Sexually Transmitted Infections and Sexual Practices among Injecting Drug Users in Harm Reduction Centers in Catalonia

Folch, Cinta; Casabona, Jordi; Brugal, M. Teresa; Majó, Xavier; Esteve, Anna; Meroño, Merçè; González, Victoria

doi:10.1159/000329931

Cited by 10 publications

(12 citation statements)

References 58 publications

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“…In order to reverse this trend, the Spanish National AIDS Plan recommends promoting condom use, HIV testing, rapid access to Antiretroviral Therapy (ART), and Post-exposure Prophylaxis (PEP) [ 2 ]. However, it has been strongly demonstrated that condoms are not used consistently among some groups of MSM who are at high risk of being infected with HIV [ 3 , 4 ]. Overall, undiagnosed HIV is estimated to be between 14% and 22% of people living with HIV [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Awareness, knowledge, use, willingness to use and need of Pre-Exposure Prophylaxis (PrEP) during World Gay Pride 2017

Iniesta¹,

Arco²,

García-Sousa³

et al. 2018

PLoS ONE

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ObjectiveTo assess the awareness, knowledge, use, and willingness to use and need of PrEP among men who have sex with men (MSM) and transgender women (TW) who attended World Gay Pride (WGP) 2017 in Madrid.Design and methodsOnline survey. Participants were recruited through gay-oriented dating apps and HIV Non-Governmental Organizations´ social media. Inclusion criteria included being MSM or TW, age 18 years old or above, and having attended WGP in Madrid. Information regarding the participant’s awareness and knowledge, use or willingness to use, and need for PrEP was collected, as well as sociodemographic characteristics. Participants were considered to be in need of PrEP if they met one of the following indication criteria: having practiced unprotected anal intercourse with more than 2 partners, having practiced chemsex, or having engaged in commercial sex—all in the preceding 6 months. Descriptive and multivariable analyses with logistic regression were conducted.Results472 participants met the inclusion criteria and completed the questionnaire. The mean age was 38, 97.7% were MSM, 77% had a university education, and 85% were living in Spain, mostly in big cities. Overall, 64% of participants were aware of PrEP, but only 33% knew correctly what PrEP was. 67% of HIV-negative participants were willing to take PrEP, although only 5% were taking it during WGP, mostly due to lack of access. 43% of HIV-negative respondents met at least one PrEP indication criteria. For HIV-negative men living in Spain, university education and living in big cities was associated with PrEP awareness. Lower education level and meeting PrEP criteria was associated with willingness to use PrEP.ConclusionsOur study shows that among MSM attending WGP 2017 in Madrid, there was limited PrEP awareness, low accuracy of PrEP knowledge, and a high need and willingness to use PrEP. Health authorities should strengthen existing preventive strategies and implement PrEP.

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Section: Introductionmentioning

confidence: 99%

Awareness, knowledge, use, willingness to use and need of Pre-Exposure Prophylaxis (PrEP) during World Gay Pride 2017

Iniesta¹,

Arco²,

García-Sousa³

et al. 2018

PLoS ONE

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“…Sharing injection equipment may be something that the latter expect to do and so they could thus be more likely to take protective measures and develop a habit of cleaning used needles and syringes. Injection frequency has also been found to be associated with HCV in a number of social and cultural contexts [20,21,22]. Constrained financial resources due to frequent drug consumption increase the need to share drugs and injection paraphernalia.…”

Section: Discussionmentioning

confidence: 99%

Hepatitis C Virus Infection and Related Risk Factors among Injection Drug Users in Montenegro

Baćak

Laušević²,

Mugoša³

et al. 2012

Eur Addict Res

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Background: In Southeastern Europe, similar to other postsocialist regions on the continent, injection drug users (IDU) are exposed to a high risk of blood-borne infections. In this paper, we report the prevalence of HIV, hepatitis C (HCV) and hepatitis B (HBV) among IDUs in Montenegro. We also examine the risk factors associated with HCV diagnosis. Methods: In 2008, 322 IDUs in Montenegro participated in a respondent-driven sampling survey. Blood specimens were collected and tested for HIV, HCV and HBV. Behavioral data were collected with self-administered questionnaires. Results: In comparison to 2005, HCV prevalence had increased from an estimated 22 to 53.7%. Only one HIV and no HBV cases were detected. Anti-HCV positivity was associated with the region of origin, income, sharing injection equipment and frequency of injecting drugs. Conclusion: The increasing HCV prevalence among IDUs in Montenegro calls for increased and better designed programs to prevent its further spread and a potential HIV outbreak.

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“…Further details on this collaborative project are presented elsewhere [19,20]. Methods of the included studies are described in detail elsewhere [21][22][23][24][25][26][27]; therefore, only a summary is presented here (Appendix 1, http://links. lww.com/QAD/A520).…”

Section: Methodsmentioning

confidence: 99%

Self-reported testing, HIV status and associated risk behaviours among people who inject drugs in Europe

Uusküla

Raag

Folch

et al. 2014

Aids

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Despite the absolute differences in reported risk behaviours among PWID in western and eastern Europe, the associations of risk behaviours with HIV status were similar across the sites and regions. There is a substantial potential for further HIV transmission and acquisition based on the continuous risk behaviours reported. HIV prevention and harm reduction interventions targeting PWID should be evaluated.

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Sexually Transmitted Infections and Sexual Practices among Injecting Drug Users in Harm Reduction Centers in Catalonia

Cited by 10 publications

References 58 publications

Awareness, knowledge, use, willingness to use and need of Pre-Exposure Prophylaxis (PrEP) during World Gay Pride 2017

Awareness, knowledge, use, willingness to use and need of Pre-Exposure Prophylaxis (PrEP) during World Gay Pride 2017

Hepatitis C Virus Infection and Related Risk Factors among Injection Drug Users in Montenegro

Self-reported testing, HIV status and associated risk behaviours among people who inject drugs in Europe

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