       Document 0397
 DOCN  M9550397
 TI    Mobility of Scottish injecting drug users and risk of HIV infection.
 DT    9505
 AU    Goldberg DJ; Frischer M; Taylor A; Green ST; McKeganey N; Bloor M; Reid
       D; Cossar J; Scottish Centre for Infection and Environmental Health,
       Glasgow,; UK.
 SO    Eur J Epidemiol. 1994 Aug;10(4):387-92. Unique Identifier : AIDSLINE
       MED/95145649
 AB    Nine hundred and nineteen injecting drug users (IDUs) were interviewed
       in Glasgow, Scotland during 1990 and 1991, as part of a wider study of
       HIV risk behaviour, about their injecting and sexual behaviour outside
       the city in the previous two years. Forty-five percent of respondents
       injected outside Glasgow, 6% shared needles and syringes (n/s) and 20%
       had sexual intercourse. Much activity occurred outside Scotland but
       mainly within the UK, particularly London. Predictors of n/s sharing
       outside Glasgow during the previous two years included current injecting
       with and passing on of used n/s and sexual intercourse with casual
       partners. Predictors of sexual behaviour outside Glasgow included
       passing on used n/s, having sexual intercourse with casual partners and,
       for females, engaging in prostitution. Glasgow IDUs are a highly mobile
       group and although HIV prevalence remains low within this population,
       considerable potential for importation/exportation of HIV and other
       bloodborne and sexually transmitted infections exists. Further work is
       required to establish why IDUs travel to, and engage in high-risk
       activities in locations outside their home environment, and detailed
       data about activities such as frequency of condom usage and n/s cleaning
       practices need to obtained. While there is a widespread network of
       services for IDUs in the UK, information provided usually relates to
       local services and may not fully address the needs of this mobile
       population. Therefore, we recommend that IDUs be provided with details
       of facilities such as n/s exchange schemes and drug-treatment
       establishments in centres to where they most commonly travel.
 DE    Blood-Borne Pathogens  Community Health Services  Female  Forecasting
       Great Britain/EPIDEMIOLOGY  Health Services Needs and Demand  Human  HIV
       Infections/*EPIDEMIOLOGY  Knowledge, Attitudes, Practice
       London/EPIDEMIOLOGY  Male  Needle Sharing/STATISTICS & NUMER DATA
       Prevalence  Prostitution/STATISTICS & NUMER DATA  Risk-Taking
       Scotland/EPIDEMIOLOGY  Sex Behavior  Sexual Partners  Sexually
       Transmitted Diseases, Viral/EPIDEMIOLOGY  Substance Abuse,
       Intravenous/*EPIDEMIOLOGY  Support, Non-U.S. Gov't  Travel/*STATISTICS &
       NUMER DATA  JOURNAL ARTICLE

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

