Social Networks, Drug Injectors' Lives, and HIV AIDS (Aids Prevention and Mental Health)

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Author(s): Samuel R. Friedman, Richard Curtis, Alan Neaigus, Benny Jose, Don C. Des Jarlais
Edition: 1
Year: 1999

Language: English
Pages: 284

Contents......Page 14
HIV/AIDS AND DRUG INJECTORS IN THE WORLD, THE UNITED STATES, NEW YORK CITY, AND BUSHWICK......Page 20
INDIVIDUALISTIC PERSPECTIVES ON EPIDEMIOLOGY OF HIV AMONG INJECTION DRUG USERS......Page 26
INDIVIDUALISTIC VIEWS OF RISK BEHAVIORS......Page 28
SOCIAL AND RISK NETWORKS INFLUENCE HIV RISK BEHAVIORS AND INFECTION: OTHER RESEARCH......Page 29
SUMMARY......Page 31
2 “Learning from Lives”......Page 32
ETHNOGRAPHIC METHODS USED IN THE SFHR STUDY......Page 33
Pat......Page 34
Honey......Page 40
Celia......Page 45
Bruce......Page 52
Jerry......Page 57
Louie......Page 62
CONCLUSION......Page 69
THE DRUG SCENE IN BUSHWICK: THE MAKING OF A STREETLEVEL DRUG SUPERMARKET......Page 72
BUYING AND USING DRUGS IN BUSHWICK DURING THE RESEARCH PERIOD (1990-1993)......Page 76
SHOOTING GALLERIES OVER THE RESEARCH PERIOD......Page 79
The Tire Shop......Page 81
The House on Crack Row......Page 85
THE SETTING—LOUIE AND CARMEN’S GALLERY......Page 88
The Setup—Bleach, Water, Cookers, and Works......Page 89
“Getting Straight” in the Gallery......Page 90
Splitting the Difference......Page 97
Banging in the Street: Patricia Takes a Chance......Page 99
Hit Doctors and Hidden Spots......Page 101
AIDS TALK IN INJECTION SETTINGS......Page 103
INTRODUCTION......Page 106
BACKGROUND AND SIGNIFICANCE......Page 107
ANALYTIC METHODS......Page 108
RESULTS......Page 110
Pre-HIV (Calendar Period 1: 1955-1974)......Page 112
HIV Spread (Calendar Period 2: 1975-1983)......Page 117
HIV Stabilization and Initial Decline: Calendar Period 3: (1984-1992)......Page 119
FURTHER STATISTICAL ANALYSIS......Page 121
LIMITATIONS......Page 123
DISCUSSION AND CONCLUSIONS......Page 124
NETWORK CONCEPTS AND DATA......Page 126
Units of Analysis......Page 132
Network Information......Page 133
Data Validity and Reliability......Page 135
Limitations of These Data......Page 136
6 The Research Participants and Their Behaviors......Page 138
RISK BEHAVIORS OF THE PARTICIPANTS IN THE 30 DAYS BEFORE THE INTERVIEW......Page 141
INDIVIDUAL BEHAVIOR, BEHAVIOR IN NETWORKS, AND BEHAVIOR IN RELATIONSHIPS......Page 142
INTRODUCTION......Page 144
RESULTS......Page 145
High-Risk Network Members......Page 150
Duration and Intensity of Relationships......Page 151
High-Risk Injection Settings......Page 152
Variation by Gender......Page 153
Variation by Roles in Drug Scene......Page 154
CONCLUSIONS......Page 159
INTRODUCTION......Page 162
METHODS......Page 163
Peer Culture......Page 165
Subject’s Contact with Risk Reduction Organizations......Page 167
STATISTICAL ANALYSIS......Page 168
RESULTS......Page 169
DISCUSSION......Page 173
DESCRIPTIVE DATA ON SEXUAL RELATIONSHIPS OF DRUG INJECTORS IN THIS STUDY......Page 176
COMMERCIAL SEX WORK BY HIV-INFECTED AND -UNINFECTED WOMEN DRUG INJECTORS......Page 178
Theoretical Background......Page 179
Personal Characteristics......Page 181
Data......Page 183
Results......Page 184
Multiple Regression Analyses......Page 188
Subset Analyses......Page 189
Implications of the Analysis of Consistent Condom Use in Relationships......Page 192
NON-IDU YOUTHS AT RISK: SEXUAL RELATIONSHIPS BY SEROPOSITIVE AND SERONEGATIVE IDUS WITH NON-IDU YOUTHS......Page 195
PRELIMINARY VIEWS FROM THE OTHER SIDE: WHAT YOUTHS LIVING IN BUSHWICK HOUSEHOLDS REPORT ABOUT SEX WITH IDUs......Page 196
Results......Page 197
Conclusions......Page 198
10 Sociometric Networks among Bushwick Drug Injectors......Page 200
Defining Sociometric Social Network Location......Page 203
Defining the Ethnographic Core Network......Page 204
COMPARING THE THREE MEASURES OF NETWORK LOCATION......Page 206
WHO IS IN WHAT SOCIOMETRIC RISK NETWORK LOCATION......Page 208
HIV RISK AND SOCIOMETRIC RISK NETWORK LOCATION......Page 211
SOCIOMETRIC RISK NETWORK LOCATION AND PREVENTION RESOURCES......Page 216
SUMMARY AND DISCUSSION......Page 219
WHICH DRUG INJECTORS ARE INFECTED?......Page 220
MULTIPLE LOGISTIC REGRESSION PREDICTORS OF HIV SEROSTATUS......Page 225
MULTIPLE REGRESSION ANALYSES OF RELATIONSHIPS OF SOCIOMETRIC RISK NETWORK LOCATION......Page 227
A NOTE ON THE OTHER PREDICTORS OF HIV......Page 228
DRUG-INJECTING CAREERS, NETWORKS, AND HIV......Page 229
12 Prevention and Research......Page 236
HOW NETWORKS CHANGE OVER TIME AND THE EFFECTS OF THIS......Page 238
HOW SOCIOMETRIC NETWORK RESEARCH ON DRUG INJECTORS DONE QUICKLY AND CHEAPLY AND OTHER COMMUNITY-BASED GROUPS OF PEOPLE CAN BE......Page 239
THE LARGER-SCALE DETERMINANTS OF NETWORK STRUCTURES......Page 242
PAST RESEARCH......Page 243
BROADER ISSUES......Page 244
Race-Ethnicity......Page 245
Sex......Page 247
Drug Policy......Page 248
CAUGHT IN THE GRIPS OF A DECAYING SOCIETY......Page 252
FINAL THOUGHTS......Page 255
INTRODUCTION......Page 258
OVERVIEW OF THE METHODOLOGY......Page 259
MULTIPLE EGOCENTRIC NETWORK MEMBERSHIP......Page 261
FOXBASE DATABASES......Page 263
VALIDATING NETWORK MEMBER LINKS......Page 264
Field Network Linkages......Page 265
Ethnographic Network Linkages......Page 268
Data Set Network Linkages......Page 269
EGOCENTRIC NETWORK LINKAGE CASE STUDY......Page 270
CONCLUSIONS......Page 271
References......Page 274
B......Page 288
D......Page 289
H......Page 290
L......Page 291
N......Page 292
R......Page 293
S......Page 294
W......Page 295
Y......Page 296