Consumo de heroína inyectada en Colombia y comportamientos de riesgo

Abstract

SUMMARY ObjectiveTo determine socio-demographic characteristics, prevalence of HIV risk, behaviors use. MethodsWe performed a cross-sectional study using sampling generated by the respondent; the sample consisted of 540 participants (Pereira: n=300; Medellín: n=240) over 18 years. The interview was conducted by an expert in counseling for HIV and sexually transmitted diseases. Ethical requirements were met. We used the software RDSAT. ResultsThere are extensive networks of IDUs in both cities. The population of IDUs in both cities was characterized as mostly men between 18 and 24, with secondary school, indicating very young populations. The data suggest a recent introduction of HIV into networks and a high degree of risk behavior for HIV spread in networks and used syringes received from others in the past six months. ConclusionsThe data in this report indicate a high risk for a possible expansion of HIV among injecting networks in Colombia supported the introduction of HIV into networks of injectors, high rates of injecting risk and a lack of injection as a practice of risk associated with HIV.Key words: Heroin, sexual behavior, sampling studies, HIV. RESUMEN ObjetivoDeterminar características socio-demográficas, prevalencia de VIH y comportamientos de riesgo en usuarios de drogas inyectables. MétodosSe realizó un estudio transversal, utilizando el muestreo generado por el entrevistado. Las muestras estuvieron compuestas por 540 participantes (Pereira: n=300; Medellín: n=240) mayores de 18 años. La entrevista la realizaba una persona experta en consejería para VIH y enfermedades de transmisión sexual. Se cumplieron los requerimientos éticos exigidos. Se utilizó la versión 6.01 del software RDSAT y la 8.0 de SPSS. ResultadosEn ambas ciudades existen amplias redes de usuarios de drogas inyectables. La población se caracterizó por ser en su mayoría hombres, entre 18 y 24 años, con estudios de secundaria. Los datos parecen indicar una reciente introducción de VIH en las redes y un alto grado de comportamiento de riesgo, incluyendo el uso de jeringas recibidas de otras personas en los últimos seis meses. ConclusionesLos datos indican una situación de alto riesgo para una posible expansión del VIH entre las redes de inyección en Colombia. Lo anterior se origina en la introducción del VIH en dichos grupos y un desconocimiento de la inyección como práctica de riesgo asociada con VIH.

Uso de heroína inyectada y el riesgo de hepatitis C en tres ciudades de Colombia

“…There are few studies on hepatitis C in Colombia 32 , and this investigation identified a significant number of injection drugs users who share and reuse injection equipment, similarly to what was observed in other cities of Colombia in 2010 [33][34][35] ; widely documented and discussed factors in other countries, though for Colombia, represent the first step toward intervention strategies 36 . Co-infections of HIV and HCV have been reported among drug users in different countries.…”

Prevalence of hepatitis C virus in young people who inject drugs in four Colombian cities: A cross-sectional study using Respondent Driven Sampling

“…Bogotá, the Colombian capital, is the city with the largest population in Colombia, and is the main economic, cultural, political, and industrial centre in the country (Gobierno de Colombia, 2013; Perez, 2010). Armenia, located in the Andean region southwest of Bogotá (Berbesi-Fernández et al, 2015); Cúcuta, located in the country’s northeast, borders with Venezuela (DANE, 2005); and Pereira, located in western Colombia’s coffee-growing region and has previously been shown to exhibit high rates of injection drug use (Berbesi, Segura-Cardona, Montoya-Vélez, & Mateu-Gelabert, 2013). Due to the lack of previous studies regarding HCV infection in PWID in Colombia, these cities were selected as the best possible approach to develop evidencebased knowledge of HCV prevalence and risk factors of PWID across Colombia.…”

Drug dealing and drug using behaviors among people who inject drugs in Colombia: A cross-sectional study

“…Participant data were collected through a survey technique with a previously applied and reviewed form of PWID (Berbesi et al, 2012) based on the instrument designed by the World Health Organization (WHO) in Bogota (Mejía & Gómez, 2005). This questionnaire examines demographic characteristics (age, sex, primary income source and familial socioeconomic status), injection risk behaviors (Daily injection rate, Syringe or needle acquisition from a drug dealer, self-financing of drug consumption, confiscation of injection equipment by police or any authority, giving or selling used syringes, injecting another person and using encapsulated or ready to use drug vial), equipment exchange conducts (Sharing syringes, needles, and paraphernalia such as cotton, filter, water, and mixer) within the last six months and the last reported injection episode, and ever presenting injection-related harms (suffering an opium or heroin overdose and knowing someone who suffered an overdose).…”