Cross-sectional study of HIV prevalence and the characteristics of injecting drug users in Colombia

Fernández, Dedsy Yajaira Berbesí; Segura, A; Montoya, Liliana

doi:10.3109/14659891.2013.824037

Cited by 5 publications

(8 citation statements)

References 15 publications

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“…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.…”

Section: Discusionsupporting

confidence: 63%

“…There are no restrictions in Colombia for the purchase of syringes, but the high reuse of syringes by users injected with drugs, and the use of homemade syringes, suggest low availability and access to clean and new syringes 33 . A study carried out in 2012 concluded the prevalence rates of hepatitis C worldwide are increasing, reason the primary prevention guided by "safe injection practices" are important, once that the mortality caused by this infection will double in the next few decades, significantly increasing direct and indirect costs, as well as the total costs for the treatment of this disease 18 .…”

Section: Discusionmentioning

confidence: 99%

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

Fernández

Segura-Cardona

Montoya-Vélez

et al. 2017

Rev. bras. epidemiol.

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ABSTRACT:Introduction: Hepatitis C is one of the most neglected diseases by governments internationally. Objective: Identify the prevalence of hepatitis C and associated injection drug users in three cities of factors Colombia. Methods: Cross-sectional study of 668 injecting drug users recruited through respondent-driven sampling, inquired about demographic characteristics and risk behaviors. Laboratory testing was used on filter paper and cases of hepatitis C viral load tests with RNA were confirmed. Hepatitis C prevalence and associated factors was estimated with Chi-square test statistics and reasons for crude and adjusted prevalence were calculated using logistic regression. Results: The prevalence of hepatitis C was 17.5% and were found as factors that increase the prevalence of hepatitis: having HIV, injecting another person carrying the virus dose used was sharing a syringe, injected with a syringe and consume marijuana. As a factor that reduces the prevalence, purchase syringes in drug stores or other stores. Conclusion: This research evidence established consumption of drugs by injection , and the presence of hepatitis C in social networks of IDUs and highlights the importance of developing interventions for harm reduction and prevention of hepatitis C in this population these three cities.

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Section: Discusionsupporting

confidence: 63%

Section: Discusionmentioning

confidence: 99%

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

Fernández

Segura-Cardona

Montoya-Vélez

et al. 2017

Rev. bras. epidemiol.

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“…In Brazil, HIV risk in females was mediated by high levels of unprotected sex, gender-based violence, and frequent unsafe injection habits [ 49 ]. However, several Colombian studies and one from Brazil failed to show significant differences in HIV rates between male and female IDU [ 50 , 53 , 54 , 55 ].…”

Section: Resultsmentioning

confidence: 99%

“…A Brazilian study showed that PWUS had a probability of engaging in high-risk sexual behaviors 3.64 times greater than non-substance-users [ 66 , 70 ]. Inconsistent condom use has been associated with DU in Brazil [ 47 , 66 , 68 , 71 , 72 , 73 , 74 ], Costa Rica [ 75 ], Colombia [ 53 , 54 , 65 , 76 ], Mexico [ 40 , 77 ], Chile [ 69 ], El Salvador [ 78 , 79 ], and Guatemala [ 80 ]. In regions with high rates of sex work, these associations might explain the link between female sex, HIV and DU.…”

Section: Resultsmentioning

confidence: 99%

“…Using substances before sex may lead to reduced condom use by almost 68% [ 73 ], increased sexual promiscuity [ 85 ], and less likelihood of serostatus disclosure [ 86 ]. The correlation between SU before sex and inconsistent condom use was also described in serodiscordant couples [ 86 ], IDUs who share needles [ 54 ], and PLWH who use cocaine [ 64 ].…”

Section: Resultsmentioning

confidence: 99%

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HIV and Substance Use in Latin America: A Scoping Review

Huff

Cárcamo

Diaz

et al. 2022

IJERPH

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This scoping review aims to explore the interplay between substance use (SU) and HIV in Latin America (LA). Database searches yielded 3481 references; 196 were included. HIV prevalence among people who used substances (PWUS) ranged from 2.8–15.2%. SU definitions were variable throughout studies, and thus data were not easily comparable. In 2019, only 2% of new HIV infections were attributed to injection drug use (IDU) in LA. Factors associated with HIV among PWUS included being female, IDU and homelessness, and PWUS were likely to engage in risky sexual behaviors, start antiretroviral treatment late, have poor adherence, have treatment failure, be lost to follow-up, have comorbidities, and experience higher mortality rates and lower quality of life, as has been reported in PLWH with SU in other regions. Five intervention studies were identified, and only one was effective at reducing HIV incidence in PWUS. Interventions in other regions have varying success depending on context-specific characteristics, highlighting the need to conduct more research in the LA region. Though progress has been made in establishing SU as a major concern in people living with HIV (PLWH), much more is yet to be done to reduce the burden of HIV and SU in LA.

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