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Social support and HIV risk among Puerto Rican drug injectors in New York City, by migrant status

Milton Mino, MA1, Sherry Deren, PhD2, Sung-Yeon Kang, PhD2, Jonny Andia, PhD2, Hector M. Colon, PhD3, and Rafaela Robles, EdD3. (1) National Development and Research Institutes, Inc, 71 West 23 Street, 8th Floor, New York, NY 10010, 212-845-4475, MINO@NDRI.ORG, (2) National Development and Research Institutes, Inc., 71 West 23 Street, 8 Floor, New York, NY 10010, (3) Center for Addiction Studies, Universidad Central del Caribe, PO Box 60327, Bayamon, PR 00960-6032

Methods: 561 Puerto Rican injection drug users (IDUs) were recruited in NYC. Those categorized as migrants (n=221) had injected in Puerto Rico and emigrated to NYC (non migrants: n=340). Social support indicators (i.e., having someone to talk to if worried about AIDS [TA] and someone to care for them if ill [CI]) were examined by migrant status as predictors of injection risk behaviors. Bivariate and multiple logistic regression analysis (controlling for demographics) were conducted with shooting gallery use and sharing injection-related equipment as dependent variables.

Results: Migrants were less likely than non-migrants to have CI (61.6% vs. 76% p=.000); TA (n.s.) In bivariate analysis CI was related to decreased shooting gallery use among migrants and non migrants (23.9% vs. 44.6%, p=.001 and 15% vs. 26.9%, p=.016, respectively). This relationship was retained in multivariate analysis for migrants (AOR=.474, CI=.247-.907, p=.024). In bivariate analysis having TA was related to decreased injection equipment sharing among migrants (23.6% vs. 37.7%, p=.036); however, TA was related to increased sharing among non migrants (21.7%. vs. 9.6%, p=.020). This relationship was retained in multivariate analysis among non migrants (AOR=2.60, CI- 1.13-6.0, p=.024).

Conclusions: Interventions for IDUs should consider the relationships between having different types of social support and injection risk behaviors, and how these relationships may vary between groups.

Learning Objectives:

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

HIV/AIDS Research Roundtable: Latino and Hispanic Health

The 132nd Annual Meeting (November 6-10, 2004) of APHA