THE RISK OF HIV-INFECTION IN A NATIONAL SAMPLE OF WOMEN WITH INJECTION DRUG-USING PARTNERS

Objectives. This study reports on a large, national cohort of women wi th injection drug-using sex partners. Information is provided an demog raphic characteristics; human immunodeficiency virus (HIV) risk factor s, including unprotected sex and incidence of sexually transmitted dis eases; use of noninjected drugs; HN serostatus; and other selected hea lth variables. Methods. A sample of 5162 heterosexual women was recrui ted for a national acquired immunodeficiency syndrome (AIDS) research and demonstration project, A structured interview was administered, an d the women had the option of undergoing HIV testing. Statistical anal yses compared three groups on variables of interest: women with single sex partners, women with multiple partners. and women with multiple p artners who exchanged sex for drugs and/or money. Results. These group s differed significantly on virtually all of the demographic and risk variables examined. women with multiple partners who exchanged sex for drugs and/or money were at higher risk for HIV than women in the othe r groups, even when selected demographic variables were controlled. Co nclusions. Research is needed on the efficacy of prevention efforts in volving these diverse groups of women at risk for AIDS.