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Lundgren, Amodeo, and Chassler (2005) assessed 507 street-recruited injecting drug users (IDUs) and found that "anxiety was significantly and positively associated with needle sharing[, while u]sing psychotropic medication was significantly and negatively associated with sharing needles" (p. 525). "This finding suggests that appropriately treated psychiatric problems may provide IDUs with sufficient mood and cognitive stabilization that they are able to refrain from needle sharing behavior or exercise sufficient control to reduce the behavior" (p. 535). Lundgren and colleagues also found that "[t]hose who had higher levels of drug injecting were more likely to share needles and those with an HIV-positive status were less likely to share needles. Finally, IDUs who reported high levels of drug treatment use (in the 75th percentile in terms of number of treatment admissions) were also more likely to share needles" (p. 525). This last finding suggests "the need to develop new intervention methods for high-level drug treatment users who may be 'cycling' through treatment with low levels of treatment completion" (p. 525).

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