Young Drug Users: a Vulnerable Population and an Underutilized Resource in HIV/HCV Prevention

Pedro Mateu-Gelabert, H. Guarino, K. Quinn, P. Meylakhs, S. Campos, A. Meylakhs, D. Berbesi, D. Toro-Tobón, E. Goodbody, D. C. Ompad, S. R. Friedman

Research output: Contribution to journalReview articlepeer-review


Purpose of Review: The social networks of people who inject drugs (PWID) have long been studied to understand disease transmission dynamics and social influences on risky practices. We illustrate how PWID can be active agents promoting HIV, HCV, and overdose prevention. Recent Findings: We assessed drug users’ connections and interactions with others at risk for HIV/HCV in three cities: New York City (NYC), USA (n = 539); Pereira, Colombia (n = 50); and St. Petersburg, Russia (n = 49). In all three cities, the majority of participants’ network members were of a similar age as themselves, yet connections across age groups were also present. In NYC, knowing any opioid user(s) older than 29 was associated with testing HCV-positive. In NYC and St. Petersburg, a large proportion of PWID engaged in intravention activities to support safer injection and overdose prevention; in Pereira, PWID injected, had sex, and interacted with other key groups at risk. Summary: People who use drugs can be active players in HIV/HCV and overdose risk- reduction; their networks provide them with ample opportunities to disseminate harm reduction knowledge, strategies, and norms to others at risk. Local communities could augment prevention programming by empowering drug users to be allies in the fight against HIV and facilitating their pre-existing health-protective actions.

Original languageEnglish (US)
Pages (from-to)324-335
Number of pages12
JournalCurrent HIV/AIDS Reports
Issue number4
StatePublished - Aug 1 2018


  • HIV/HCV prevention
  • Opioid use
  • People who inject drugs
  • Young drug users
  • Colombia
  • Drug Overdose/prevention & control
  • Social Networking
  • United States
  • HIV Infections/etiology
  • Humans
  • Hepatitis C/etiology
  • Substance Abuse, Intravenous/complications
  • Drug Users/statistics & numerical data
  • Male
  • Vulnerable Populations
  • Russia
  • Young Adult
  • Risk-Taking
  • Adolescent
  • Adult
  • Female

ASJC Scopus subject areas

  • Infectious Diseases
  • Virology


Dive into the research topics of 'Young Drug Users: a Vulnerable Population and an Underutilized Resource in HIV/HCV Prevention'. Together they form a unique fingerprint.

Cite this