TARGETED HIV RISK REDUCTION IN DRUG TREATMENT DROP-OUTS

有针对性地降低药物治疗退出者的艾滋病毒风险旨在1） 监测和了解艾滋病毒风险行为的性质， 注射毒品使用者和妇女感染艾滋病毒的风险下降 在入组后60天内离开当地药物治疗机构2） 比较一个三次会议，客户驱动，同侪辅导员的功效 旨在减少这两个地区艾滋病毒危险行为干预措施 标准干预的人群。 “注射吸毒者”的定义是， 在过去的六个月里。 “处境危险的妇女”被定义为 非注射吸毒妇女，是注射吸毒者的性伴侣 吸毒者，或在过去六个月内有多个性伴侣， 或者在过去的六个月里用性换取毒品或金钱 将通过有针对性的和 社区外展有针对性的外联活动将吸引来自三个国家的参与者 提供广泛服务的当地戒毒机构， 包括针对特定文化的方案和为满足 女人的需要。 那些愿意参加这项研究的人将 在前瞻性设计中随机接受标准 单独干预或标准和强化干预。 期间 该项目预计将招募1800名参与者，其中900名在 对照组900例，治疗组900例。 存在，高度 成功的方法将用于跟踪参与者， 后续数据。 预期成果包括： 回到客户/顾问设计的药物治疗过程 减少注射和其他毒品使用 减少共用针头 共用针头时增加适当消毒 减少不安全的性行为。第一年的预算为388，038美元。

Targeted HIV Risk Reduction in Drug Treatment Dropouts is designed to 1) monitor and understand the nature of HIV risk-taking behaviors among injection drug users and women risk of HIV infection who have dropped out of a local drug treatment agency within 60 days of enrollment 2) compare the efficacy of a three-session, client-driven, peer counselor intervention aimed at reducing HIV risk behaviori in these two populations with a standard intervention. "Injection drug user" is defined as a man or woman who has injected drugs within the last six months. "Woman at risk" is defined as a non-injection drug using woman who is a sexual partner of an injection drug user, or has had multiple sex partners during the last six months, or has traded sex for drugs or money during the last six months. Participants will be identified through a combination of targeted and community outreach. Targeted outreach will draw participants from three local drug treatment agencies who provide a wide range of services, including culturally specific programs and programs tailored to meet the needs of women. Those willing to take part in the study will be randomized in a prospective design to receive either the standard intervention alone or the standard and enhanced intervention. During the project an estimated 1800 participants will be recruited, 900 in the control group and 900 in the treatment group. Existing, highly successful methodology will be used to track participants and obtain follow-up data. Desired outcomes include: return to a client/counselor designed course of drug treatment reduction of injection and other drug use reduction of needle sharing increase of adequate needle sterilization when sharing decrease in unsafe sexual practices. Budget will be $388,038 for Year 1.