HIV Prevalence and Associated Risks in a Respondent-Driven Sample of Illicit Stimulant Users in a Southern United States City.
Stimulant abuse is a major contributor to HIV transmission in the United States, yet HIV prevalence among persons who use illicit stimulants remains unknown. We implemented respondent driven sampling (RDS) to estimate the prevalence of HIV infection in this high-risk population. We also examined RDS...
| Publicado en: | AIDS & Behavior Vol. 24; no. 8; pp. 2336 - 2347 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2020
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| 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=144870472&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 144870472 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Aug2020 vid: 24 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 144870472 144112795 144870472 144870472 10.1007/s10461-020-02793-6 144870472 ppf: 2336 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: HIV Prevalence and Associated Risks in a Respondent-Driven Sample of Illicit Stimulant Users in a Southern United States City. aug: au: Meade, Christina S. Towe, Sheri L. Xu, Yunan Rainer, Crissi affil: Department of Psychiatry & Behavioral Sciences, Duke University School of Medicine, Box 102848, 27705, Durham, NC, USA sug: subj: HIV Infections Epidemiology Persons with Substance Use Disorders Street Drugs Central Nervous System Stimulants Risk Assessment United States North Carolina Human Female Male Adult Middle Age Aged HIV-Positive Persons Special Populations Risk Taking Behavior Cocaine HIV Infections Risk Factors Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Female Male ab: Stimulant abuse is a major contributor to HIV transmission in the United States, yet HIV prevalence among persons who use illicit stimulants remains unknown. We implemented respondent driven sampling (RDS) to estimate the prevalence of HIV infection in this high-risk population. We also examined RDS-adjusted rates of risk behaviors among HIV-positive and HIV-negative participants. Recruited from seven seeds, our sample of 387 participants was 46% female, 89% African American, and 45.94 years old on average. Participants were predominantly non-injection cocaine users, had large networks of stimulant users, and reported an established relationship with their recruiter. The adjusted population proportion of HIV infection was 0.07 (0.04, 0.11). The majority of sexually active participants reported engagement in risk behaviors (73%), but rates generally did not differ by HIV status. Our results highlight that stimulant use is a risk factor for HIV infection. This study also demonstrates that RDS is a very effective strategy for reaching stimulant users in the community. Resumen: El abuso de los estimulantes es uno de los principales contribuyentes a la transmisión del VIH en los Estados Unidos, pero la prevalencia de VIH entre las personas que usan estimulantes ilícitos sigue siendo desconocida. Implementamos Muestreo Dirigido por Participante (RDS) para estimar la prevalencia de VIH en esta población de alto riesgo. También examinamos las tasas de conductas de riesgo ajustadas al RDS entre los participantes con VIH y sin VIH. Reclutados de siete semillas, nuestra muestra de 387 participantes fue 46% mujeres, 89% afroamericanos, y tenía un promedio de 45.94 años. Los participantes eran predominantemente consumidores de cocaína no inyectada, tenían grandes redes de usuarios de estimulantes, e informaron una relación establecida con su reclutador. La proporción poblacional ajustada de infección por VIH fue de 0.07 (0.04, 0.11). La mayoría de los participantes sexualmente activos informaron haber estado involucrados en comportamientos de riesgo (73%), pero las tasas generalmente no diferían según el estado de VIH. Nuestros resultados destacan que el uso de estimulantes es un factor de riesgo para la infección por VIH. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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