Prevalence and risk factors associated with HIV and tuberculosis in people who use drugs in Abidjan, Ivory Coast

Bouscaillou, Julie; EVANNO, JÉRÔME; Prouté, Myrtille; Inwoley, André; Kabran, Mathieu; N’Guessan, Thierry; Djé-Bi, Samedi; Sidibé, Souleymane; Thiam-Niangoin, Marguerite; N’guessan, Badou Roger; Blanchetière, Pascale; Luhmann, Niklas

doi:10.1016/j.drugpo.2016.02.010

Cited by 24 publications

(15 citation statements)

References 19 publications

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“…With injecting drug use documented in 28 African countries, and with increasing evidence of linked HIV epidemics in the Sub-Saharan region [ 9 – 14 ], there is a shift towards the incorporation of harm reduction policies [ 15 , 16 ]. Harm reduction services such as needle and syringe exchange have been introduced in Senegal in the last few years.…”

Section: Introductionmentioning

confidence: 99%

“They accept me, because I was one of them”: formative qualitative research supporting the feasibility of peer-led outreach for people who use drugs in Dakar, Senegal

Stengel

Mane²,

Guise

et al. 2018

Harm Reduct J

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BackgroundPeer outreach harm reduction initiatives are being developed with and for people who use drugs in Dakar, Senegal. This is in response to growing injecting drug use across the West Africa region and linked emerging epidemics of HIV and hepatitis C. We undertook formative qualitative research to explore the feasibility and potential of peer outreach in this context and in particular how outreach could be linked to fostering community-level processes of change.MethodsWe undertook a total of 44 semi-structured qualitative interviews. Thirty-four interviews were with people who used drugs (comprised of 25 participants who had injected at least once in their life) and included 11 peer educators who delivered “awareness-raising” harm reduction activities. We also interviewed 10 service providers involved in the planning and monitoring of peer outreach initiatives. We used thematic analysis to identify key characteristics of how peer-led outreach is being delivered, beneficiary need, and the nature of the social networks in which the awareness-raising activities operate.ResultsThrough interviews with peer educators, people who use drugs, and service providers, four main overlapping themes are identified as follows: peer educators as a bridge to responsibilization through awareness-raising activities, awareness-raising activities as an enactment of recovery, awareness raising through social network diffusion, and the contexts and constraints of peer outreach engagement through awareness-raising activities.ConclusionsThe study results suggest that peer education is on a trajectory to develop into a central role for harm reduction interventions in Dakar, Senegal. This research shows how peer education is bound in processes of responsibilization and self-change, which link to varying possibilities for risk reduction or recovery. For peer education to achieve a range of significant goals, broader structural and system changes should be implemented in the region. We caution that without such changes, awareness-raising activities and the role of peer educators may instead become part of state- and agency-sponsored processes of seeking to responsibilize individuals for health and harm reduction.

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Section: Introductionmentioning

confidence: 99%

“They accept me, because I was one of them”: formative qualitative research supporting the feasibility of peer-led outreach for people who use drugs in Dakar, Senegal

Stengel

Mane²,

Guise

et al. 2018

Harm Reduct J

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“…La prevalencia ponderada de TB en consumidores de heroína en Costa de Marfil fue de 1.8% y estuvo asociada a vivir en la calle en el 6.2% (p =0.03). En cárceles españolas, la tuberculosis latente está asociada con el consumo de heroína o cocaína (60% vs 39.3% en no consumidores; p =0.02) 32 .…”

