The 130th Annual Meeting of APHA

4089.0: Tuesday, November 12, 2002 - Board 4

Abstract #37916

HIV risks, health problems, and health utilization among rural drug abusers

Carl G. Leukefeld, DSW1, J. Matthew Webster, PhD1, Michele Staton, MSW1, Matthew L. Hiller, PhD1, TK Logan, PhD1, Rosemarie Booze, PhD2, and Rick Purvis, PsyD3. (1) Center on Drug and Alcohol Research, University of Kentucky, 643 Maxwelton Court, Lexington, KY 40506-0350, (859) 257-2355, cleukef@uky.edu, (2) Department of Anatomy and Neurobiology, University of Kentucky, MN 224 College of Medicine, 800 Rose Street, Lexington, KY 40536, (3) Kentucky State Reformatory, Kentucky Department of Corrections, 3001 W. Highway 146, La Grange, KY 40032

HIV risk behaviors were examined for 188 chronic rural male drug abusers who completed a baseline interview while incarcerated and a 12-month follow-up interview, as part of a study supported by the National Institute on Drug Abuse (NIDA). Health problems and health services utilization were compared to better understand the HIV risk behaviors of chronic rural drug abusers. Scales from the Addiction Severity Index, Miami Health Questionnaire, and the NIDA Risk Behavior Assessment Questionnaire were used. It was hypothesized that chronic rural drug abusers with highest health problems and highest health utilization would report more HIV risk behaviors. Using a median split, 14 HIV risk behaviors were examined separately. Three HIV risk behaviors were significantly different at p<.05 for Health Problems Ever injected, sex with an injector, and sex to get drugs. Four HIV risk behaviors were significantly different at p<.05 or greater for Health Service Utilization Ever injected, number of injections, condom use, and anal sex. Repeated-measures ANOVAs were also conducted to examine differences in specific HIV risk behaviors by health problem and health utilization. Implications include focusing on injecting and related sexual behaviors for rural HIV prevention interventions. It appears that points of contact where rural drug users utilize rural health services -- including public health clinics and hospitals -- could serve as locations for HIV prevention interventions for rural drug abusers.

Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to

Keywords: HIV/AIDS, Drug Abuse

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.

Special Populations and Substance Abuse Poster Session II

The 130th Annual Meeting of APHA