Correlates of Any Condom Use Among Russian Narcology Patients Reporting Recent Unprotected Sex

Raj, Anita; Cheng, Debbie M.; Krupitsky, Evgeny; Coleman, S. M.; Bridden, Carly; Samet, Jeffrey H.

doi:10.1007/s10461-008-9383-3

Cited by 6 publications

(4 citation statements)

References 25 publications

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“…Estimates of HIV prevalence among PWID vary widely throughout the region. A total of 79 sources reported HIV prevalence estimates (some multiple), of which 67 reported unique HIV prevalence estimates among PWID in the region; 44 from Eastern Europe and Central Asia 6 49–88 and 21 from Central Europe 89–109 and two that contained data from both regions. 40 110 …”

Section: Resultsmentioning

confidence: 99%

HIV among people who inject drugs in Central and Eastern Europe and Central Asia: a systematic review with implications for policy

et al. 2012

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Background and objectivesHIV among people who inject drugs (PWID) is a major public health concern in Eastern and Central Europe and Central Asia. HIV transmission in this group is growing and over 27 000 HIV cases were diagnosed among PWID in 2010 alone. The objective of this systematic review was to examine risk factors associated with HIV prevalence among PWID in Central and Eastern Europe and Central Asia and to describe the response to HIV in this population and the policy environments in which they live.DesignA systematic review of peer-reviewed and grey literature addressing HIV prevalence and risk factors for HIV prevalence among PWID and a synthesis of key resources describing the response to HIV in this population. We used a comprehensive search strategy across multiple electronic databases to collect original research papers addressing HIV prevalence and risk factors among PWID since 2005. We summarised the extent of key harm reduction interventions, and using a simple index of ‘enabling’ environment described the policy environments in which they are implemented.Studies reviewedOf the 5644 research papers identified from electronic databases and 40 documents collected from our grey literature search, 70 documents provided unique estimates of HIV and 14 provided multivariate risk factors for HIV among PWID.ResultsHIV prevalence varies widely, with generally low or medium (<5%) prevalence in Central Europe and high (>10%) prevalence in Eastern Europe. We found evidence for a number of structural factors associated with HIV including gender, socio-economic position and contact with law enforcement agencies.ConclusionsThe HIV epidemic among PWID in the region is varied, with the greatest burden generally in Eastern Europe. Data suggest that the current response to HIV among PWID is insufficient, and hindered by multiple environmental barriers including restricted access to services and unsupportive policy or social environments.

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Section: Resultsmentioning

confidence: 99%

HIV among people who inject drugs in Central and Eastern Europe and Central Asia: a systematic review with implications for policy

et al. 2012

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“…Condom use with FSWs has been reported among male IDUs in other settings, with most analysis assessing consistent condom use or condom use in the last six months with FSWs. [31][32][33] The low numbers of either reported consistent or recent condom use precluded similar analysis, but indicates substantial need for education on sexual risk reduction.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Correlates of Syphilis and Condom Use Among Male Injection Drug Users in Four Afghan Cities

Todd¹,

Nasir²,

Stanekzai³

et al. 2010

Sexually Transmitted Diseases

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“…There are few published reports of condom use rates among IDUs or even within the general population of Russia, and even less is known about these rates among partner types (e.g., new, main, casual partners). However, there is some evidence that condom use rates are generally low, with 45% of injectors in one study reporting no condom use in the previous 6 months [ 59 ], another study noting consistent condom use for only 44% of a sample of Moscow youths [ 60 ], and 19–25% of respondents in a representative probability sample of Russian households reporting condom use at their last sexual encounter [ 61 ]. Elsewhere in the world the rates of unprotected sex for IDUs ranged from 28 to 77% [ 62 – 68 ].…”

Section: Discussionmentioning

confidence: 99%

HIV Disclosure, Condom Use, and Awareness of HIV Infection Among HIV-Positive, Heterosexual Drug Injectors in St. Petersburg, Russian Federation

et al. 2010

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We examined the prevalence of HIV disclosure to sexual partners by HIV-positive drug injectors (IDUs) in St. Petersburg, Russia and compared the magnitude and direction of associations of condom use with awareness of one’s HIV infection and disclosure to partners. Among 157 HIV-infected participants, awareness of infection at time of last intercourse was associated with condom use with partners perceived to be HIV-negative (aOR 6.68, 95% CI 1.60–27.88). Among the 70 participants aware of their infection prior to enrolment, disclosure to potentially uninfected sexual partners was independently and negatively associated with condom use (aOR 0.13, 95% CI 0.02–0.66). Disclosure was independently associated with having injected ≥9 years (aOR 6.04, 95% CI 1.53–23.77) and partnership with another IDU (aOR 3.61, 95% CI 1.44–9.06) or HIV-seropositive (aOR 45.12, 95% CI 2.79–730.46). Scaling up HIV testing services and interventions that increase the likelihood of individuals receiving their test results is recommended.

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Correlates of Any Condom Use Among Russian Narcology Patients Reporting Recent Unprotected Sex

Cited by 6 publications

References 25 publications

HIV among people who inject drugs in Central and Eastern Europe and Central Asia: a systematic review with implications for policy

HIV among people who inject drugs in Central and Eastern Europe and Central Asia: a systematic review with implications for policy

Prevalence and Correlates of Syphilis and Condom Use Among Male Injection Drug Users in Four Afghan Cities

HIV Disclosure, Condom Use, and Awareness of HIV Infection Among HIV-Positive, Heterosexual Drug Injectors in St. Petersburg, Russian Federation

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