Prevalence of HIV, hepatitis C and syphilis among injecting drug users in Russia: a multi-city study.
Objectives To estimate the prevalence of HIV, hepatitis C virus (HCV) and syphilis in injecting drug users (IDUs) in Russia. Methods Unlinked anonymous cross-sectional survey of 1473 IDUs recruited from non-treatment settings in Moscow, Volgograd and Barnaul (Siberia), with oral fluid sample collect...
| Publicado en: | Addiction Vol. 101; no. 2; pp. 252 - 267 |
|---|---|
| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Feb2006
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106412884&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106412884 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Feb2006 vid: 101 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106412884 106412884 2009119630 10.1111/j.1360-0443.2006.01317.x NLM16445554 106412884 ppf: 252 ppct: 15 formats: fmt: @attributes: type: P tig: atl: Prevalence of HIV, hepatitis C and syphilis among injecting drug users in Russia: a multi-city study. aug: au: Rhodes T Platt L Maximova S Koshkina E Latishevskaya N Hickman M Renton A Bobrova N McDonald T Parry JV affil: Centre for Research on Drugs and Health Behaviour, The Reynolds Building, St. Dunstan's Road, Imperial College, London, London W6 8RP, UK; t.rhodes@imperial.ac.uk sug: subj: Hepatitis C Epidemiology HIV Infections Epidemiology Persons Who Use Intravenous Drugs Syphilis Epidemiology Adult Antibodies Analysis Conceptual Framework Confidence Intervals Correlation Coefficient Cross Sectional Studies Funding Source Hepatitis C Risk Factors HIV Infections Risk Factors Interviews Middle Age Multivariate Analysis Needle Sharing Odds Ratio Prevalence Prisoners Russia Saliva Analysis Self Report Univariate Statistics Human Adult: 19-44 years Middle Aged: 45-64 years ab: Objectives To estimate the prevalence of HIV, hepatitis C virus (HCV) and syphilis in injecting drug users (IDUs) in Russia. Methods Unlinked anonymous cross-sectional survey of 1473 IDUs recruited from non-treatment settings in Moscow, Volgograd and Barnaul (Siberia), with oral fluid sample collection for HIV, HCV antibody (anti-HIV, anti-HCV) and syphilis testing. Results Prevalence of antibody to HIV was 14% in Moscow, 3% in Volgograd and 9% in Barnaul. HCV prevalence was 67% in Moscow, 70% in Volgograd and 54% in Barnaul. Prevalence of positive syphilis serology was 8% in Moscow, 20% in Volgograd and 6% in Barnaul. Half of those HIV positive and a third of those HCV positive were unaware of their positive status. Common risk factors associated with HIV and HCV infection across the cities included both direct and indirect sharing of injecting equipment and injection of home-produced drugs. Among environmental risk factors, we found increased odds of anti-HIV associated with being in prison in Moscow, and some association between official registration as a drug user and anti-HIV and anti-HCV. No associations were found between sexual risk behaviours and anti-HIV in any city. Conclusions HIV prevalence among IDUs was markedly higher than city routine surveillance data suggests and at potentially critical levels in terms of HIV prevention in two cities. HCV prevalence was high in all cities. Syphilis prevalence highlights the potential for sexual risk and sexual HIV transmission. Despite large-scale testing programmes, knowledge of positive status was poor. The scaling-up of harm reduction for IDUs in Russia, including sexual risk reduction, is an urgent priority. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|