Drug use patterns and infection with sexually transmissible agents among young adults in a high-risk neighbourhood in New York City

Samuel R. Friedman, Peter L. Flom, Benny J. Kottiri, Jonathan Zenilman, Richard Curtis, Alan Neaigus, Milagros Sandoval, Thomas Quinn, Don Des Jarlais

Research output: Contribution to journalArticle

Abstract

Aims: To determine relationships between drug use 'hardness' (defined in increasing order of hardness as no drug use, marijuana use, non-injected heroin or cocaine use, crack smoking and injection drug use) and prevalences of several sexually transmissible infections among young adults in a high-risk neighbourhood. Drug users, particularly injection drug users and crack smokers, may be a core group for some sexually transmitted infections. Design: Cross-sectional survey and assays of young adults from (a) a household probability sample and (b) a targeted sample of youth who have used injected drugs, crack, other cocaine or heroin. Setting: Bushwick, an impoverished New York City minority neighbourhood, with major drug markets. Participants: A total of 363 18-24-year-olds from a household probability sample: 165 Bushwick 18-24-year-olds who have used injected drugs, crack, other cocaine or heroin. Measurements: Drug use by self-report; serum- and urine-based assays for HIV, hepatitis B and C, syphilis, gonorrhoea, chlamydia and herpes simplex (type 2). Findings: Household-sample prevalences: HIV, hepatitis C and syphilis. 1%; gonorrhoea 3%; chlamydia 5%; past or present hepatitis B infection 8%; herpes simplex (type 2) 18%. In combined household and targeted samples, hepatitis C and HIV were concentrated among drug injectors. Herpes simplex (type 2). syphilis and hepatitis B increased among women with 'hardest drug ever used'. Conclusions: Using 'harder' drugs is associated with some but not all of these infections, Prevention efforts should help youth avoid unsafe sex and higher-risk drugs.

Original languageEnglish (US)
Pages (from-to)159-169
Number of pages11
JournalAddiction
Volume98
Issue number2
DOIs
StatePublished - Feb 1 2003

Fingerprint

Young Adult
Infection
Pharmaceutical Preparations
Crack Cocaine
Herpes Simplex
Heroin
Syphilis
Hepatitis C
Hepatitis B
Sampling Studies
Chlamydia
Gonorrhea
Hardness
HIV
Drug Users
Unsafe Sex
Injections
Cannabis
Sexually Transmitted Diseases
Self Report

Keywords

  • Community sample
  • Drug use
  • Hepatitis B
  • Hepatitis C
  • Herpes simplex
  • HIV
  • Sexually transmitted infections

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health

Cite this

Drug use patterns and infection with sexually transmissible agents among young adults in a high-risk neighbourhood in New York City. / Friedman, Samuel R.; Flom, Peter L.; Kottiri, Benny J.; Zenilman, Jonathan; Curtis, Richard; Neaigus, Alan; Sandoval, Milagros; Quinn, Thomas; Des Jarlais, Don.

In: Addiction, Vol. 98, No. 2, 01.02.2003, p. 159-169.

Research output: Contribution to journalArticle

Friedman, Samuel R. ; Flom, Peter L. ; Kottiri, Benny J. ; Zenilman, Jonathan ; Curtis, Richard ; Neaigus, Alan ; Sandoval, Milagros ; Quinn, Thomas ; Des Jarlais, Don. / Drug use patterns and infection with sexually transmissible agents among young adults in a high-risk neighbourhood in New York City. In: Addiction. 2003 ; Vol. 98, No. 2. pp. 159-169.
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AU - Curtis, Richard

AU - Neaigus, Alan

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AU - Quinn, Thomas

AU - Des Jarlais, Don

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AB - Aims: To determine relationships between drug use 'hardness' (defined in increasing order of hardness as no drug use, marijuana use, non-injected heroin or cocaine use, crack smoking and injection drug use) and prevalences of several sexually transmissible infections among young adults in a high-risk neighbourhood. Drug users, particularly injection drug users and crack smokers, may be a core group for some sexually transmitted infections. Design: Cross-sectional survey and assays of young adults from (a) a household probability sample and (b) a targeted sample of youth who have used injected drugs, crack, other cocaine or heroin. Setting: Bushwick, an impoverished New York City minority neighbourhood, with major drug markets. Participants: A total of 363 18-24-year-olds from a household probability sample: 165 Bushwick 18-24-year-olds who have used injected drugs, crack, other cocaine or heroin. Measurements: Drug use by self-report; serum- and urine-based assays for HIV, hepatitis B and C, syphilis, gonorrhoea, chlamydia and herpes simplex (type 2). Findings: Household-sample prevalences: HIV, hepatitis C and syphilis. 1%; gonorrhoea 3%; chlamydia 5%; past or present hepatitis B infection 8%; herpes simplex (type 2) 18%. In combined household and targeted samples, hepatitis C and HIV were concentrated among drug injectors. Herpes simplex (type 2). syphilis and hepatitis B increased among women with 'hardest drug ever used'. Conclusions: Using 'harder' drugs is associated with some but not all of these infections, Prevention efforts should help youth avoid unsafe sex and higher-risk drugs.

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