Condom use and sexual habits of heterosexual intravenous drug users in Northern Italy

Serraino, Diego; Franceschi, Silvia; Vaccher, Emanuela; Diodato, S.; Errante, D.; Crosato, Ivo Maria; Guarneri, S.; Tirelli, Umberto

doi:10.1007/bf00145390

Cited by 3 publications

(3 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We examined the studies with the 10 highest (Bolao and Ramon, 1995; Des Jarlais et al, 2009b; Des Jarlais et al, 2010; Des Jarlais et al, 1999; Diaz et al, 2001; Dourado et al, 1999; Mesquita et al, 2001; Neaigus et al, 1996; Platt et al, 2008; Zhang et al, 2002) and 10 lowest log ORs (Boschini et al, 1996; Des Jarlais et al, 2007a; Helal et al, 1995; Jia et al, 2008; McIntyre et al, 2001; Quan et al, 2009; Serraino et al, 1992; Yin et al, 2007; Zhang et al, 2007a; Zheng et al, 1994) to possibly identify factors associated with extreme values. The potential factors examined included sexual behavior, use of non-injected drugs such as crack cocaine, participation in commercial sex work, male-with-male sexual behavior, stigmatization of females and access to services.…”

Section: Resultsmentioning

confidence: 99%

Are females who inject drugs at higher risk for HIV infection than males who inject drugs: An international systematic review of high seroprevalence areas

Jarlais¹,

Feelemyer²,

Modi³

et al. 2012

Drug and Alcohol Dependence

120

View full text Add to dashboard Cite

Objective There are multiple reasons why females who inject drugs may be more likely to become infected with HIV than males who inject drugs. Where this is the case, special HIV prevention programs for females would be needed. Design International systematic review and meta-analysis of studies across 14 countries. Methods Countries with high seroprevalence (>20%) HIV epidemics among persons who inject drugs (PWID) were identified from the Reference Group to the UN on HIV and Injecting Drug Use. Systematic literature reviews collected data on HIV prevalence by gender for these countries. Non-parametric and parametric tests along with meta-analytic techniques examined heterogeneity and differences in odds ratios (OR) across studies. Results Data were abstracted from 117 studies in 14 countries; total sample size N=128,745. The mean weighted OR for HIV prevalence among females to males was 1.18 [95% CI 1.10–1.26], with high heterogeneity among studies (I2 = 70.7%). There was a Gaussian distribution of the log ORs across studies in the sample. Conclusion There was a significantly higher HIV prevalence among females compared to males who inject drugs in high seroprevalence settings, but the effect size is extremely modest. The high level of heterogeneity and the Gaussian distribution suggest multiple causes of differences in HIV prevalence between females and males, with a specific difference determined by local factors. Greater understanding of factors that may protect females from HIV infection may provide insights into more effective HIV prevention for both females and males who inject drugs.

show abstract

Section: Resultsmentioning

confidence: 99%

Are females who inject drugs at higher risk for HIV infection than males who inject drugs: An international systematic review of high seroprevalence areas

Jarlais¹,

Feelemyer²,

Modi³

et al. 2012

Drug and Alcohol Dependence

120

View full text Add to dashboard Cite

show abstract

“…Being IVDU turned out to be the strongest determinant of cervical HPV infection, since IVDU women had a nearly threefold higher risk of being HPV positive than heterosexuals. Sexual promiscuity of IVDU women, among whom a high prevalence of prostitution and a very low frequency of condom use has been reported [18,19], is likely to account for high risk of HPV and, to some extent, even of HIV exposure. This finding was in accordance with data from Italy showing that IVDU women with AIDS had a risk of invasive cervical cancer (ICC) twice as higher than among heterosexuals [20].…”

