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01-09-2007

Gender Differences in Social Network Influence among Injection Drug Users: Perceived Norms and Needle Sharing

Authors: Melissa A. Davey-Rothwell, Carl A. Latkin

Published in: Journal of Urban Health | Issue 5/2007

Abstract

Whereas substantial research has linked perceived norms and HIV sexual risk behavior, less attention has been given to the relationship between perceived norms and injection drug practices. This study investigated the relationship between needle sharing and perceived norms in a sample of injection drug users. Data were collected through face-to-face interviews with 684 injectors from the STEP Into Action (STEP) project in Baltimore, Maryland. Logistic regression was used to assess the associations between perceived norms (descriptive and injunctive norms) and needle sharing. Results were stratified by gender. Descriptive norms were significantly related to needle sharing among males (AOR = 1.58, 95%CI = 1.20–2.40) and females (AOR = 1.78; 95%CI = 1.24–2.55). Whereas injunctive norms were significantly associated with needle sharing among men (AOR = 1.30 95%CI = 1.05–1.61), this association was not significant among women (AOR = 0.99; 95%CI = 0.74–1.31). These findings suggest the utility of peer education interventions that promote norms regarding risk reduction among injection drug users. The data also provide support for gender-specific HIV prevention interventions.

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Des Jarlais DC, Friedman SR, Hopkins W. Risk Reduction for the Acquired Immunodeficiency Syndrome among intravenous drug users. Ann Intern Med. 1985;103:755–759.PubMed

Friedman SR, Aral S. Social networks, risk-potential networks, health, and disease. J Urban Health. 2001;78:411–418.PubMed

Latkin CA. Outreach in natural settings: the use of peer leaders for HIV prevention among injecting drug users’ networks. Public Health Rep. 1998;113(Suppl 1):151–159.PubMed

Neaigus A. The network approach and interventions to prevent HIV among injection drug users. Public Health Rep. 1998;113(Suppl 1):140–150.PubMed

Latane B. The psychology of social impact. Am Psychol. 1981;36:343–356.CrossRef

Latkin CA, Knowlton AR, Sherman S. Routes of drug administration, differential affiliation, and lifestyle stability among cocaine and opiate users: implications to HIV prevention. J Subst Abuse Treat. 2001;13:89–102.CrossRef

Asch SE. Rules and values. In: Asch SE, ed. Social Psychology. Upper Saddle River. NJ: Prentice Hall; 1952:350–363.CrossRef

Sherif M. The Psychology of Social Norms. Oxford: Harper Torchbooks; 1966.

Hyman HH. The psychology of status. Arch Psychol. 1942;269:5–91.

10.

Festinger L. A theory of social comparison processes. Hum Relat. 1954;7:117–140.CrossRef

11.

Lapinski MK, Rimal RN. An explication of social norms. Commun Theory. 2005;15:127–147.CrossRef

12.

Cialdini RB, Reno RR, Kallgreen CA. A focus theory of normative conduct: recycling the concept of norms to reduce littering in public places. J Pers Soc Psychol. 1990;58:1015–1026.CrossRef

13.

Miller-Day M, Barnett JM. “I’m not a druggie”: Adolescents’ ethnicity and (erroneous) belief about drug use norms. Health Commun. 2004;16:207–228.CrossRef

14.

Borsari B, Carey KB. Descriptive and injunctive norms in college drinking: a meta-analytic integration. J Stud Alcohol. 2003;64:331–341.PubMed

15.

Baker CW, Little TD, Brownell KD. Predicting adolescent eating and activity behaviors: the role of social norms and personal agency. Health Psychol. 2003;22:189–198.PubMedCrossRef

16.

Hart T, Peterson JL. Predictors of risky sexual behavior among young African American men who have sex with men. Am J Public Health. 2004;94:1122–1124.PubMed

17.

Longshore D, Stein JA, Chin D. Pathways to sexual risk reduction: gender differences and strategies for intervention. AIDS Behav. 2005;30:1–12.

18.

van Empelen P, Schaalma HP, Kok G, Janse MWJ. Predicting condom use with causal and steady sex partners among drug users. Health Educ Res. 2001;16:293–305.PubMedCrossRef

19.

Friedman SR, Des Jarlais D, Sotheran JL, Garber J, Cohen H, Smith I. AIDS and self-organization among intravenous drug users. Int J Addict. 1987;22:201–219.PubMed

20.

Magura S, Grossman JI, Lipton DS, et al. Determinants of needle sharing among intravenous drug users. Am J Public Health. 1989;79:459–462.PubMedCrossRef

21.

Ajzen I, Fishbein M. Understanding Attitudes and Predicting Social Behavior. Englewood Cliffs, NJ: Prentice Hall; 1980.

22.

Fisher JD, Misovich SJ, Kimble DL, Weinstein B. Dynamics of HIV Risk behavior in HIV-infected injection drug users. AIDS Behav. 1999;3:41–57.CrossRef

23.

Jamner MS, Corby NH, Wolitski RJ. Bleaching injection equipment: Influencing factors among IDUs who share. Subst Use Misuse. 1996;31:1973–1993.

24.

