Girchenko Polina, King Elizabeth J
Humanitarian Action, St. Petersburg, Russia.
University of Michigan School of Public Health, Ann Arbor, MI, USA.
AIDS Behav. 2017 Apr;21(4):1054-1058. doi: 10.1007/s10461-017-1723-8.
Russia continues to experience a growing HIV epidemic, and women account for an increasing proportion of new HIV diagnoses in the country. This study aims to provide up-to-date information on factors associated with unsafe sex and drug use behaviors among women who inject drugs in St. Petersburg, Russia. In this community-based sample of 500 women who inject drugs, 64% tested positive for HIV. Women reported the following: 21% reported injection risk, 22% reported sexual risk, and 18% reported double risk. Multivariable analyses using logistic multinomial regression showed that older age is associated with increased risk behaviors. Involvement in transactional sex is associated with injection risk [aOR = 1.59 (1.02, 2.48)] but protective against sexual risk [aOR = 0.11 (0.06, 0.19)]. Exposure to sexual violence is associated with increased injection risk [aOR = 1.78 (1.01, 3.14)] and double risk [aOR = 3.38 (1.50, 7.63)]. These findings indicate the need to address both the unsafe injection and sexual risks among women who inject drugs in Russia.
俄罗斯的艾滋病疫情持续蔓延，该国新增艾滋病确诊病例中女性所占比例不断增加。本研究旨在提供有关俄罗斯圣彼得堡注射毒品女性不安全性行为和吸毒行为相关因素的最新信息。在这个基于社区的500名注射毒品女性样本中，64%的人艾滋病毒检测呈阳性。女性报告了以下情况：21%报告有注射风险，22%报告有性风险，18%报告有双重风险。使用逻辑多项回归的多变量分析表明，年龄较大与风险行为增加有关。参与交易性性行为与注射风险相关[aOR = 1.59(1.02, 2.48)]，但对性风险有保护作用[aOR = 0.11(0.06, 0.19)]。遭受性暴力与注射风险增加[aOR = 1.78(1.01, 3.14)]和双重风险[aOR = 3.38(1.50, 7.63)]相关。这些发现表明，有必要解决俄罗斯注射毒品女性中不安全注射和性风险问题。
