Overlap between harm reduction and HIV service utilisation among PWID in India: Implications for HIV combination prevention

Smith, M. Kumi; Solomon, Sunil S.; Cummings, Derek A. T.; Srikrishnan, Aylur K.; Kumar, M. Suresh; Vasudevan, Canjeevaram K.; McFall, Allison M.; Lucas, Gregory M.; Celentano, David D.; Mehta, Shruti H.

doi:10.1016/j.drugpo.2018.02.007

Cited by 7 publications

(4 citation statements)

References 45 publications

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“…Similar to existing research, we found that greater educational attainment was associated with increased odds of recent HIV testing among PWID [39,40]. It is plausible that persons with greater education attainment also had increased HIV risk perceptions and, as a result, were more likely to seek HIV testing.…”

Section: Discussionsupporting

confidence: 83%

Factors Associated with HIV Testing Among People Who Inject Drugs: Findings from a Multistate Study at the Start of the COVID-19 Pandemic

et al. 2022

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stigmatization of substance use may also deter help-seeking behaviors among PWID [8][9][10].Throughout the world, the COVID-19 pandemic affected every aspect of public health, including the delivery of HIV prevention services [11][12][13][14]. For example, lockdowns and social distancing practices increased risk for IDU-associated HIV transmission due to reductions in SSP utilization, sterile syringe coverage, and HIV testing [14][15][16][17][18]. Many SSPs were also short-staffed during the COVID-19 pandemic and experienced delays in funding and loss of funding opportunities [19]. A study conducted among PWID in New York (US) during COVID-19 also found higher levels of mental health issues, syringe reuse, and alcohol consumption, as well as reduced buprenorphine utilization, as compared to PWID sampled before the pandemic [15]. Recent analyses similarly found that the COVID-19 pandemic disrupted an increasing trend in preexposure prophylaxis (PrEP) prescriptions for HIV prevention in the US [20].Given that nearly 40% of new HIV infections are transmitted by persons unaware of their infection, routine HIV testing is vital to ensuring the public health of vulnerable populations [21].

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Section: Discussionsupporting

confidence: 83%

Factors Associated with HIV Testing Among People Who Inject Drugs: Findings from a Multistate Study at the Start of the COVID-19 Pandemic

et al. 2022

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“…Another important finding was that receipt of methadone and recent incarceration were associated with reporting an HIV test, in line with previous research (Bazazi et al, 2018;Ferraro et al, 2020;Lambdin et al, 2017;Smith et al, 2018). This likely reflects the achievements of local initiatives to expand HIV testing in drug treatment services and prisons, involving the promotion of HIV alongside HCV on DBS tests in drug services from April 2015 and the introduction of opt-out BBV testing in prisons in February 2016.…”

Section: Discussionsupporting

confidence: 80%

Evaluation of the scale-up of HIV testing among people who inject drugs in Scotland in the context of an ongoing HIV outbreak

Trayner

Palmateer

McAuley

et al. 2021

International Journal of Drug Policy

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“…Reaching young people before they start injecting is a window of opportunity to prevent drug initiation, HIV infection, and other sexually transmitted infections. Harm reduction strategies can benefit both HIV negative and positive young PWID to prevent HIV acquisition and ongoing transmission among those not yet infected and to maintain health, promote adherence to HIV treatment, and reduce the risk of onward transmission [25]. The school context is an excellent environment to advocate and introduce youth harm reduction approaches to prevent substance abuse [26,27].…”

Section: Programmatic and Political Gaps In Services For Pwidmentioning

confidence: 99%

Young people who inject drugs in Mozambique: should we emphasize them in the National Harm Reduction Plan?

2020

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Mozambique has one of the highest burdens of HIV globally, and people who inject drugs (PWID) have one of the highest HIV infection rates in Africa. After the implementation of the first Biological Behavioral Surveillance (BBS) Survey among PWID in Mozambique, the Ministry of Health started the development of a National Harm Reduction Plan. Although the findings from the BBS survey highlighted the specific needs of young PWID, the proposed Harm Reduction Plan does not explicitly focus on reducing high-risk behaviors of young PWID. We outline the importance of the inclusion of age-specific interventions focused on the needs of young PWID in Mozambique, and how a comprehensive Harm Reduction Plan can reduce the HIV epidemic in this population. There is a unique opportunity to advocate for the Harm Reduction Plan to include "youth-friendly" cost-effective and evidence-based interventions that are targeted to this important subgroup within an already vulnerable population.

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Overlap between harm reduction and HIV service utilisation among PWID in India: Implications for HIV combination prevention

Cited by 7 publications

References 45 publications

Factors Associated with HIV Testing Among People Who Inject Drugs: Findings from a Multistate Study at the Start of the COVID-19 Pandemic

Factors Associated with HIV Testing Among People Who Inject Drugs: Findings from a Multistate Study at the Start of the COVID-19 Pandemic

Evaluation of the scale-up of HIV testing among people who inject drugs in Scotland in the context of an ongoing HIV outbreak

Young people who inject drugs in Mozambique: should we emphasize them in the National Harm Reduction Plan?

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