俄罗斯圣彼得堡注射吸毒者中 HIV 感染率高、HIV 检测不理想、对 HIV 阳性血清学检测知晓率低。
High HIV prevalence, suboptimal HIV testing, and low knowledge of HIV-positive serostatus among injection drug users in St. Petersburg, Russia.
机构信息
Department of Epidemiology and Public Health, Center for Interdisciplinary Research on AIDS, Yale School of Public Health, New Haven, CT 06520, USA.
出版信息
AIDS Behav. 2010 Aug;14(4):932-41. doi: 10.1007/s10461-008-9469-y.
Abstract
The purpose of this analysis was to estimate human immunodeficiency virus (HIV) prevalence and testing patterns among injection drug users (IDUs) in St. Petersburg, Russia. HIV prevalence among 387 IDUs in the sample was 50%. Correlates of HIV-positive serostatus included unemployment, recent unsafe injections, and history/current sexually transmitted infection. Seventy-six percent had been HIV tested, but only 22% of those who did not report HIV-positive serostatus had been tested in the past 12 months and received their test result. Correlates of this measure included recent doctor visit and having been in prison or jail among men. Among the 193 HIV-infected participants, 36% were aware of their HIV-positive serostatus. HIV prevalence is high and continuing to increase in this population. Adequate coverage of HIV testing has not been achieved, resulting in poor knowledge of positive serostatus. Efforts are needed to better understand motivating and deterring factors for HIV testing in this setting.
摘要
本分析旨在估算俄罗斯圣彼得堡注射吸毒者（IDU）中的人类免疫缺陷病毒（HIV）流行率和检测模式。样本中 387 名 IDU 的 HIV 流行率为 50%。HIV 阳性血清学状态的相关因素包括失业、最近不安全的注射行为以及性传播感染史/当前感染。76%的人接受了 HIV 检测，但仅有 22%的未报告 HIV 阳性血清学状态的人在过去 12 个月内接受了检测并获得了检测结果。该措施的相关因素包括最近看医生和男性曾入狱或入狱。在 193 名感染 HIV 的参与者中，36%的人知晓其 HIV 阳性血清学状态。该人群中的 HIV 流行率较高，且呈持续上升趋势。HIV 检测的充分覆盖率尚未实现，导致对阳性血清学状态的了解不足。需要努力更好地了解在此环境中 HIV 检测的激励和阻碍因素。
相似文献
1
High HIV prevalence, suboptimal HIV testing, and low knowledge of HIV-positive serostatus among injection drug users in St. Petersburg, Russia.俄罗斯圣彼得堡注射吸毒者中 HIV 感染率高、HIV 检测不理想、对 HIV 阳性血清学检测知晓率低。
AIDS Behav. 2010 Aug;14(4):932-41. doi: 10.1007/s10461-008-9469-y.
2
Estimation of the number of injection drug users in St. Petersburg, Russia.俄罗斯圣彼得堡注射吸毒者人数的估计。
Drug Alcohol Depend. 2010 Jun 1;109(1-3):79-83. doi: 10.1016/j.drugalcdep.2009.12.010. Epub 2010 Jan 13.
3
Sexually transmitted infections, sexual risk behaviors and the risk of heterosexual spread of HIV among and beyond IDUs in St. Petersburg, Russia.俄罗斯圣彼得堡注射吸毒者及其以外人群中的性传播感染、性风险行为与艾滋病毒异性传播风险
Eur Addict Res. 2008;14(1):19-25. doi: 10.1159/000110407. Epub 2008 Jan 7.
4
Knowledge of HIV serostatus and risk behaviour among injecting drug users in Estonia.爱沙尼亚注射吸毒者的艾滋病毒血清状况及风险行为相关知识
AIDS Care. 2009 Jul;21(7):851-7. doi: 10.1080/09540120802657522.
5
Drug and sexual HIV risk behaviours related to knowledge of HIV serostatus among injection drug users in Houston, Texas.德克萨斯州休斯顿注射吸毒者中与艾滋病毒血清学状态知晓情况相关的药物及性方面的艾滋病毒风险行为。
Int J STD AIDS. 2014 Feb;25(2):89-95. doi: 10.1177/0956462413496079. Epub 2013 Jul 22.
