Homelessness and Other Risk Factors for HIV Infection in the Current Outbreak Among Injection Drug Users in Athens, Greece.

Objectives. We examined HIV prevalence and risk factors among injection drug users (IDUs) in Athens, Greece, during an HIV outbreak. Methods. We used respondent-driven sampling (RDS) to recruit 1404 IDUs to the Aristotle intervention in August to October 2012. We interviewed participants and tested...

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Publicado en:American Journal of Public Health Vol. 105; no. 1; pp. 196 - 205
Autores principales: Sypsa, Vana, Paraskevis, Dimitrios, Malliori, Meni, Nikolopoulos, Georgios K., Panopoulos, Anastasios, Kantzanou, Maria, Katsoulidou, Antigoni, Psichogiou, Mina, Fotiou, Anastasios, Pharris, Anastasia, Van De Laar, Marita, Wiessing, Lucas, Des Jarlais, Don, Friedman, Samuel R., Hatzakis, Angelos
Formato: Journal Article
Publicado: American Public Health Association Jan2015
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Acceso en línea:Ver este registro en EBSCOhost
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        103926666
        10.2105/AJPH.2013.301656
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        atl: Homelessness and Other Risk Factors for HIV Infection in the Current Outbreak Among Injection Drug Users in Athens, Greece.
      aug:
        au:
          Sypsa, Vana
          Paraskevis, Dimitrios
          Malliori, Meni
          Nikolopoulos, Georgios K.
          Panopoulos, Anastasios
          Kantzanou, Maria
          Katsoulidou, Antigoni
          Psichogiou, Mina
          Fotiou, Anastasios
          Pharris, Anastasia
          Van De Laar, Marita
          Wiessing, Lucas
          Des Jarlais, Don
          Friedman, Samuel R.
          Hatzakis, Angelos
      su:
        Greece
        Homelessness
        Interviewing
        Substance abuse
        HIV infection risk factors
        Chi-squared test
        Confidence intervals
        Multivariate analysis
        Questionnaires
        Research funding
        Statistics
        T-test (Statistics)
        Logistic regression analysis
        Data analysis
        Data analysis software
        Descriptive statistics
        Disease complications
      sug:
        subj:
          Homelessness
          Interviewing
          Substance abuse
          Greece
          HIV infection risk factors
          Chi-squared test
          Confidence intervals
          Multivariate analysis
          Questionnaires
          Research funding
          Statistics
          T-test (Statistics)
          Logistic regression analysis
          Data analysis
          Data analysis software
          Descriptive statistics
          Disease complications
      ab: Objectives. We examined HIV prevalence and risk factors among injection drug users (IDUs) in Athens, Greece, during an HIV outbreak. Methods. We used respondent-driven sampling (RDS) to recruit 1404 IDUs to the Aristotle intervention in August to October 2012. We interviewed participants and tested for HIV. We performed bivariate and multivariate analyses. Results. Estimated HIV prevalence was 19.8% (RDS-weighted prevalence = 14.8%). Odds of infection were 2.3 times as high in homeless as in housed IDUs and 2.1 times as high among IDUs who injected at least once per day as among less frequent injectors (both, P < .001). Six percent of men and 23.5% of women reported transactional sex in the past 12 months, and condom use was low. Intercourse with non-IDUs was common (53.2% of men, 25.6% of women). Among IDUs who had been injecting for 2 years or less the estimated incidence rate was 23.4 new HIV cases per 100 person-years at risk. Conclusions. Efforts to reduce HIV transmission should address homelessness as well as scaling up prevention services, such as needle and syringe distribution and other risk reduction interventions.
      pubtype: Academic Journal
      doctype: Journal Article
      src: R
    language: English
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