No abstract

The high incidence of HIV infection places St Petersburg among the worst IDU-concentrated epidemics in Europe. Interventions targeting psychostimulant and heroin users and their accompanying behaviors such as frequent injections and increased sexual activity are needed immediately.

We examined how the presence of an interpreter during an interview affects eliciting information and cues to deceit, whilst using a method that encourages interviewees to provide more detail (model statement, MS). Sixty native English speakers were interviewed in English, and 186 non-native English speakers were interviewed in English or through an interpreter. Interviewees either lied or told the truth about a mock security meeting, which they reported twice: in an initial free recall and after listening to the MS. The MS resulted in the native English speakers and those interviewed with an interpreter providing more reminiscences (additional detail) than the non-native English speakers interviewed without an interpreter. As a result, those interviewed through an interpreter provided more detail than the non-native English speakers, but only after the MS. Native English participants were most detailed in both recalls. No difference was found in the amount of reminiscences provided by liars and truth tellers.

We tested the effect of sketching while providing a narrative on eliciting information, eliciting cues to deceit and lie detection in interpreter-absent and interpreter-present interviews. A total of 204 participants from the USA (Hispanic participants only), Russia, and the Republic of Korea were interviewed in their native language by native interviewers or by a British interviewer through an interpreter. Truth tellers discussed a trip they had made; liars fabricated a story about such a trip. Half of the participants were instructed to sketch while narrating, the other half received no instruction. Sketching resulted in more details provided. It also elicited cues to deceit: Complications and new details differentiated truth tellers from liars in the Sketching-present condition only. Liars and truth tellers were more correctly classified in the Sketching-present than in the Sketching-absent condition. More complications and more common knowledge details were reported without than with an interpreter.

SummaryWe examined whether speech-related differences between truth tellers and liars are more profound when answering unexpected questions than when answering expected questions. We also examined whether the presence of an interpreter affected these results. In the experiment, 204 participants from the United States (Hispanic participants only), Russia, and the Republic of Korea were interviewed in their native language by a native-speaking interviewer or by a British interviewer through an interpreter. Truth tellers discussed a trip that they had made during the last 12 months; liars fabricated a story about such a trip. The key dependent variables were the amount of information provided and the proportion of all statements that were complications.The proportion of complications distinguished truth tellers from liars better when answering unexpected than expected questions, but only in interpreter-absent interviews. The number of details provided did not differ between truth tellers and liars or between interpreter-absent and interpreter-present interviews.

We evaluated the efficacy of a peer-educator network intervention as a strategy to reduce HIV acquisition among injection drug users (IDUs) and their drug and/or sexual networks. A randomized controlled trial was conducted in St. Petersburg, Russia among IDU index participants and their risk network participants. Network units were randomized to the control or experimental intervention. Only the experimental index participants received training sessions to communicate risk reduction techniques to their network members. Analysis includes 76 index and 84 network participants who were HIV uninfected. The main outcome measure was HIV sero-conversion. The incidence rates in the control and experimental groups were 19.57 (95 % CI 10.74–35.65) and 7.76 (95 % CI 3.51–17.19) cases per 100 p/y, respectively. The IRR was 0.41 (95 % CI 0.15–1.08) without a statistically significant difference between the two groups (log rank test statistic X2 = 2.73, permutation p value = 0.16). Retention rate was 67 % with a third of the loss due to incarceration or death. The results show a promising trend that this strategy would be successful in reducing the acquisition of HIV among IDUs.

Spatial analysis identified linkages between disease prevalence and risky injection behaviors that were not evident using traditional epidemiological analysis. The analysis also identified where resources might be allocated geographically for maximum impact in slowing the HIV epidemic among IDU.

BackgroundAlcohol misuse has been linked to intimate partner violence (IPV). However, this association is not usually examined in Russia. Moreover, more investigation is required as to whether specific drinking contexts are also associated with IPV. The objectives of this study are: to investigate whether alcohol misuse is associated with IPV and to further examine whether specific drinking contexts among drinkers are associated with IPV.MethodsA questionnaire was used to collect information on demographics, health status, alcohol use, and violence involving sexual partners among 440 participants who were recruited from an STI (sexually transmitted infection) clinic center in St. Petersburg, Russia for a cross-sectional study from 2008 to 2009. Multivariate logistic regression was used for analysis.ResultsOverall, 47.0% participants were classified as misusing alcohol and 7.2% participants perpetrated IPV in the past three months. Participants with alcohol misuse were 3.28 times (OR: 3.28; 95% CI: 1.34-8.04) as likely as those without alcohol misuse to perpetrate IPV. Among participants who had consumed alcohol in the past three months, those who usually drank on the streets or in parks (OR: 5.62; 95% CI: 1.67-18.90) were more likely to perpetrate IPV.ConclusionsBoth alcohol misuse and certain drinking contexts (e.g., drinking on the streets or at parks) were associated with IPV. The association between drinking contexts and IPV needs further investigation, as do the underlying mechanisms for this association. IPV prevention initiatives might benefit from reducing alcohol misuse. Drinking contexts such as drinking on the streets or at parks as well as the factors related to the use of alcohol in these contexts may also need to be addressed.