Section: Dependencia a Opiáceosunclassified

Complicaciones del uso de la heroína parenteral: artículo de revisión

Ocampo

Gómez

2017

MedUPB

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RESUMENRevisión narrativa que buscó recopilar informacion sobre complicaciones del uso de la heroína parenteral. Fueron captados artículos científicos, revisiones y casos clínicos en las bases de datos Scielo, Lilacs, Medline. La heroína es una sustancia psicoactiva y su uso tiene consecuencias adversas para la salud física y mental; las complicaciones físicas más frecuentes son infecciones por virus como el HIV, las hepatitis B y C, infecciones de piel, tuberculosis, embolias pulmonares y enfermedades renales. Otras complicaciones frecuentes son los trastornos mentales como depresión, trastornos de personalidad y el uso concomitante de otras sustancias, como el cannabis y la cocaína. Para el profesional de enfermería es importante conocer las complicaciones del uso de la heroína para planear procesos integrales y elaborar programas de reduccion de riesgos y daños derivados del uso de la sustancia. Palabras clave: heroína; abuso de sustancias por vía intravenosa; impactos en la salud. ABSTRACTThis literature review sought to collect information on complications of parenteral use of heroin. Scientific articles, reviews, and case reports were selected from Scielo, Lilacs, and Medline databases. Heroin is a psychoactive substance and its use has mental and physical health consequences; among the most common physical consequences are blood-borne infectious diseases such as HIV, hepatitis B and C, skin infections, tuberculosis, pulmonary embolism, and renal disease. Other frequent complications include mental disorders, such as depression, personality disorders, and the concomitant abuse of other substances, such as cannabis and cocaine. It is important for nurses to be aware of the complications of heroin use in order to plan comprehensive processes and develop nursing programs that reduce the risks and harm resulting from use of the substance. Keywords: heroin; substance abuse, intravenous; impacts on health. RESUMORevisão narrativa que buscou recopilar informação sobre complicações do uso da heroína parenteral. Foram captados artigos científicos, revisões e casos clínicos nas bases de dados Scielo, Lilacs, Medline. A heroína é uma substância psicoativa e seu uso tem consequências adversas para a saúde física e mental; as complicações físicas mais frequentes são infecções por vírus como o HIV, as hepatite B e C, infecções da pele, tuberculose, embolias pulmonares e doenças renais. Outras complicações frequentes são os transtornos mentais como depressão, transtornos de personalidade e o uso concomitante de outras substâncias, como a maconha e a cocaína. Para o profissional de enfermagem é importante conhecer as complicações do uso da heroína para planejar processos integrais e elaborar programas de redução de riscos e estragos derivados do uso da substância. Palavras chave: heroína; abuso de substâncias por via intravenosa; impactos na saúde.

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“…37 This prevalence is lower than was estimated during the 2014 biobehavioural study. 22 This may be explained by sample differences (in the first study the proportion of people who inject drugs was higher) or by men who have sex with men. The prevalence among women who use drugs was very high (21.7%) and a similar result was also found by the 2014 study.…”

Section: Tb and Hiv Prevalencementioning

confidence: 99%

“…Drug use is a significant factor in the epidemiology of TB [11][12][13][14][15][16][17] and is associated with a higher prevalence of latent tuberculosis infection (LTBI) as well as higher levels of tuberculosis disease incidence and prevalence. 13,[18][19][20][21][22][23][24][25][26] Furthermore, PWUD are at increased risk of developing antibiotic-resistant forms of TB owing to their precarious lifestyles, difficulty in accessing healthcare due to stigmatisation and discrimination, specific challenges with adherence to treatment, breaks in care related to incarceration and potential co-morbidities (e.g. HIV, hepatitis B and hepatitis C).…”

Section: Overview Of Tuberculosis and Its Links To Drug Use: Epidemiomentioning

confidence: 99%

“…Precarious living conditions had already been identified as a factor associated with TB infection in the 2014 study. 22 Living conditions and HIV infection have also been described in the literature as important factors associated with TB. 10,11,13 Other factors described in the literature, such as a history of TB, imprisonment and sharing crack pipes, were not found in this study.…”

Section: Tb and Hiv Prevalencementioning

confidence: 99%

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Tuberculosis among people who use drugs in Abidjan, Côte d'Ivoire

Human Rights Documents Online

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their commitment to combating tuberculosis. It is our sincere hope that this report on people who use drugs (PWUD) who live in precarious situations in Abidjan will contribute to making their voices heard in their fight against this disease. We would also like to thank all the actors involved in day-today activities in the field: the facilitators and peer educators of Médecins du Monde-Doctors of the World (MdM), the HIV community counsellors, MdM's harm reduction team, the laboratory technicians, the Côte d'Ivoire National Tuberculosis Centre and the radiography technicians.

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Prevalence and risk factors associated with HIV and tuberculosis in people who use drugs in Abidjan, Ivory Coast

Cited by 24 publications

References 19 publications

“They accept me, because I was one of them”: formative qualitative research supporting the feasibility of peer-led outreach for people who use drugs in Dakar, Senegal

“They accept me, because I was one of them”: formative qualitative research supporting the feasibility of peer-led outreach for people who use drugs in Dakar, Senegal

Complicaciones del uso de la heroína parenteral: artículo de revisión

Tuberculosis among people who use drugs in Abidjan, Côte d'Ivoire

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