Community-Based Survey of HIV Transmission Modes Among Intravenous Drug Users in Sichuan, China

Ruan, Yuhua; Chen, Kanglin; Hong, Kui; He, Yao; Liu, Shizhu; Zhou, Feng; Qin, Guangming; Chen, Jianping; Xing, Hui; Shao, Yiming

doi:10.1097/01.olq.0000140018.24262.4a

Cited by 47 publications

(42 citation statements)

References 9 publications

(7 reference statements)

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“…Sharing of needles and paraphernalia in particular drives the epidemic in many countries outside Africa (Aceijas, Stimson, Hickman, & Rhodes, 2004;Fuller et al, 2003;Ruan et al, 2004Ruan et al, , 2005Shah et al, 1996;UNAIDS, 2006). Drug abuse also facilitates HIV transmission in indirect ways.…”

Section: Introductionmentioning

confidence: 98%

Impact of methadone on drug use and risky sex in China

Qian

Hao

Ruan

et al. 2008

Journal of Substance Abuse Treatment

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Section: Introductionmentioning

confidence: 98%

Impact of methadone on drug use and risky sex in China

Qian

Hao

Ruan

et al. 2008

Journal of Substance Abuse Treatment

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“…Prevalence of related risk behaviors (i.e. needle sharing and unprotected sex with different types of partners) among IDU was quite high (Ruan et al, 2004a).…”

Section: Introductionmentioning

confidence: 99%

Comparing prevalence of HIV-related behaviors among female injecting drug users (IDU) whose regular sexual partner was or was not IDU in Sichuan and Yunnan Provinces, China

Lau

Zhang

et al. 2009

AIDS Care

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Injecting drug users made up a high percentage of HIV cases in China; partners of IDU are hence, at very high risk of HIV transmission. The goal of this study is to compare characteristics and prevalence of injecting drug use and sex-related risk behaviors among female IDU who were or were not having a regular sex partner (RSP) with concordant IDU status. Data were obtained from all female IDU respondents (n=1414) surveyed in the behavioral surveillance surveys as conducted during 2003 through 2006 in Sichuan and Yunnan, China. The findings from this research reveal that about half of the female IDU respondents belonged to the concordant group (50.4%). As compared to members of the discordant group, such concordant respondents were significantly more likely to have practiced different types of studied syringe sharing behaviors (adjusted odds ratios AOR=1.34-2.23, p<0.05), to have served as female sex workers in the last month (AOR=1.24, p<0.05), or to have used some particular types of HIV-related prevention services (AOR=1.36-1.60, p<0.05) but were less likely to be always using new needles for drug injection in the last month (AOR=0.54, p<0.05) or to have used a condom in the last episode of sex with their RSP (AOR=0.64, p<0.01). The findings suggest that concordant IDU status is very common among RSP of IDU. The risk for HIV transmission between concordant RSP seems to be very high and the prevention services seem unable to alleviate the risk. Specific programs targeting concordant IDU couples are greatly warranted.

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“…It ranked the 6th among all Chinese provinces in the total number of HIV cases reported [1]. Previous studies reported that the HIV prevalence among non-institutionalized IDUs ranged from 11.3 to 17.8% [3,11] and syringe sharing for drug use was also prevalent among IDUs in Sichuan [9,12]. Behavioral surveillance survey (BSS) among IDUs was conducted in Sichuan as part of the China-UK HIV/AIDS Prevention and Care Project.…”

Section: Introductionmentioning

confidence: 99%

Sexual Mixing and Condom Use with Different Types of Sex Partners among Non-Institutionalized Sexually Active Female Injecting Drug Users in Sichuan, China

Lau

Tsui

et al. 2010

AIDS Behav

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Behavioral surveillance data of 1422 sexually active female injecting drug users (IDU) in Sichuan China were analyzed. The prevalence of syringe-sharing was 43.5%. Respectively, 59.0%, 38.5% and 55.7% had regular, non-regular, and commercial sex-partner (RP, NRP, and CSP); 44.3% had multiple types of sex partners; 23.6 and 36.2% of those with RP had NRP and CSP. The prevalence of unprotected sex (last episode) with RP, NRP and CSP were respectively 75.4%, 50.7% and 39.3%; these three variables were associated with each other and with syringe sharing (univariate OR = 1.58-30.13). About 85% of the participants had attempted quitting drug use; the experience was not associated with condom use. HIV voluntary counseling and testing was associated with lower likelihood of unprotected sex with RP, NRP and CSP (multivariate OR= 0.44-0.60); the coverage was only 40.7%. Potential bridging of HIV transmission from IDU to non-IDU populations is a serious concern.

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Community-Based Survey of HIV Transmission Modes Among Intravenous Drug Users in Sichuan, China

Cited by 47 publications

References 9 publications

Impact of methadone on drug use and risky sex in China

Impact of methadone on drug use and risky sex in China

Comparing prevalence of HIV-related behaviors among female injecting drug users (IDU) whose regular sexual partner was or was not IDU in Sichuan and Yunnan Provinces, China

Sexual Mixing and Condom Use with Different Types of Sex Partners among Non-Institutionalized Sexually Active Female Injecting Drug Users in Sichuan, China

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