The impact of training in sexual counselling for drugs workers upon HIV related risk behaviours and attitudes among injecting drug users

Abstract

Forty-five drug-using clients attending two drug services at a London hospital were interviewed before and after a training programme on sexual counselling delivered to staff working at the two units. Following staff training, clients reported increased interaction during counselling with staff on sexual issues. Results indicated that drug use and injecting behaviours were unaflected by the stag training and that changes in sexual behaviour were modest. Attitudinal changes were more substantial with more positive attitudes emerging to limiting the number of sexual partners and towards the use of condoms. The value of observed attitudinal changes and the importance of decision-making processes of clients for harm minimization are discussed