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Carey B. Maslow, DrPH, Samuel R. Friedman, PhD, Theresa E. Perlis, PhD, Russell Rockwell, PhD and Don C. Des Jarlais, PhD

Carey B. Maslow, Samuel R. Friedman, Theresa E. Perlis, and Russell Rockwell are with the National Development and Research Institutes, Inc, New York, NY. Don C. Des Jarlais is with Beth Israel Medical Center, New York, NY.

Correspondence: Requests for reprints should be sent to Carey B. Maslow, DrPH, National Development and Research Institutes, Inc, 71 West 23rd St, New York, NY 10010(e-mail: carey.maslow{at}ndri.org).

Objectives. This study examined HIV prevalence and risk behaviors among male injection drug users (IDUs) who have sex with men and among other male IDUs.

Methods. Male IDUs were interviewed and tested for HIV at a detoxification clinic during 1990 to 1994 and 1995 to 1999. Analyses compared male IDUs who do and do not have sex with men within and between periods.

Results. Initially, HIV seroprevalence and risk behaviors were higher among IDUs who have sex with men. Seroprevalence (initially 60.5% vs 48.3%) declined approximately 15% in both groups, remaining higher among those who have sex with men. Generally, injection prevalence, but not sexual risk behaviors, declined.

Conclusions. Male IDUs who have sex with men are more likely to engage in higher-risk behaviors and to be HIV infected. Improved intervention approaches for male IDUs who have sex with men are needed. (Am J Public Health. 2002;92:382–384)

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