Faculty of Public Health, Hai Phong University of Medicine and Pharmacy, 72A Nguyen Binh Khiem, Ngo Quyen, Hai Phong, Viet Nam.
Icahn School of Medicine at Mount Sinai, New York, NY, USA.
AIDS Behav. 2018 Jul;22(7):2161-2171. doi: 10.1007/s10461-017-1814-6.
We examined the potential for HIV and hepatitis C (HCV) transmission across persons who inject drugs (PWID), men-who-have-sex-with-men (MSM) and female commercial sex workers (CSW) PWID and the potential for sexual transmission of HIV from PWID to the general population in Hai Phong, Viet Nam. Using respondent driven and convenience sampling we recruited 603 participants in 2014. All participants used heroin; 24% used non-injected methamphetamine. HIV prevalence was 25%; HCV prevalence was 67%. HIV infection was associated with HCV prevalence and both infections were associated with length of injecting career. Reported injecting risk behaviors were low; unsafe sexual behavior was high among MSM-PWID and CSW-PWID. There is strong possibility of sexual transmission to primary partners facilitated by methamphetamine use. We would suggest future HIV prevention programs utilize multiple interventions including "treatment as prevention" to potential sexual transmission of HIV among MSM and CSW-PWID and from PWID to the general population.
我们考察了在注射吸毒者（PWID）、男男性接触者（MSM）和女性性工作者（CSW）之间，以及在越南海防市 PWID 向普通人群中经性途径传播艾滋病毒和丙型肝炎（HCV）的可能性。我们于 2014 年使用应答者驱动抽样和便利抽样招募了 603 名参与者。所有参与者均使用海洛因；24%使用非注射用甲基苯丙胺。HIV 感染率为 25%；HCV 感染率为 67%。HIV 感染与 HCV 感染率相关，两种感染均与注射毒品的职业长度相关。报告的注射风险行为较低；MSM-PWID 和 CSW-PWID 之间的不安全性行为较高。由于使用甲基苯丙胺，性传播给主要性伴侣的可能性很大。我们建议未来的艾滋病毒预防计划利用多种干预措施，包括“治疗即预防”，以防止 MSM 和 CSW-PWID 之间以及 PWID 向普通人群中经性途径传播艾滋病毒。
