Yale School of Public Health, 60 College St., PO Box 208034, New Haven, CT, USA 06520-8034.
Drug Alcohol Depend. 2010 Jun 1;109(1-3):79-83. doi: 10.1016/j.drugalcdep.2009.12.010. Epub 2010 Jan 13.
The conjoined epidemics of HIV and injection drug abuse have progressed rapidly in many parts of the Russian Federation, including the City of St. Petersburg, which now has more cases of HIV than any other region in the country. Official estimates of the number of injection drug users (IDUs), which rely on official registration of IDUs, greatly underestimate their number. We have combined official statistics that register HIV cases and attribute risk to causes including injection drug use with data from a study that collected data from IDUs about their HIV serostatus and their history of HIV testing to estimate the number of IDUs in the city. We conclude that there are 83,118+/-5799 total IDUs. Since many IDUs have not been tested and even some who have been officially tested do not know their serostatus, a first step in countering the growing HIV epidemic among IDUs in St. Petersburg must be expanded access to HIV testing, prevention, and treatment that is targeted to IDUs.
艾滋病毒和注射吸毒的并发流行在俄罗斯联邦的许多地区迅速蔓延，包括圣彼得堡市，该市现在的艾滋病毒感染病例比全国任何其他地区都多。注射吸毒者（IDU）人数的官方估计数依靠 IDU 的正式登记，大大低估了 IDU 的人数。我们将登记艾滋病毒病例并将风险归因于包括注射吸毒在内的各种原因的官方统计数据，与从 IDU 那里收集关于其艾滋病毒血清状况和艾滋病毒检测史的数据的一项研究相结合，以估算该市 IDU 的人数。我们的结论是，共有 83,118+/-5799 名 IDU。由于许多 IDU 尚未接受检测，甚至有些已接受正式检测的 IDU 也不知道其血清状况，因此，遏制圣彼得堡 IDU 中日益严重的艾滋病毒流行的第一步必须是扩大艾滋病毒检测、预防和治疗的机会，针对 IDU。
