       Document 0824
 DOCN  M9440824
 TI    AIDS, HIV infection, and illicit drug use within inner-city families and
       social networks.
 DT    9404
 AU    Pivnick A; Jacobson A; Eric K; Doll L; Drucker E; Department of
       Epidemiology and Social Medicine, Montefiore; Medical Center, Bronx, NY.
 SO    Am J Public Health. 1994 Feb;84(2):271-4. Unique Identifier : AIDSLINE
       MED/94127639
 AB    OBJECTIVES. Drug use is commonly depicted and treated as an individual
       problem. This study describes the extent of drug use, human
       immunodeficiency virus (HIV) infection, and acquired immunodeficiency
       syndrome (AIDS) among drug users' sexual partners and family and
       household members in order to broaden considerations of risk. METHODS.
       Social network charts and structured interviews were administered to 126
       women (predominantly African American and Latino) enrolled in methadone
       treatment. The charts elicited the prevalence of drug use and HIV
       infection among subjects' family and household members. RESULTS. Drug
       use and HIV/AIDS permeated subjects' sexual, familial, and household
       relationships. More than half of the women who resided with a sexual
       partner reported that their partners currently used drugs. Almost one
       third of the subjects' siblings were drug users. Of the 715 total
       siblings (all subjects plus their siblings), 69 (9.7%) were known to be
       HIV positive or to have an AIDS diagnosis. CONCLUSIONS. The sexual,
       familial, and household expressions of drug use underscore the notion
       that drug use and attendant risks, including but not limited to HIV
       infection, might be usefully viewed and treated as an inter- and
       intracommunity problem rather than as an exclusively individual one.
 DE    Acquired Immunodeficiency Syndrome/COMPLICATIONS  Adult  Blacks  Cocaine
       Crack Cocaine  *Family  Female  Heroin
       Dependence/COMPLICATIONS/ETHNOLOGY/EPIDEMIOLOGY  Hispanic Americans
       Human  HIV Infections/*COMPLICATIONS/ETHNOLOGY/EPIDEMIOLOGY  New York
       City/EPIDEMIOLOGY  Prevalence  Risk Factors  *Sexual Partners  Substance
       Dependence/*COMPLICATIONS/ETHNOLOGY/EPIDEMIOLOGY  Support, U.S. Gov't,
       P.H.S.  Urban Health  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

