Taking care of themselves: how long-term injection drug users remain HIV and Hepatitis C free

Sociol Health Illn. 2015 May;37(4):626-41. doi: 10.1111/1467-9566.12226. Epub 2015 Feb 16.

Abstract

Though prevalence of HIV and especially Hepatitis C is high among people who inject drugs (PWID) in New York, about a third of those who have injected for 8-15 years have avoided infection by either virus despite their long-term drug use. Based on life history interviews with 35 long-term PWID in New York, this article seeks to show how successful integration and performance of various drug using and non-drug using roles may have contributed to some of these PWID's staying uninfected with either virus. We argue that analysis of non-risk related aspects of the lives of the risk-takers (PWID) is very important in understanding their risk-taking behaviour and its outcomes (infection statuses). Drawing on work-related, social and institutional resources, our double-negative informants underwent both periods of stability and turmoil without getting infected.

Keywords: HIV and HCV prevention; New York City; injection drug users; qualitative study; role theory.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Drug Users / psychology*
  • Female
  • HIV Infections / epidemiology
  • HIV Infections / prevention & control*
  • Hepatitis C / epidemiology
  • Hepatitis C / prevention & control*
  • Humans
  • Male
  • New York / epidemiology
  • Prevalence
  • Risk-Taking
  • Substance Abuse, Intravenous / psychology*