Seroprevalence of select bloodborne pathogens and associated risk behaviors among injection drug users in the Paso del Norte region of the United States-Mexico border

Seroprevalence of select bloodborne pathogens and associated risk behaviors among injection drug users in the Paso del Norte region of the United States-Mexico border
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DOI:
10.1186/1477-7517-5-33
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发表时间:
2008-01-01
影响因子:
4.4
通讯作者:
Strathdee, Steffanie A.
Strathdee, Steffanie A.
中科院分区:
法学2区
文献类型:
--
作者:
Baumbach, Joan P.;Foster, Lily N.;Strathdee, Steffanie A.

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背景:位于墨西哥、德克萨斯州和新墨西哥州交界处的地区被称为“北帕索”。北帕索协作形成的研究选择病原体和相关的危险行为之间的注射吸毒者(IDUs)在region.Methods:应答者驱动的抽样(RDS)的血清阳性率:459 IDU参与者包括204从墨西哥,155从得克萨斯州,100从新墨西哥州。这三个网站使用的标准化问卷,口头管理和测试进行选择血液传播infections.Results:参与者大多是男性(87.4%)和西班牙裔/拉丁裔(84.7%),其中位年龄为38。在墨西哥、得克萨斯州和新墨西哥州,分别有88.3%、48.6%和59.6%的参与者感染了B型肝炎病毒(HBV); 98.7%、76.4%和80.0%的参与者感染了丙型肝炎病毒(HCV); 2.1%、10.0%和1.0%的参与者感染了人类免疫缺陷病毒(HIV); 4.0%、9.9%和3.0%的参与者感染了梅毒。海洛因是最常注射的毒品。更多的注射吸毒者在新墨西哥州意识到,并使用针头交换程序相比,得克萨斯州和Mexica.Conclusion:有好坏参半的成功使用RDS:它是更成功地应用后,建立良好的工作关系与注射吸毒人群。研究结果包括三个网站之间的相似性和区别,将用于告知预防干预措施。
Background: The region situated where the borders of Mexico, Texas and New Mexico meet is known as 'Paso del Norte'. The Paso del Norte Collaborative was formed to study the seroprevalence of select pathogens and associated risk behaviors among injection drug users (IDUs) in the region.Methods: Respondent-driven sampling (RDS) was used: 459 IDU participants included 204 from Mexico; 155 from Texas; and 100 from New Mexico. Each of the three sites used a standardized questionnaire that was verbally administered and testing was performed for select bloodborne infections.Results: Participants were mostly male (87.4%) and Hispanic/Latino (84.7%) whose median age was 38. In Mexico, Texas and New Mexico, respectively: hepatitis B virus (HBV) was seen in 88.3%, 48.6% and 59.6% of participants; hepatitis C virus (HCV) in 98.7%, 76.4% and 80.0%; human immunodeficiency virus (HIV) in 2.1%, 10.0% and 1.0%; and syphilis in 4.0%, 9.9% and 3.0%. Heroin was the drug injected most often. More IDUs in New Mexico were aware of and used needle exchange programs compared with Texas and Mexico.Conclusion: There was mixed success using RDS: it was more successfully applied after establishing good working relationships with IDU populations. Study findings included similarities and distinctions between the three sites that will be used to inform prevention interventions.