Zanoni Brian C, Milford Cecilia, Sithole Kedibone, Mosery Nzwakie, Wilson Michael, Bosman Shannon, Smit Jennifer
Emory University, Atlanta, Georgia, United States of America.
Children's Healthcare of Atlanta, Atlanta, Georgia, United States of America.
medRxiv. 2023 Jan 18:2023.01.16.23284613. doi: 10.1101/2023.01.16.23284613.
The use of injection drugs in South Africa is increasing. HIV prevention, treatment and addiction services for people who inject drugs (PWID) in South Africa are not well documented. We conducted a mixed-methods study to understand current drug use practices and access to HIV prevention and treatment services for PWID in KwaZulu-Natal, South Africa. We used respondent-driven sampling to recruit 45 people who reported injecting opiates within the past 6 months from Durban, KwaZulu-Natal, South Africa. We found high rates of practices that increase HIV/viral hepatitis risk including the use of shared needles (43%) and direct blood injections (bluetoothing) (18%). Despite 35% of participants living with HIV, only 40% accessed antiretroviral therapy within the past year, and one accessed PrEP. None of the participants reported ever testing for Hepatitis C.
在南非，注射吸毒的现象日益增多。南非针对注射吸毒者的艾滋病毒预防、治疗及戒毒服务并无详尽记录。我们开展了一项混合方法研究，以了解南非夸祖鲁-纳塔尔省注射吸毒者当前的吸毒行为以及获得艾滋病毒预防和治疗服务的情况。我们采用应答驱动抽样法，从南非夸祖鲁-纳塔尔省德班招募了45名在过去6个月内报告有注射阿片类药物行为的人。我们发现，存在增加艾滋病毒/病毒性肝炎风险行为的比例很高，包括共用针头（43%）和直接血液注射（“蓝牙”）（18%）。尽管35%的参与者感染了艾滋病毒，但在过去一年中只有40%的人接受了抗逆转录病毒治疗，且只有一人使用了暴露前预防药物。没有参与者报告曾接受丙型肝炎检测。
