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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Decreased injecting is associated with increased alcohol consumption among injecting drug users in northern Vietnam

TitleDecreased injecting is associated with increased alcohol consumption among injecting drug users in northern Vietnam
Publication TypeJournal Article
Year of Publication2013
AuthorsGo, VF, Minh, NL, Frangakis, C, Ha, TV, Latkin, CA, Sripaipan, T, Davis, W, Zelaya, C, Ngoc, NP, Quan, VM
JournalInternational Journal of Drug Policy
Volume24
Pagination304-311
Date PublishedJul
ISBN Number09553959 (ISSN)
Accession Number23332981
KeywordsAdult, alcohol consumption, Alcohol use, article, attitude to health, behavior change, clinical assessment, Educational Status, Female, follow up, HIV education, human, Human immunodeficiency virus infection, infection risk, Injecting drug use, intravenous drug abuse, major clinical study, Male, outcome assessment, peer group, priority journal, randomized controlled trial (topic), risk reduction, Viet Nam, Vietnam
Abstract

Background: Reducing injecting frequency may reduce the risk of HIV infection and improve health outcomes among injection drug users (IDUs). However, the reduction of one risk behavior may be associated with an increase in other risk behaviors, including the use of other risk-associated substances. Our objective was to determine if an association exists between a reduction in injecting and level of alcohol use among IDU. Methods: We conducted a longitudinal analysis of data collected for a randomized controlled trial examining the efficacy of a peer education intervention in reducing HIV risk among IDU and their network members in Thai Nguyen, Vietnam. Our analysis included active male injectors (n = 629) who were study participants and attended both baseline and 3-month visits. Frequency of alcohol consumption was assessed as the number of alcoholic drinks in the past 30. days. Change in risk and outcome behaviors was calculated as the difference in frequencies of behaviors between baseline and 3-month follow-up visits. The outcome of interest was concurrent decreased drug injection and increased alcohol consumption. Results: The mean difference between baseline and 3-month follow-up of alcohol consumption and injection frequency in the past 30. days was 19.03 drinks (93.68 SD) and 20.22 injections (35.66 SD), respectively. Participants who reported reduced injection frequency were almost three times as likely to report increased alcohol consumption (OR 2.8; 95% CI, 2.0, 4.0). The proportion that both decreased injecting and increased alcohol by any amount in the past 30. days was 35.6%. In multivariate analysis higher education was significantly associated with an increase in alcohol and decrease in injecting of any amount. Conclusion: Male IDU may be at risk for increasing alcohol consumption when they reduce injection frequency. Interventions with male IDU that encourage reduction of injection may need to review specific strategies to limit alcohol consumption. © 2012 Elsevier B.V.