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HIV prevention interventions for young people who inject drugs (PWID) do not adequately address their challenges, according to this cross-sectional study. The study concludes that young PWID are more likely to engage in behaviors that put them at risk of contracting HIV. In addition, this group is less likely to use harm reduction services. Thus, designing HIV prevention programs and age-specific interventions are essential for this highly vulnerable segment. This paper takes into account geography, age, sexual habits, and orientations, as well as the social and cultural contexts of young PWID to reach its conclusions. This is a useful reference for those who design policies and programs for HIV in India.