Estimating the prevalence of syringe-borne and sexually transmitted diseases among injection drug users in St Petersburg, Russia

Estimating the prevalence of syringe-borne and sexually transmitted diseases among injection drug users in St Petersburg, Russia
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DOI:
10.1258/095646203322387965
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发表时间:
2003-10-01
影响因子:
1.4
通讯作者:
Heimer, R
Heimer, R
中科院分区:
医学4区
文献类型:
--
作者:
Abdala, N;Carney, JM;Heimer, R

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注射吸毒者(IDUs)是俄罗斯人类免疫缺陷病毒(HIV)流行的先锋。我们寻求一种非侵入性方法来估计在俄罗斯圣彼得堡参加注射器交换计划(SEP)的注射吸毒者中HIV、乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)、梅毒和危险行为的点流行率。邀请1001名注射器返回圣彼得堡SEP的idu填写人口统计、知识和行为信息问卷,并提供用于抗体检测的注射器。注射吸毒者的中位年龄为23岁。注射器普及率为:HIV 10.9%, HCV 78.2%, HBV 15.8%,梅毒6.9%。所有应答者都认识到与毒品有关的感染艾滋病的危险因素。只有三分之二的研究对象认识到避孕套可以防止性传播感染,一半的人知道油性润滑剂不适合用于避孕套。所研究的注射过量人口是年轻人,需要额外的干预措施以鼓励更安全的性行为。
Injection drug users (IDUs) are the vanguard of the human immunodeficiency virus (HIV) epidemic in Russia. We sought a non-invasive method to estimate a point prevalence of HIV, hepatitis B virus (HBV), hepatitis C virus (HCV), syphilis and risk behaviours in IDUs attending the syringe exchange programme (SEP) in St Petersburg, Russia. One hundred and one IDUs returning syringes to the St Petersburg SEP were invited to complete a questionnaire requesting demographic, knowledge, and behavioural information, and to provide their syringes for antibody testing. The median age of IDUs was 23 years. Syringe prevalences were: 10.9% for HIV, 78.2% for HCV, 15.8% for HBV, and 6.9% for syphilis. All respondents recognized drug-related risk factors for getting AIDS. Only two-thirds of subjects recognized condoms to prevent sexually transmitted infections and half knew that oil-based lubricants are not appropriate for condoms. The IDU population studied was young and requires additional interventions to encourage safer sexual behaviours.