Drug abuse, HIV/AIDS and stigmatisation in a Dai community in Yunnan, China

Rui, Deng; Li, Jianghong; Sringernyuang, Luechai; Zhang, Kaining

doi:10.1016/j.socscimed.2006.12.011

Cited by 71 publications

(77 citation statements)

References 7 publications

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“…This "vicious circle" has been documented among IDUs of Dai ethnicity in China, a highly stigmatized subgroup that is overrepresented among HIV cases. 64 Although social stigma and/or discrimination may be risk factors for HIV infection, these relations have been understudied among IDUs and warrant further investigation. 23,61,65 We also identified risk factors for HIV infection that have been previously reported in other settings.…”

Section: Discussionmentioning

confidence: 99%

Individual, Social, and Environmental Influences Associated With HIV Infection Among Injection Drug Users in Tijuana, Mexico

Strathdee

Lozada²,

Pollini

et al. 2008

JAIDS Journal of Acquired Immune Deficiency Syndromes

144

179

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Objective-We examined correlates of HIV infection among injection drug users (IDUs) in Tijuana, Mexico, a city bordering the United States, which is situated on major migration and drug trafficking routes.Methods-IDUs aged ≥18 years were recruited using respondent-driven sampling. Participants underwent antibody testing for HIV and syphilis and structured interviews. Weighted logistic regression identified correlates of HIV infection.Results-Of 1056 IDUs, the median age was 37 years, 86% were male, and 76% were migrants. HIV prevalence was higher in female participants than in male participants (8% vs. 3%; P = 0.01). Most IDUs testing HIV-positive were previously unaware of their serostatus (93%). IDUs reported injecting with a median of 2 people in the prior 6 months and had been arrested for having injection stigmata (ie, "track-marks") a median of 3 times. Factors independently associated with HIV infection were being female, syphilis titers consistent with active infection, larger numbers of recent injection partners, living in Tijuana for a shorter duration, and being arrested for having track-marks.Conclusions-Individual, social, and environmental factors were independently associated with HIV infection among IDUs in Tijuana. These findings suggest the need to intervene not solely on individual risk behaviors but on social processes that drive these behaviors, including problematic policing practices. Policing practices may have a significant impact on IDUs' ability to adhere to safe injection practices, thereby influencing their risk of acquiring HIV. Qualitative evidence shows that local policing practices influence how, where, and under what circumstances IDUs obtain and use injection equipment. 28,[30][31][32][33][34] Disruptions to IDUs' risk reduction practices and engagement in HIV risk behavior have been linked to high-visibility policing and fear of arrest or detainment, 30 which exacerbates withdrawal symptoms. Quantitative studies report that aggressive policing practices are associated with higher levels of needle sharing [35][36][37][38] and lower utilization of syringe exchange programs (SEPs). 39,40 In an ecologic study of the macrolegal environment in 89 metropolitan areas in the United States, Friedman and colleagues 41 showed that higher levels of legal repressiveness were positively associated with HIV prevalence among IDUs. Studies are lacking to determine how such effects interplay alongside individual and social network factors. KeywordsMobility is emerging as an important risk factor in the transmission dynamics of communicable diseases, including HIV. [42][43][44][45] Migration and mobility are associated with family separation, disintegration of social networks, sudden changes in the cultural environment, homelessness, poverty, social isolation, and a greater sense of anonymity, which may enable riskier behaviors. [46][47][48][49][50] In one study, social pressures, including legal problems, entering drug treatment, and the It is legal to purchase or carry syringes without ...

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Section: Discussionmentioning

confidence: 99%

Individual, Social, and Environmental Influences Associated With HIV Infection Among Injection Drug Users in Tijuana, Mexico

Strathdee

Lozada²,

Pollini

et al. 2008

JAIDS Journal of Acquired Immune Deficiency Syndromes

144

179

View full text Add to dashboard Cite

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“…Some of these might be engaged in more risky behaviors and sexual networks. Given the existence of severe discrimination against both HIV-infected individuals and those engaged in risky behaviors in rural China [25], HIV-infected individuals, drug users, or clients of commercial sex workers might be over-represented among those who declined to participate. If this is the case, the actual prevalence of HIV infection might be higher and sexual networks might be more complex than reported here.…”

Section: Discussionmentioning

confidence: 99%

HIV Infection, Sexual Behaviors, Sexual Networks, and Drug Use Among Rural Residents in Yunnan Province, China

Duan³

et al. 2010

AIDS Behav

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This cross-sectional study examined HIV prevalence, sexual behaviors, sexual networks, and drug use among 591 participants from a rural community in Yunnan Province, China. Face-to-face interviews were conducted to collect information about sexual behavior, drug use, and sexual networks. Blood samples were collected and tested for HIV. Of the participants, 52.6% were male and 62.6% were Jingpo minority. The HIV prevalence was 5.5% overall and highest among the Jingpo minority (7.7%). Most participants were sexually experienced and 32.5% had had multiple sex partners. About 18.8% had used drugs, with the highest proportion among the Jingpo minority. HIV infection was independently correlated with drug use among males and with multiple sexual partnerships among females. A total of 336 independent sexual network components (mostly small, linear, and acyclic) were constructed. Eighty-percent were dyads involving two members and 20% involved three to 71 members. Coupled with the promotion of condom use, gender- and network-specific efforts are needed for HIV prevention targeting ethnic minorities in Yunnan.

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“…Представители этих групп зачастую не обращаются за необходимыми услугами, или откладывают такое обращение из страха быть "разоблаченными", униженными и/или боясь изменений в отношении со стороны медицин-ских работников и, в некоторых случаях, опасаясь судебного преследования и тюремного заключения. [4,23,24].…”

Section: усиление последствий в социально уязвимых группахunclassified

Results of Social Surveys to Identify Forms of Stigma and Discrimination of People Living With Hiv in Tajikistan

Ruziev¹,

Bandaev²,

Сон³

et al. 2018

Soc.Asp.Pop.Hlth

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Drug abuse, HIV/AIDS and stigmatisation in a Dai community in Yunnan, China

Cited by 71 publications

References 7 publications

Individual, Social, and Environmental Influences Associated With HIV Infection Among Injection Drug Users in Tijuana, Mexico

Individual, Social, and Environmental Influences Associated With HIV Infection Among Injection Drug Users in Tijuana, Mexico

HIV Infection, Sexual Behaviors, Sexual Networks, and Drug Use Among Rural Residents in Yunnan Province, China

Results of Social Surveys to Identify Forms of Stigma and Discrimination of People Living With Hiv in Tajikistan

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