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U.S. Department of Health and Human Services

Archival Content: 1999-2005

HIV Prevention Among DRUG USERS
A Resource Book for Community Planners & Program Managers

Table of Contents

INTRODUCTION

PART 1: DRUG USE AND ITS EFFECTS PART 2: DRUG USE, SEXUAL BEHAVIOR, AND HIV RISK PART 3: SOCIAL AND BEHAVIORAL INTERVENTIONS PART 4: PUBLIC POLICY ISSUES

PART 5: RESOURCES

APPENDICES


ILLUSTRATIVE MATERIALS
Case Example 1.1 Individual Accounts of Drug-Using Behaviors and Associated Consequences
Case Example 2.1 Intersecting Epidemics: Crack Use and Sexual Risks for HIV Infection
Case Example 2.2 Social Networks: A Case Study
Case Example 4.1 Opposing Views on HIV Prevention Approaches
Case Example 4.2 Community Opposition to Condom Distribution in Schools
Case Example 4.3 Changes in Connecticut's Prescription and Paraphernalia Laws
Case Example 4.4 Fear of Arrest Prevents Sterile Syringe Possession
Case Example 4.5 Pharmacist Practices Related to the Sale of Syringes
Case Example 4.6 "Steps Toward Change" A Harm Reduction Program in New York

Exhibit A Heroin, Cocaine, and Crack: Characteristics and Effects
Exhibit B Definitions of Substance Abuse and Substance Dependence
Exhibit C Basic Components of a Therapeutic Community (TC) Program
Exhibit D Drug Use Practices and Risk for HIV Transmission
Exhibit E Important Terms Related to HIV/AIDS Surveillance
Exhibit F CDC's AIDS Community Demonstration Projects
Exhibit G Features of HIV Prevention Interventions
Exhibit H Features of the NIDA Intervention Model
Exhibit I Effective HIV Prevention Programs
Exhibit J Collaborative HIV Prevention Efforts in Correctional Systems
Exhibit K Inter-Agency HIV Prevention Efforts
Exhibit L A Suggested Taxonomy for Classifying HIV Prevention Interventions

Figure 2.1 Equipment Used to Prepare and Inject Drugs
Figure 2.2 Typical Equipment Used to Smoke Crack
Figure 2.3 HIV Seroprevalence Among IDUs Entering Drug Treatment Centers, 1991 through 1992

Table 1.1 Regional Patterns and Trends of Drug Use
Table 1.2 Local Resources for Information on Drug Use Trends and Patterns
Table 1.3 Metropolitan Areas Surveyed by CEWG
Table 2.1 High-Risk Practices and Behaviors Among Drug Users
Table 2.2 Factors in Sharing Injection Equipment
Table 2.3 Indirect Sharing Practices
Table 2.4 Key Data Sources for Local HIV Prevention Planning
Table 2.5 Primary Drug Injected by Persons With HIV/AIDS Who Have Ever Injected Drugs, by State or City of Residence
Table 3.1 Eight Common Theoretical Factors
Table 3.2 Stages of Behavior Change
Table 3.3 Social-Level Approaches
Table 3.4 Guide to Evaluation Study Summaries
Table 4.1 Cities with Schools-Based Health Centers Offering Condom Availability Programs
Table 4.2 Circumstances Permitting Disclosure of Drug Treatment Patient Information
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