6
7
HIV disclosure, condom use, and awareness of HIV infection among HIV-positive, heterosexual drug injectors in St. Petersburg, Russian Federation.HIV 披露、 condom 使用和俄罗斯圣彼得堡 HIV 阳性异性恋吸毒者对 HIV 感染的认识。
AIDS Behav. 2011 Jan;15(1):45-57. doi: 10.1007/s10461-010-9775-z.
8
A cross-sectional study on factors including HIV testing and counselling determining unsafe injecting practices among injecting drug users of Manipur.一项关于包括艾滋病毒检测与咨询在内的因素对曼尼普尔邦注射吸毒者不安全注射行为影响的横断面研究。
Indian J Public Health. 1995 Jul-Sep;39(3):86-92.
9
HIV surveillance among sexually transmitted disease clinic attenders in Amsterdam, 1991-1996.1991 - 1996年阿姆斯特丹性传播疾病门诊就诊者中的HIV监测
AIDS. 1998 May 28;12(8):931-8. doi: 10.1097/00002030-199808000-00016.
10
HIV incidence and behavioral correlates of HIV acquisition in a cohort of injection drug users in St Petersburg, Russia.俄罗斯圣彼得堡一组注射吸毒者中的艾滋病毒发病率及感染艾滋病毒的行为相关因素。
Medicine (Baltimore). 2016 Nov;95(44):e5238. doi: 10.1097/MD.0000000000005238.
引用本文的文献
1
Stigma and other correlates of sharing injection equipment among people with HIV in St. Petersburg, Russia.俄罗斯圣彼得堡的 HIV 感染者共用注射设备的污名与其他相关因素。
Glob Public Health. 2024 Jan;19(1):2296009. doi: 10.1080/17441692.2023.2296009. Epub 2023 Dec 29.
2
Diagnosis, Treatment, and Prevention of HIV Infection among Detainees: A Review of the Literature.被拘留者中艾滋病毒感染的诊断、治疗与预防：文献综述
Healthcare (Basel). 2022 Nov 27;10(12):2380. doi: 10.3390/healthcare10122380.
3
Testing for Drug-Related Infectious Diseases and Determinants among People Who Use Drugs in a Low-Resource Setting: A Respondent-Driven Cross-Sectional Survey.在资源匮乏地区对吸毒者进行与药物相关的传染病及决定因素检测：一项应答者驱动的横断面调查。
Trop Med Infect Dis. 2022 Aug 29;7(9):213. doi: 10.3390/tropicalmed7090213.
4
The Hepatitis C Continuum of Care Among HIV-Positive Persons with Heavy Alcohol Use in St. Petersburg, Russia.俄罗斯圣彼得堡 HIV 阳性且大量饮酒者丙型肝炎连续护理。
AIDS Behav. 2021 Aug;25(8):2533-2541. doi: 10.1007/s10461-021-03214-y. Epub 2021 Mar 17.
5
High-risk behaviors and their association with awareness of HIV status among participants of a large-scale prevention intervention in Athens, Greece.在希腊雅典进行的一项大规模预防干预措施中，参与者的高危行为及其与艾滋病病毒感染状况知晓率的关系。
BMC Public Health. 2020 Jan 28;20(1):105. doi: 10.1186/s12889-020-8178-y.
6
Design of a randomized controlled trial to Link Infectious and Narcology Care (LINC-II) in St. Petersburg, Russia.俄罗斯圣彼得堡一项关于传染病与戒毒关爱（LINC-II）的随机对照试验设计。
Addict Sci Clin Pract. 2020 Jan 13;15(1):1. doi: 10.1186/s13722-020-0179-8.
7
THE GRAPHICAL STRUCTURE OF RESPONDENT-DRIVEN SAMPLING.应答驱动抽样的图形结构
Sociol Methodol. 2016;46(1):187-211. doi: 10.1177/0081175016641713. Epub 2016 Aug 1.
8
A New Generation of Drug Users in St. Petersburg, Russia? HIV, HCV, and Overdose Risks in a Mixed-Methods Pilot Study of Young Hard Drug Users.俄罗斯圣彼得堡新一代吸毒者？一项对年轻硬毒品使用者进行的混合方法初步研究中的 HIV、HCV 和过量用药风险。
AIDS Behav. 2019 Dec;23(12):3350-3365. doi: 10.1007/s10461-019-02489-6.