Hyman HH, Singer E. Readings in Reference Group Theory and Research. New York: Free Press; 1968.

25.

Bailey SL, Ouellet LJ, Mackesy-Amiti ME, et al. Perceived risk, peer influences, and injection partner type predict receptive syringe sharing among young adult injection drug users in five U.S. cities. Drug Alcohol Depend. In press.

26.

Thiede H, Hagan H, Campbell JV, et al. Prevalence and correlates of indirect sharing practices among young adult injection drug users in five U.S. cities. Drug Alcohol Depend. In press.

27.

Zapka JG, Stoddard AM, McCusker J. Social network, support, and influence: relationships with drug use and protective AIDS behavior. AIDS Educ Prev. 1993;5:352–356.PubMed

28.

Hawkins WE, Latkin C, Mandell W, Oziemkowska M. Do actions speak louder than words? perceived peer influences on needle sharing and cleaning in a sample of injection drug users. AIDS Educ Prev. 1999;11:122–131.PubMed

29.

Latkin CA, Mandell W, Oziemkowska M, Celentano D, Vlahov D, Ensminger M, et al. Using social network analysis to study patterns of drug use among urban drug users at high risk for HIV/AIDS. Drug Alcohol Depend. 1995;38:1–9.PubMedCrossRef

30.

Latkin CA, Mandell W, Vlahov D, Oziemkowska M, Celentano D. People and places: behavioral settings and personal network characteristics as correlates of needle sharing. J Acquir Immune Defic Syndr Human Retrovirol. 1996;13:273–280.

31.

Evans JL, Hahn JA, Page-Shafer K, Lum PJ, Stein ES, Davidson PJ, et al. Gender differences in sexual and injection risk behavior among active young injection drug users in San Francisco (the UFO Study). J Urban Health. 2003;80:137–146.PubMedCrossRef

32.

Ksobiech K. Beyond needle sharing: meta-analyses of social context risk behaviors of injection drug users attending needle exchange programs. Subst Use Misuse. 2006;41:1379–1394.PubMedCrossRef

33.

Buunk BP, Bakker AB, Siero FW, van den Eijnden RJJM, Yzer MC. Predictors of AIDS preventive behavioral intentions among adult heterosexuals at risk for HIV infection: extending current models and measures. AIDS Educ Prev. 1998;10:149–172.PubMed

34.

Mizuno Y, Kennedy M, Seals B, Myllyluoma J. Predictors of teens’ attitudes toward condoms: gender differences in the effects of norms. J Appl Soc Psychol. 2000;30:1381–1395.CrossRef

35.

Mascalino GE, Celentano DD, Latkin CA, Strathdee SA, Vlahov D. Risk behaviors by audio computer-assisted self-interviews among HIV-seropositive and HIV-negative injection drug users. AIDS Educ Prev. 2002;14:367–378.CrossRef

36.

National Institute of Drug Abuse, National Institute of Health. Risk Behavior Assessment (RBA) Questionnaire. Rockville: Community Research Branch, National Institute on Drug Abuse, Alcohol, Drug Abuse, and Mental Health Administration; 1991.

37.

Misovich SJ, Fisher JD, Fisher WA. Close relationships and elevated HIV risk behavior: Evidence and possible underlying psychological processes. Review of General Psychology. 1997;1:72–107.CrossRef

38.

Perkins HW, Meilman PW, Leichliter JS, Cashin JR, Presley CA. Misperceptions of the norms for the frequency of alcohol and other drug use on college campuses. J Am Coll Health. 1999;47:253–258.PubMedCrossRef

39.

Perkins HW, Haines MP, Rice R. Misperceiving the college drinking norm and related problems: a nationwide study of exposure to prevention information, perceived norms and student alcohol misuse. J Stud Alcohol. 2005;66:470–478.PubMed

40.

Lewis MA, Neighbors C. Social norms approaches using descriptive drinking norms education: a review of the research on personalized normative feedback. J Am Coll Health. 2006;54:213–218.PubMedCrossRef

41.

Choi SY, Cheung YW, Chen K. Gender and HIV risk behavior among intravenous drug users in Sichuan Province, China. Soc Sci Med. 2006;62:1672–1684.PubMedCrossRef

42.

Latkin CA, Vlahov D, Anthony JC. Socially desirable responding and self-reported HIV infection risk behaviors among intravenous drug users. Addiction. 1993;88:517–526.PubMedCrossRef

43.

Latkin CA, Hua W, Davey MA. Factors associated with peer HIV prevention outreach in drug-using communities. AIDS Educ Prev. 2004;16:499–508.PubMedCrossRef

Title: Gender Differences in Social Network Influence among Injection Drug Users: Perceived Norms and Needle Sharing
Authors: Melissa A. Davey-Rothwell
Carl A. Latkin
Publication date: 01-09-2007
Publisher: Springer US
Published in: Journal of Urban Health / Issue 5/2007
Print ISSN: 1099-3460
Electronic ISSN: 1468-2869
DOI: https://doi.org/10.1007/s11524-007-9215-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Gender Differences in Social Network Influence among Injection Drug Users: Perceived Norms and Needle Sharing

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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