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HIV risk behavior in drug users: increased blood "booting" during cocaine injection. | LitMetric

HIV risk behavior in drug users: increased blood "booting" during cocaine injection.

AIDS Educ Prev

Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD.

Published: September 1992

AI Article Synopsis

  • The study investigated the "booting" or "kicking" behavior in IV drug users, where blood is drawn and injected, and its link to increased HIV infection associated with cocaine use.
  • Results showed that users drew more blood and performed more syringe pumps when simulating cocaine and speedball use compared to heroin, indicating a more dangerous injection method with higher contamination risk.
  • Additionally, a greater percentage of users reported that their needle-sharing partners engaged in booting behavior during cocaine use versus heroin, highlighting the need for tailored AIDS prevention strategies targeting this risky behavior.

Article Abstract

The practice of "booting" or "kicking," in which blood is drawn into the syringe and then injected, was assessed as a possible behavioral mechanism contributing to cocaine's association with increased human immunodeficiency virus (HIV) infection. Intravenous drug users (IVDUs) (N = 68) demonstrated (with an empty, needleless syringe) their usual style of injection of cocaine, heroin, and speedball, in random order. The experimenter recorded the injection procedures and the syringe volumes at each step. Total blood volumes and number of pumps of the syringe were each greater during simulated cocaine and speedball use than during heroin use (p less than .05); means for both cocaine and speedball were 2- to 3-fold greater than for heroin. Subjects also described the booting behavior of their needle-sharing partners; the percentage having partners who booted blood was significantly greater during cocaine use than during heroin use (p less than .05). These findings indicate that cocaine use is associated with a behavioral style of injection (increased blood booting) that is more likely to contaminate the injection equipment with blood. Thus, the practice of booting may warrant special attention in AIDS prevention interventions and risk assessments.

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