Reducing HIV Risks Among Active Injection Drug and Crack Users: The Safety Counts Program

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AIDS and Behavior (Impact Factor: 3.49). 06/2010; 14(3):658-668. DOI: 10.1007/s10461-009-9606-2
Source: PubMed


The efficacy of Safety Counts, a CDC-diffused intervention, was reanalyzed. In a quasi experimental, cross-over design, injection
drug users (IDU) and crack users in two neighborhoods were assigned by neighborhood to receive individual Voluntary HIV Counseling
and Testing or Safety Counts and 78% were reassessed at 5–9months. Drug users in the Safety Counts program reported significantly
greater reductions in risky sex, crack and hard drug use, and risky drug injection. The more sessions of Safety Counts attended,
the greater were the reductions in risky acts. Different analytic decisions result in very different findings for the same
intervention. Safety Counts is an effective intervention for IDU and crack users. Analytic decision of intervention outcomes
is highly related to evaluations of an intervention’s efficacy.

KeywordsHIV-Risk reduction-Drug use-IDU-VCT

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Available from: Mary Jane Rotheram-Borus
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