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孟加拉国达卡参与针头/注射器交换项目的男性注射吸毒者中的感染率、艾滋病毒风险行为及与艾滋病毒感染相关的因素

Prevalence of infections, HIV risk behaviors and factors associated with HIV infection among male injecting drug users attending a needle/syringe exchange program in Dhaka, Bangladesh.

作者信息

Azim Tasnim, Chowdhury Ezazul Islam, Reza Masud, Faruque Mohammed Omar, Ahmed Giasuddin, Khan Repon, Rahman Motiur, Pervez Mohammed Moshtaq, Jana Smarajit, Strathdee Steffanie A

机构信息

HIV/AIDS Programme, Laboratory Sciences Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.

出版信息

Subst Use Misuse. 2008 Dec;43(14):2124-44. doi: 10.1080/10826080802344583.

DOI:10.1080/10826080802344583
PMID:19085439
Abstract

Injecting drug users (IDU) in Bangladesh are at the early stages of an HIV epidemic. To understand the dynamics of the HIV epidemic, male IDU (n = 561) were recruited from the needle/syringe exchange program in Dhaka in 2002, who underwent a risk-behavior survey and were tested for HIV, syphilis, hepatitis C, and hepatitis B. Correlates of HIV infection were determined by conducting bivariate and multiple regression analyses. The median age of the IDU was 35 years, 39.6% had no formal education, approximately half were married and/or living with their regular sex partner and 26% were currently homeless. The median age at first injection was 29 years. HIV was detected in 5.9% of the IDU and homelessness was the only factor independently associated with HIV (OR = 5.5). Urgent measures must be undertaken to prevent escalation of the HIV epidemic. The study's limitations are noted.

摘要

孟加拉国的注射吸毒者正处于艾滋病毒疫情的早期阶段。为了解艾滋病毒疫情的动态,2002年从达卡的针头/注射器交换项目中招募了561名男性注射吸毒者,他们接受了风险行为调查,并接受了艾滋病毒、梅毒、丙型肝炎和乙型肝炎检测。通过进行双变量和多元回归分析来确定艾滋病毒感染的相关因素。注射吸毒者的年龄中位数为35岁,39.6%没有接受过正规教育,约一半已婚和/或与固定性伴侣同居,26%目前无家可归。首次注射的年龄中位数为29岁。在5.9%的注射吸毒者中检测到艾滋病毒,无家可归是与艾滋病毒独立相关的唯一因素(比值比=5.5)。必须采取紧急措施防止艾滋病毒疫情升级。该研究的局限性已注明。

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