Estimation of the number of injection drug users in St. Petersburg, Russia

Estimation of the number of injection drug users in St. Petersburg, Russia
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DOI:
10.1016/j.drugalcdep.2009.12.010
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发表时间:
2010-06-01
影响因子:
4.2
通讯作者:
White, Edward
White, Edward
中科院分区:
医学2区
文献类型:
--
作者:
Heimer, Robert;White, Edward

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艾滋病毒和注射吸毒的联合流行在俄罗斯联邦许多地区迅速蔓延,其中包括圣彼得堡市,目前该市的艾滋病毒病例比该国任何其他地区都多。官方对注射吸毒者(IDU)数量的估计依赖于注射吸毒者的官方登记,大大低估了其数量。我们将登记艾滋病毒病例并将风险归因于注射吸毒等原因的官方统计数据与一项研究数据相结合,该研究收集了注射吸毒者的艾滋病毒血清状况和艾滋病毒检测历史数据,以估计该市注射吸毒者的数量。我们得出结论,注射吸毒者总数为 83,118 +/- 5799 人。由于许多注射吸毒者尚未接受检测,甚至一些已经接受过正式检测的人也不知道自己的血清状况,因此,应对圣彼得堡注射吸毒者中日益增长的艾滋病毒流行的第一步必须是扩大针对注射吸毒者的艾滋病毒检测、预防和治疗的范围。 (C) 2009 Elsevier Ireland Ltd. 保留所有权利。
The conjoined epidemics of HIV and injection drug abuse have progressed rapidly in many parts of the Russian Federation, including the City of St. Petersburg, which now has more cases of HIV than any other region in the country. Official estimates of the number of injection drug users (IDUs), which rely on official registration of IDUs, greatly underestimate their number. We have combined official statistics that register HIV cases and attribute risk to causes including injection drug use with data from a study that collected data from IDUs about their HIV serostatus and their history of HIV testing to estimate the number of IDUs in the city. We conclude that there are 83,118 +/- 5799 total IDUs. Since many IDUs have not been tested and even some who have been officially tested do not know their serostatus, a first step in countering the growing HIV epidemic among IDUs in St. Petersburg must be expanded access to HIV testing, prevention, and treatment that is targeted to IDUs. (C) 2009 Elsevier Ireland Ltd. All rights reserved.