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16.03.2019 | Original Paper | Ausgabe 9/2019

AIDS and Behavior 9/2019

Implementing an Updated “Break the Cycle” Intervention to Reduce Initiating Persons into Injecting Drug Use in an Eastern European and a US “opioid epidemic” Setting

AIDS and Behavior > Ausgabe 9/2019
Don Des Jarlais, Anneli Uuskula, Ave Talu, David M. Barnes, Mait Raag, Kamyar Arasteh, Greete Org, Donna Demarest, Jonathan Feelemyer, Hayley Berg, Susan Tross
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The online version of this article (https://​doi.​org/​10.​1007/​s10461-019-02467-y) contains supplementary material, which is available to authorized users.

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We tested the hypothesis that an updated “Break the Cycle” (BtC) intervention, based in social cognitive theory and motivational interviewing, would reduce the likelihood that current persons who inject drugs (PWID) would assist persons who do not inject drugs (non-PWID) with first injections in Tallinn, Estonia and Staten Island, New York City. 402 PWID were recruited, a baseline interview covering demographics, drug use, and assisting non-PWID with first drug injections was administered, followed by BtC intervention. 296 follow-up interviews were conducted 6 months post-intervention. Percentages assisting with first injections declined from 4.7 to 1.3% (73% reduction) in Tallinn (p < 0.02), and from 15 to 6% (60% reduction) in Staten Island (p < 0.05). Persons assisted with first injections declined from 11 to 3 in Tallinn (p = 0.02) and from 32 to 13 in Staten Island. (p = 0.024). Further implementation research on BtC interventions is urgently needed where injecting drug use is driving HIV/HCV epidemics and areas experiencing opioid epidemics.

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