, Adeeba Kamarulzaman, Frederick L Altice

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
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

18 citing papers in PubMed, 45 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Prisons: ignore them at our peril.Current opinion in HIV and AIDS · 2019
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Confronting the HIV, Tuberculosis, Addiction, and Incarceration Syndemic in Southeast Asia: Lessons Learned from Malaysia.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2016
    Review
  15. Article
  16. Public health and international drug policy.Lancet (London, England) · 2016
    Review
  17. Article
  18. Article
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

6 authors at 3 institutions in 3 countries.

Gabriel J CulbertYale University School of Medicine, Section of Infectious Diseases, AIDS Program, New Haven, CT, USA; Universitas Indonesia, Faculty of Nursing, Center for HIV/AIDS Nursing Research, Depok, Indonesia; University of Malaya, Faculty of Medicine, Centre of Excellence for Research in AIDS (CERiA), Kuala Lumpur, Malaysia. Electronic address: gabriel.culbert@yale.edu.
Agung WaluyoUniversitas Indonesia, Faculty of Nursing, Center for HIV/AIDS Nursing Research, Depok, Indonesia.
Mariska IriyantiUniversitas Indonesia, Faculty of Nursing, Center for HIV/AIDS Nursing Research, Depok, Indonesia.
Azalia P MuchransyahUniversitas Indonesia, Faculty of Nursing, Center for HIV/AIDS Nursing Research, Depok, Indonesia.
Adeeba KamarulzamanUniversity of Malaya, Faculty of Medicine, Centre of Excellence for Research in AIDS (CERiA), Kuala Lumpur, Malaysia.
Frederick L AlticeYale University School of Medicine, Section of Infectious Diseases, AIDS Program, New Haven, CT, USA; Yale University School of Public Health, Division of Epidemiology of Microbial Diseases, New Haven, CT, USA; University of Malaya, Faculty of Medicine, Centre of Excellence for Research in AIDS (CERiA), Kuala Lumpur, Malaysia.
University of Indonesia · IDUniversity of Malaya · MYYale University · US

Funding

Global Health Fellows and Scholars Research TrainingR25TW009338 · FIC · UNIVERSITY OF CALIFORNIA BERKELEY · PI BARRY, MICHELE, KO, ALBERT ICKSANG · 2012 to 2016
$5.2M
Intervention of HIV, Drug Use and the Criminal Justice System in MalaysiaR01DA025943 · NIDA · YALE UNIVERSITY · PI ALTICE, FREDERICK LEWIS · 2008 to 2012
$2.7M
Enhancing Health Outcomes Among HIV+ Substance AbusersK24DA017072 · NIDA · YALE UNIVERSITY · PI ALTICE, FREDERICK LEWIS · 2003 to 2012
$1.5M
NIDA NIH HHS K24 DA017072NIDA NIH HHS R01 DA025943
6 · The paper itself

Abstract

backgroundIn Indonesia, incarceration of people who inject drugs (PWID) and access to drugs in prison potentiate within-prison drug injection (WP-DI), a preventable and extremely high-risk behavior that may contribute substantially to HIV transmission in prison and communities to which prisoners are released.

aimsThis mixed method study examined the prevalence, correlates, and social context of WP-DI among HIV-infected male prisoners in Indonesia.

methods102 randomly selected HIV-infected male prisoners completed semi-structured voice-recorded interviews about drug use changes after arrest, drug use cues within prison, and impact of WP-DI on HIV and addiction treatment. Logistic regression identified multivariate correlates of WP-DI and thematic analysis of interview transcripts used grounded-theory.

resultsOver half (56%) of participants reported previous WP-DI. Of those, 93% shared injection equipment in prison, and 78.6% estimated sharing needles with ≥ 10 other prisoners. Multivariate analyses independently correlated WP-DI with being incarcerated for drug offenses (AOR = 3.29, 95%CI = 1.30-8.31, p = 0.011) and daily drug injection before arrest (AOR = 5.23, 95%CI = 1.42-19.25, p = 0.013). Drug availability and proximity to drug users while incarcerated were associated with frequent drug craving and escalating drug use risk behaviors after arrest. Energetic heroin marketing and stigmatizing attitudes toward methadone contribute to WP-DI and impede addiction and HIV treatment.

conclusionsFrequent WP-DI and needle sharing among these HIV-infected Indonesian prison inmates indicate the need for structural interventions that reduce overcrowding, drug supply, and needle sharing, and improve detection and treatment of substance use disorders upon incarceration to minimize WP-DI and associated harm.

Indexed as

PrisonsAdultAttitudeHeroinHIV InfectionsHumansIndonesiaMaleMethadoneNarcoticsNeedle SharingOpioid-Related DisordersPrevalencePrisonersRisk-TakingSubstance Abuse, IntravenousHeroinMethadoneNarcoticsAntiretroviral therapyDrug injectionHIVIndonesiaMethadonePrisons

Identifiers

PMID25659895
PMCPMC5108518
OpenAlexW2053252681

What OpenQuestion holds

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Registered trials

None linked

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.