Section: Discussionmentioning

confidence: 99%

Risk factors for cervical presence of human papillomavirus DNA among women at risk for HIV infection

et al. 1998

Self Cite

View full text Add to dashboard Cite

Risk factors for cervical infection with human papillomavirus (HPV) were assessed among 236 Italian women at risk for human immunodeficiency virus (HIV) infection (intravenous drug users (IVDU) or sexual partners of males at risk for HIV infection). All study participants underwent a structured interview, determination of HIV serostatus and detection of HPV cervical infection by means of polymerase chain reaction (PCR). Overall, the cervical presence of HPV DNA was ascertained in 86 of these 236 women (36.4%), while squamous intraepithelial lesions (SIL) were diagnosed in 57 (24.1%). HPV-infected and non-infected women did not differ in age, education and cigarette smoking. A statistically significant trend in the risk of HPV infection with increasing number of lifetime sexual partners was noted (P = 0.01), but such trend was attenuated in multivariate analysis (multiple logistic regression (MLR) odds ratio (OR) for > or = 20 partners vs 1 = 1.6, 95% confidence intervals (CI): 0.4-5.9). A nearly threefold higher risk of HPV cervical infection emerged among IVDU women (MLR-OR: 2.7, 95% CI: 1.4-5.0), and this difference was not influenced by HIV serostatus. The prevalence of HIV infection was higher among HPV-positive than HPV-negative women (62.8% and 54.0%, respectively) (MLR-OR = 1.9, 95% CI: 0.9-3.8), and the proportion of women with less than 200 CD4+ cells/mm3 was slightly and not significantly higher among HPV-positive (47.1%) than negative women (37.2%).

show abstract

“…Although parenteral exposure resulting from risky injection behavior is the main cause of HIV infection in people who inject drugs (PWID) [5,6], a signi cant proportion of HIV infection in this population is sexually transmitted [7,8]. PWID are more likely to engage in risky sexual behavior, placing them at high risk of acquiring HIV and other sexually transmitted infections (STIs)as well as subsequent transmission to non-drug-using sexual partners [9,10,11,12,13]. Correct and consistent use of condoms is an effective measure of preventing transmission of STIs including HIV [14,15,16].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and predictors of condom use among people who inject drugs in Georgia

Kajaia,

Butsashvili,

DeHovitz

et al. 2024

Preprint

View full text Add to dashboard Cite

Background People who inject drugs (PWID) are more likely to engage in risky sexual behavior placing them at high risk of acquiring HIV and other STIs. This study aims to assess the prevalence and predictors of inconsistent condom use with casual and/or paid sexual partners among PWID in Georgia. Methods Integrated Bio-Behavioral Surveillance Survey was conducted among PWID in seven major cities of Georgia. Study design was cross-sectional with respondent-driven sampling (RDS) methodology. Data collection was carried out through individual face-to-face interviews. In this paper we analysed subsample of 619 PWID who reported having casual and/or paid sexual partners during last 12 months and described prevalence and predictors of consistent condom use. Results Consistent condom use during casual and/or paid sex in past 12 months was reported by 49.4% of respondents. The likelihood of consistent use with casual and/or paid sexual partners was statistically significantly associated with residence, family income, drug use frequency, drug dependance and HIV risk self-perceptions. In multivariate analysis independent predictors of always using condom at casual/paid sex during the last 12 months were place of residence (aOR = 6.4; 95% CI: 3.2–12.7), family income (aOR = 2.1; 95% CI:1.3–3.5) and drug use frequency (aOR = 0.6; 95% CI: 0.4–0.9). Conclusion The study revealed low prevalence of consistent condom use with casual and/or paid sexual partners among PWID in Georgia. Integration of safe sex educational interventions in harm reduction services will improve the rates of condom use among PWID and should focus PWID with lower socio-economic status and residing outside capital city.

show abstract

Condom use and sexual habits of heterosexual intravenous drug users in Northern Italy

Cited by 3 publications

References 15 publications

Are females who inject drugs at higher risk for HIV infection than males who inject drugs: An international systematic review of high seroprevalence areas

Are females who inject drugs at higher risk for HIV infection than males who inject drugs: An international systematic review of high seroprevalence areas

Risk factors for cervical presence of human papillomavirus DNA among women at risk for HIV infection

Prevalence and predictors of condom use among people who inject drugs in Georgia

Contact Info

Product

Resources

About