The potential for bridging: HIV status awareness and risky sexual behaviour of injection drug users who have non-injecting permanent partners in Ukraine
The potential for bridging: HIV status awareness and risky sexual behaviour of injection drug users who have non-injecting permanent partners in Ukraine
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DOI：
10.7448/ias.17.1.18825
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发表时间：
2014-02-17
影响因子：
6
通讯作者：
McNutt, Louise-Anne
中科院分区：
文献类型：
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作者：
Mazhnaya, Alyona;Andreeva, Tatiana I.;McNutt, Louise-Anne
目的：为了量化注射毒品使用亚群与非注射毒品使用人群之间通过无保护的异性性行为传播艾滋病毒的潜在桥梁。设计：横断面数据的二次分析。方法：报告有一个永久性伴侣不是注射吸毒者并且过去没有注射过毒品的参与者的子样本（N = 1379）是从2011年在乌克兰26个城市进行的调查中选出的。本研究评估了在研究期间通过快速检测（已知/未知HIV+，已知/未知HIV -和未确定）在有非注射永久性伴侣的男性注射吸毒者（IDUs）子样本中测量的一致使用避孕套与艾滋病毒状况意识之间的关联。泊松回归，稳健的方差估计，被用来确定协会，同时调整其他factors.Results：报告一致的避孕套使用变化之间的15.5%（未知的HIV-）和37.5%（已知的HIV+），平均使用率为19.3%。在多变量分析中，与不知道自己的艾滋病毒+状态的男性相比，知道自己的艾滋病毒+状态的男性更有可能报告最近持续使用避孕套。在对年龄、地区、教育水平、注射年数、饮酒、自我报告的主要药物使用和作为非政府组织客户进行调整后，这种关联仍然存在（患病率= 1.65; 95%CI 1.03-2.64）。没有这样的协会被发现为那些谁是HIV-.Conclusions：我们的研究结果，HIV阳性男性注射吸毒者加强以前的研究结果，艾滋病毒检测和咨询可能是一种有效的手段，二级预防。需要进一步研究，以了解如何有效地促进目前感染艾滋病毒的注射吸毒者的安全性行为。
Objective: To quantify potential bridging of HIV transmission between the injection drug using subpopulation to the non-injection drug using population through unprotected heterosexual sex.Design: Secondary analysis of cross-sectional data.Methods: A sub-sample of participants who reported having a permanent partner who are not injection drug users and have not injected drugs in the past (N = 1379) was selected from a survey implemented in 26 Ukrainian cities in 2011. This study evaluates the association between consistent condom use and awareness of HIV status as measured by rapid testing during the study (known/unknown HIV+, known/unknown HIV - and undetermined) among a sub-sample of male injection drug users (IDUs) who have a non-injecting permanent partner. Poisson regression, with robust variance estimates, was utilized to identify associations while adjusting for other factors.Results: Reported consistent condom use varied between 15.5% (unknown HIV-) and 37.5% (known HIV+); average use was 19.3%. In multivariate analysis, males who were aware of their HIV+ status were more likely to report recent consistent condom use compared to those who were unaware of their HIV+ status. This association remains after adjustment for age, region, education level, years of injection, alcohol use, self-reported primary drug use and being an NGO client (prevalence ratio = 1.65; 95% CI 1.03-2.64). No such association was found for those who were HIV-.Conclusions: Our results regarding HIV-positive male IDUs reinforce previous findings that HIV testing and counselling may be an effective means of secondary prevention. Further research is needed to understand how to effectively promote safer sex behaviours for IDUs who are currently HIV-.