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The Science of Drug Abuse and Addiction from the National Institute on Drug Abuse Archives of the National Institute on Drug Abuse web site
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The NIDA Community-Based Outreach Model:
A Manual To Reduce the Risk of HIV and Other Blood-Borne Infections in Drug Users


Since 1985, the National Institute on Drug Abuse (NIDA) has conducted research to determine the most effective ways to reduce the risk of HIV/AIDS transmission by drug users and their sexual partners. Findings from more than 30 studies reported that community-based outreach is an effective strategy for reaching drug-using populations and providing them with the means for behavior change. Of those drug users participating in community-based outreach interventions, a significant proportion:

  • Entered drug treatment.

  • Stopped or reduced their

    • frequency of injection;

    • reuse of needles and syringes;

    • reuse of cookers, cottons, and rinse water; and

    • use of crack cocaine.

  • Increased condom use or had unprotected sex less frequently.

  • Obtained HIV testing and pre- and post-test counseling.

  • Averted HIV infection.

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