9
HIV testing among people who inject drugs in Ivanovo and Novosibirsk, Russia.俄罗斯伊万诺沃和新西伯利亚注射吸毒者中的艾滋病毒检测
Cent Eur J Public Health. 2019 Mar;27(1):50-53. doi: 10.21101/cejph.a4831.
10
Hidden population size estimation from respondent-driven sampling: a network approach.基于应答者驱动抽样的隐藏人口规模估计：一种网络方法。
J Am Stat Assoc. 2018;113(522):755-766. doi: 10.1080/01621459.2017.1285775. Epub 2018 Mar 6.
本文引用的文献
1
Assessment of HIV testing of urban injection drug users: implications for expansion of HIV testing and prevention efforts.城市注射吸毒者的艾滋病毒检测评估：对扩大艾滋病毒检测及预防工作的启示
Am J Public Health. 2007 Jan;97(1):110-6. doi: 10.2105/AJPH.2005.078105. Epub 2006 Nov 30.
2
Stigma and HIV infection in Russia.俄罗斯的耻辱感与艾滋病毒感染
AIDS Care. 2006 Oct;18(7):846-52. doi: 10.1080/09540120600643641.
3
HIV prevalence, sociodemographic, and behavioral correlates and recruitment methods among injection drug users in St. Petersburg, Russia.俄罗斯圣彼得堡注射吸毒者中的艾滋病毒流行率、社会人口统计学、行为关联因素及招募方法
J Acquir Immune Defic Syndr. 2006 Apr 15;41(5):657-63. doi: 10.1097/01.qai.0000220166.56866.22.
4
Do prevention interventions reduce HIV risk behaviours among people living with HIV? A meta-analytic review of controlled trials.预防干预措施能否降低艾滋病毒感染者的艾滋病毒风险行为？一项对照试验的荟萃分析综述。
AIDS. 2006 Jan 9;20(2):143-57. doi: 10.1097/01.aids.0000196166.48518.a0.
5
Prevalence of HIV, hepatitis C and syphilis among injecting drug users in Russia: a multi-city study.俄罗斯注射吸毒者中艾滋病毒、丙型肝炎和梅毒的流行情况：一项多城市研究。
Addiction. 2006 Feb;101(2):252-66. doi: 10.1111/j.1360-0443.2006.01317.x.
6
Meta-analysis of high-risk sexual behavior in persons aware and unaware they are infected with HIV in the United States: implications for HIV prevention programs.美国知晓和不知晓自己感染艾滋病毒人群的高危性行为荟萃分析：对艾滋病毒预防项目的启示
J Acquir Immune Defic Syndr. 2005 Aug 1;39(4):446-53. doi: 10.1097/01.qai.0000151079.33935.79.
7
"Informed altruism" and "partner restriction" in the reduction of HIV infection in injecting drug users entering detoxification treatment in New York City, 1990-2001.1990 - 2001年纽约市接受戒毒治疗的注射吸毒者中，“知情利他主义”与“伴侣限制”对减少艾滋病毒感染的作用
J Acquir Immune Defic Syndr. 2004 Feb 1;35(2):158-66. doi: 10.1097/00126334-200402010-00010.
8
Estimating the prevalence of syringe-borne and sexually transmitted diseases among injection drug users in St Petersburg, Russia.估算俄罗斯圣彼得堡注射吸毒者中注射器传播疾病和性传播疾病的患病率。
Int J STD AIDS. 2003 Oct;14(10):697-703. doi: 10.1258/095646203322387965.
9
Explosive spread and high prevalence of HIV infection among injecting drug users in Togliatti City, Russia.俄罗斯陶里亚蒂市注射吸毒者中艾滋病毒感染的爆发式传播与高流行率。
AIDS. 2002 Sep 6;16(13):F25-31. doi: 10.1097/00002030-200209060-00002.
10
Towards an understanding of sexual risk behavior in people living with HIV: a review of social, psychological, and medical findings.理解艾滋病毒感染者的性风险行为：社会、心理和医学研究结果综述
AIDS. 2002 Jan 25;16(2):135-49. doi: 10.1097/00002030-200201250-00002.
Zotero 插件