HIV among injection drug users and their intimate partners in Almaty, Kazakhstan.

HIV among injection drug users and their intimate partners in Almaty, Kazakhstan.
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DOI:
10.1007/s10461-013-0484-2
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发表时间:
2013-09
期刊:
影响因子:
4.4
通讯作者:
Rozental Y
Rozental Y
中科院分区:
医学2区
文献类型:
--
作者:
El-Bassel N;Gilbert L;Terlikbayeva A;Wu E;Beyrer C;Shaw S;Hunt T;Ma X;Chang M;Ismayilova L;Tukeyev M;Zhussupov B;Rozental Y

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本文调查了来自哈萨克斯坦阿拉木图的注射吸毒者及其异性亲密伴侣(N=728)中艾滋病毒、丙型肝炎病毒和梅毒的患病率。这项研究使用了“复兴计划”的基线数据。“复兴计划”是一项以夫妇为基础的艾滋病毒预防干预措施,向一方或双方都是注射吸毒者的夫妇提供服务。女性和男性注射吸毒者的艾滋病毒感染率为28%。在全部样本中,75%的人有丙型肝炎病毒,13%的人梅毒抗体检测呈阳性。只有10%的样本参加过针头交换计划。四分之一(25.3%)从未接受过艾滋病毒检测。四分之一的检测呈阳性的人并不知道自己的身份。艾滋病毒呈阳性与监禁史、注射过量和获得针头交换计划有关。研究结果呼吁加大努力,改善哈萨克斯坦阿拉木图注射吸毒者获得艾滋病毒检测、预防、治疗和护理的机会。
This paper examines prevalence rates of HIV, HCV, and syphilis among a sample of IDUs and their heterosexual intimate partners (N=728) from Almaty, Kazakhstan. The study uses baseline data from Project Renaissance, a couple-based HIV prevention intervention delivered to a couple where one or both partners are injecting drug users. HIV prevalence rates among female and male IDUs were 28%. Among the full sample, 75% had HCV, and 13% tested positive for the syphilis antibody test. Only 10% of the sample ever visited a needle exchange program. One fourth (25.3%) had never been tested for HIV. One-quarter of those who tested positive were unaware of their status. Being HIV positive was associated with a history of incarceration, being an IDU, and having access to needle exchange programs. The findings call for increasing efforts to improve access to HIV testing, prevention, treatment, and care for IDUs in Almaty, Kazakhstan.
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