Acculturation and risky injection practices among Hispanic injectors

W. A. Zule, D. P. Desmond, M. A. Medrano, John P Hatch

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Ethnic and gender-based correlates of safer needle use among 528 out-of-treatment drug injectors in San Antonio, Texas, were studied. The sample was 67% male, 75% Hispanic, 11% non-Hispanic white, and 14% African-American. Forty-seven percent of Hispanics were classified as high-acculturation, and 53% were classified as low-acculturation. HIV seroprevalence was 1.7%. Safer needle use was defined as never sharing syringes that had not been disinfected with bleach. Variables associated with safer needle use in bivariate analyses were entered into a multiple logistic regression analysis. Independent predictors of safer needle use included being African-American, a high-acculturation Hispanic, and female. Greater perceived AIDS risk; frequent cocaine injection; and sharing cookers, cottons, and water were all negatively associated with safer needle use. Among men, low-acculturation Hispanics were significantly more risky than the other groups, but there was no association between ethnicity and safer needle use among women.

Original languageEnglish (US)
Pages (from-to)207-214
Number of pages8
JournalEvaluation and Program Planning
Issue number2
StatePublished - May 2001


  • Acculturation
  • HIV
  • Hispanics
  • Injecting drug users

ASJC Scopus subject areas

  • Business and International Management
  • Social Psychology
  • Geography, Planning and Development
  • Strategy and Management
  • Public Health, Environmental and Occupational Health


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