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Testing an Intervention Model to Reduce HIV/AIDS Among Hispanic Drug Users Residing in Puerto Rico

Testing an Intervention Model to Reduce HIV/AIDS Among Hispanic Drug Users Residing in Puerto Rico. Robles RR, Reyes JC, Matos TD, Colón HM, Marrero CA, Sahai H. The Intervention Model: Motivational Interviewing. Introduction. Puerto Rico continues to be a major AIDS epicenter

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Testing an Intervention Model to Reduce HIV/AIDS Among Hispanic Drug Users Residing in Puerto Rico

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  1. Testing an Intervention Model to Reduce HIV/AIDS Among Hispanic Drug Users Residing in Puerto Rico Robles RR, Reyes JC, Matos TD, Colón HM, Marrero CA, Sahai H

  2. The Intervention Model: Motivational Interviewing

  3. Introduction • Puerto Rico continues to be a major AIDS epicenter • Presently, Puerto Rico’s AIDS incidence rate is 2nd (37.0/100,000) among US states and territories • The main HIV risk category in Puerto Rico is drug injection • High rates of HIV risk behaviors continue to take place, mainly: • Frequency of daily drug injection • Use of shooting galleries

  4. Recruitment (Targeted Sampling in Communities of the North Health Care Region) Initial Assessment Randomization Control Group Intervention Group After 6 months • Motivational Interviewing by Outreach Workers • Inducement to Enter Change Process Intervention Process: Outcomes • Motivational Interviewing by Clinical Counselors • Skill Building to Change Risk Behaviors • Inducement to Enter Treatment and Health Care Follow-Up Assessment Experimental Design

  5. N = 556 Injection drug users not in treatment and residing in the North Metro Health Region of PR Eligibility Injected in the 30 days prior to the interview At least 18 yrs old Not enrolled in drug treatment during the last 30 days Methods

  6. Analysis • Frequency distributions to describe study sample • Bivariate analyses • Compare participants in both groups • Follow-up measures of injection risk behaviors and engagement in drug treatment • 4 logistic regression models • Fitted to estimate effects of intervention model in reducing HIV behaviors, including engagement in drug treatment

  7. Description of the study sample by experimental group TABLE 1

  8. Continue from previous

  9. Continue from previous

  10. Discontinue Drug Injection TABLE 2

  11. Discontinue Drug Injection cont. TABLE 2

  12. Frequency of Daily Injection TABLE 3

  13. Drug Abuse Treatment Initiation TABLE 4

  14. Drug Abuse Treatment Initiation cont. TABLE 4

  15. Share Needles TABLE 5

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