The Impact of an HIV Risk-Reduction Program Among Street Drug Users in Rio de Janeiro, Brazil

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Abstract
This article assesses the impact of an HIV risk-reduction program on risky behaviors in a population of street cocaine users in Rio de Janeiro, Brazil. Pre- and postintervention data were collected, and changes in the frequency of drug use, sexual risk behaviors, and other life-situation variables were examined. Participation in the program was associated with a significant decrease in the average number of days of cocaine use and a significant increase in employment and income. Significant increases in condom use were also documented. The data suggest that this population of street cocaine users was capable of understanding the severity of AIDS as well as learning and applying specific risk-reduction techniques to their behavior. The results further demonstrate the feasibility of conducting street research among an at-risk population of cocaine users in Brazil and in other countries in which there is little tradition of research with out-of-treatment drug users.