The Youth AIDS and Drugs (YAD) Study is a study of young people who in
ject drugs, and their risk of the transmission of HIV through needle s
haring and/or unsafe sex. One hundred and five people, aged less than
21, 75% of whom were current or recent injectors, undertook in-depth i
nterviews which were tape recorded, transcribed and analysed qualitati
vely. This paper focuses on the ways in which the young people in the
group attempted to manage the risk of needle sharing. Needle sharing i
n the study group was not common behaviour. Almost all injectors emplo
yed one of four major Risk Management Strategies some of which include
d the possibility of sharing unbleached needles with a friend or a lov
er These strategies were strongly related to beliefs that such friends
and lovers were well enough known by the individual for there to be v
ery little risk. The implications of these findings for health promoti
on with young people who inject drugs in Perth, a city of low IDU sero
prevalence, are outlined.