HIV prevalence and risk behaviors among people who inject drugs in Songkhla, Thailand: A respondent-driven sampling survey

Visavakum, Prin; Punsuwan, Niramon; Manopaiboon, Chomnad; Pattanasin, Sarika; Thiengtham, Panupit; Tanpradech, Suvimon; Sukwicha, Wichuda; Wolfe, Mary E.; Prybylski, Dimitri

doi:10.1016/j.drugpo.2016.01.021

Cited by 3 publications

(2 citation statements)

References 13 publications

(23 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…HIV infection rates among people who inject drugs (PWID) in Southeast Asia and surrounding areas, namely Myanmar, Thailand, India, Indonesia, Bangladesh, and Nepal, are pronounced (Sharma et al, 2009). HIV rates among PWID are around 52% in Indonesia (Sharma et al, 2009), approximately 50% in Myanmar (UNODC, 2007), and between 26 and 51% in Thailand (Visavakum et al, 2016). Though, only around 1.5% of users in Southeast Asia have the option to enter opioid substitution therapy (OST) and only around 25% had contact with a safe needle service at least one time in 12 months (Sharma et al, 2009).…”

Section: Methodsmentioning

confidence: 99%

From poppy to pill: A comprehensive strategy to combat illicit synthetic drug production in Southeast Asia

Wang,

Lassi

2023

J of Intl Development

View full text Add to dashboard Cite

The production of illicit synthetic drugs has undergone a significant shift from China to the Golden Triangle, profoundly impacting Southeast Asia's legal systems, drug enforcement and public health. This paper reviews the production, distribution and use of illicit synthetic drugs in the region, explaining their alignment with regulatory policies in China and Southeast Asia. The public health effects resulting from the increased production and use of synthetic drugs in Southeast Asia are reviewed, emphasizing the importance of public health protections such as harm reduction, treatment and rehabilitation. This study also discusses legal mechanisms to enhance control over illicit drug activities, mainly compound‐wide legislative prohibitions targeting present and future fentanyl and methamphetamine analogues. Moreover, it underscores the urgency for collaborative efforts between China and Southeast Asian states to mitigate the influence of Chinese cartels operating in the region. By elucidating the multifaceted challenges posed by the shifting drug production landscape, this paper highlights the importance of a comprehensive approach encompassing regulatory, law enforcement and public health measures.

show abstract

Section: Methodsmentioning

confidence: 99%

From poppy to pill: A comprehensive strategy to combat illicit synthetic drug production in Southeast Asia

Wang,

Lassi

2023

J of Intl Development

View full text Add to dashboard Cite

show abstract

“…Yet despite the recommendation for annual HIV testing in the guidelines and variation in behaviors with high risk of HIV transmission, data are scarce regarding the extent that HIV testing and HIV positivity differ between PWIDs with high-risk behaviors and PWIDs without such behaviors. This lack of data also occurs in Southern Thailand, a region with high prevalence of HIV among PWIDs (Visavakum et al, 2016). We hypothesize that PWIDs with high-risk behaviors would have higher history of HIV screening and testing than PWIDs without such behaviors (Marson et al, 2021), and that PWIDs with high-risk behaviors would have higher prevalence of HIV positivity than PWIDs without such behaviors (Nyirenda et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

HIV Testing and HIV Positivity Among People Who Inject Drugs (PWIDs) With and Without History of High-Risk Behaviors: Findings From a Respondent-Driven Sampling (RDS) Survey in Southern Thailand

Talek,

Saingam,

Wichaidit

2023

SAGE Open

View full text Add to dashboard Cite

People who inject drugs (PWIDs) may engage in other behaviors with high risk of HIV transmission to various extents. However, data are scarce regarding differences in HIV testing and HIV positivity among PWIDs with and without high-risk behaviors. Such data can help inform stakeholders with regard to program prioritization. The objective of this study was to assess the extent that lifetime and past-year histories of HIV tests and HIV positivity varied by history of high-risk behaviors among PWIDs. We conducted a cross-sectional study with respondent-driven sampling (RDS) in the deep south provinces of Thailand during late 2019 thru early 2020. Data collection was done using structured questionnaire with face-to-face interviews. We analyzed data using descriptive statistics and multivariate logistic regression analyses. A total of 283 PWIDs gave verbal informed consent, and 282 PWIDs participated in the interview ( n = 282 PWIDs). Approximately 44.6% of the participants never had an HIV test. Participants with history of high-risk behaviors had significantly higher odds of lifetime HIV testing than participants with no history of high-risk behaviors (Adjusted OR = 2.94; 95% CI [1.11, 7.78]). Among participants with lifetime history of HIV tests, those with history of high-risk behaviors had significantly higher odds of being HIV-positive than those with no history of high-risk behaviors (Adjusted OR = 2.44; 95% CI [0.73, 8.17]). Stakeholders should consider encouraging those without history of high-risk behaviors not to be complacent about HIV testing, and ensure that those with high-risk behaviors have full access to HIV care when they test positive.

show abstract

The prevalence of non-fatal overdose among people who inject drugs: A multi-stage systematic review and meta-analysis

Colledge

Peacock

Leung

et al. 2019

International Journal of Drug Policy

View full text Add to dashboard Cite

The prevalence of non-fatal overdose among people who inject drugs: a multi-stage systematic review and meta-analysis Background: People who inject drugs (PWID) are at an elevated risk of fatal overdose in the first year after experiencing a non-fatal event. Such non-fatal events may also result in overdose-related sequelae, ranging from physical injury to paralysis. Given variation in drug markets and treatment availability across countries and regions, we may see similar variations in non-fatal overdose prevalence. Monitoring non-fatal overdose prevalence among PWID is essential for informing treatment intervention efforts, and thus our review aims to estimate the global, regional, and national prevalence of non-fatal overdose, and determine characteristics associated with experiencing such an event. Methods: We conducted a systematic review and meta-analyses to estimate country, regional, and global estimates of recent and lifetime non-fatal overdose prevalence among PWID. Using meta-regression analyses we also determined associations between sample characteristics and non-fatal overdose prevalence. Results: An estimated 3.2 (1.8-5.2) million PWID have experienced at least one overdose in the previous year. Among PWID, 20.5% (15.0-26.1%) and 41.5% (34.6-48.4%) had experienced a non-fatal event in the previous 12 months and lifetime respectively. Frequent injecting was strongly associated with PWID reporting recent and lifetime non-fatal overdose. Estimates of recent non-fatal overdose were particularly high in Asia and North America. Conclusion: Around one in five PWID are at an elevated risk of fatally overdosing every year, however there is substantial geographical variation. In countries with higher rates of non-fatal overdose there is need to introduce or mainstream overdose prevention strategies such as opioid agonist treatment and naloxone administration training programs.

show abstract

HIV prevalence and risk behaviors among people who inject drugs in Songkhla, Thailand: A respondent-driven sampling survey

Cited by 3 publications

References 13 publications

From poppy to pill: A comprehensive strategy to combat illicit synthetic drug production in Southeast Asia

From poppy to pill: A comprehensive strategy to combat illicit synthetic drug production in Southeast Asia

HIV Testing and HIV Positivity Among People Who Inject Drugs (PWIDs) With and Without History of High-Risk Behaviors: Findings From a Respondent-Driven Sampling (RDS) Survey in Southern Thailand

The prevalence of non-fatal overdose among people who inject drugs: A multi-stage systematic review and meta-analysis

Contact Info

Product

Resources

About