Sex work, drug use, HIV infection, and spread of sexually transmitted infections in Moscow, Russian Federation

Shakarishvili, Anna; Dubovskaya, LK; Zohrabyan, LS; Lawrence, JS St; Aral, S O; Dugasheva, LG; Okan, SA; Lewis, Jay H.; Ka, Parker; Ryan, C. Anthony

doi:10.1016/s0140-6736(05)66828-6

Cited by 60 publications

(44 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…High rates of STDs are also reported in drug users from countries other than the United States, especially resource-constrained settings (Parish et al, 2003;Shakarishvili et al, 2005). The studies also point to the contextual factors that are associated with high STD rates.…”

Section: Stds Among Drug Usersmentioning

confidence: 85%

Behavior Change and Health-Related Interventions for Heterosexual Risk Reduction Among Drug Users

Semaan

Jarlais

Malow

2006

Substance Use & Misuse

View full text Add to dashboard Cite

Prevention of heterosexual transmission of HIV between and from drug users is important for controlling the local and global HIV heterosexual epidemic. Sex risk reduction interventions and health-related interventions are important for reducing the sex risk behaviors of drug users. Sex risk reduction interventions address individual-level, peer-level, and structural-level determinants of risk reduction. Health-related interventions include HIV counseling and testing, prevention and treatment of sexually transmitted diseases, and delivery of highly active antiretroviral therapy. It is important to adapt effective interventions implemented in resource-rich countries to the realities of the resourceconstrained settings and to address relevant contextual factors.RESUMEN-Il est important de prévenir la transmission hétérosexuelle du VIH à partir des usagers de drogue pour contrôler l'épidémie hétérosexuelle locale et mondiale de VIH. Des interventions ciblant à la fois la réduction de risque sexuel et la santé des usagers de drogue sont nécessaires. Les interventions de réduction de risque sexuel prennent en compte le niveau individuel, le niveau des pairs et celui des déterminants structurels de la réduction des risques. Les interventions visant l'amélioration de la santé comprennent le conseil et le dépistage du VIH, la prévention et le traitement des infections sexuellement transmissibles et la prescription d'antirétroviraux. Il est important d'adapter les interventions efficaces mises en place dans les pays riches aux réalités des contextes de pays à ressources limitées et de tenir compte des facteurs contextuels pertinents. Keywords global research; HIV; injection drug use; research interventions; sexual risk HIV Infection and Injection Drug UsersInjection drug use continues to complicate the control of the global HIV epidemic (UNAIDS, 2004). In 2003, 136 countries reported injecting drug use and 93 countries reported HIV infection among injection drug users (IDUs) (World Health Organization, 2003). IDUs are at risk for infection with HIV through both multiperson use ("sharing") of drug injection equipment and through unsafe sex behaviors (Aceijas et al., 2004). Although the scope and effectiveness of interventions aimed at reducing HIV infection through drug injection equipment has been well documented in the literature (Des Jarlais et al., 2005;Quan et This review describes sex risk reduction interventions with drug users and their effectiveness in reducing sexual risk behaviors of IDUs and other drug users. We highlight the needs and opportunities for these interventions, discuss the generalizability of the results to resourceconstrained settings, and outline the implications for global research efforts and public health practice. Although our literature review is not comprehensive, it highlights many areas that affect sexual transmission of HIV to and from drug users in both resource-rich and resourceconstrained settings. Efforts to reduce substance abuse and HIV risk associated with injection behav...

show abstract

Section: Stds Among Drug Usersmentioning

confidence: 85%

Behavior Change and Health-Related Interventions for Heterosexual Risk Reduction Among Drug Users

Semaan

Jarlais

Malow

2006

Substance Use & Misuse

View full text Add to dashboard Cite

show abstract

“…12,13 Furthermore, no association was found between drug use and HIV in our sample, although this is a well-documented HIV risk factor in homeless populations in Europe and North America. [2][3][4] HIV incidence in SA has only recently begun to plateau, with no consensus on the reason for this. It is unclear whether the successes of education and prevention programmes are finally being felt, or if increased access to ART and STI treatment are at play.…”

Section: Discussionmentioning

confidence: 99%

HIV and the urban homeless in Johannesburg

Lohrmann

Botha

Violari

et al. 2012

South. Afr. j. HIV med.

View full text Add to dashboard Cite

Background. There are few data on HIV prevalence and risk factors among inner-city homeless and marginally housed individuals in South Africa. Methods. We recruited 136 adults from a Johannesburg inner-city homeless clinic; mean age was 32.4 years, 129 (95%) were male, and 90 (66%) were of South African nationality. Participants were tested for HIV and answered a short demographic survey. Descriptive statistics and uni- and multivariate regression analyses were used for data analysis. Results. The HIV prevalence in the cohort was 23.5%. Transactional sex, relationship status, number of concurrent sexual partners, condom usage and history of previously treated sexually transmitted infections (STIs), living on the street, the use of alcohol or drugs, and previous exposure to voluntary counselling and testing (VCT), were not significant risk factors for HIV-positivity. Statistically significant HIV risk factors on multivariate analysis included the presence of an STI (odds ratio (OR) 5.6; p

show abstract

“…21 In the current study, most participants reported being sexually active, with over one-fourth having more than five sexual partners within past 12 months, and one-third of the men paying for sex. All these factors are associated with high HIV prevalence and frequent symptomatic STDs.…”

Section: Discussionmentioning

confidence: 60%

High prevalence of blood-borne virus infections and high-risk behaviour among injecting drug users in Tallinn, Estonia

et al. 2007

View full text Add to dashboard Cite

SummaryThe HIV epidemic in Estonia is rapidly expanding, and injection drug users (IDUs) are the major risk group contributing to the expansion. A convenience sample of 159 IDUs visiting syringeexchange programmes (SEPs) was selected to quantify the association of HIV-risk behaviours and blood-borne infections. A high prevalence of HIV, hepatitis B core antibody (HBVcore), hepatitis B surface antigen (HbsAg) and hepatitis C virus antibodies (56, 85.1, 21.3, and 96.2%, respectively) was associated with high-risk injections, unsafe sexual behaviour and alcohol abuse. These findings emphasize the importance of evidence-based secondary prevention among the HIV-infected, especially given the uncertain sustainability of antiretroviral and substance abuse treatments.

show abstract

Sex work, drug use, HIV infection, and spread of sexually transmitted infections in Moscow, Russian Federation

Cited by 60 publications

References 3 publications

Behavior Change and Health-Related Interventions for Heterosexual Risk Reduction Among Drug Users

Behavior Change and Health-Related Interventions for Heterosexual Risk Reduction Among Drug Users

HIV and the urban homeless in Johannesburg

High prevalence of blood-borne virus infections and high-risk behaviour among injecting drug users in Tallinn, Estonia

Contact Info

Product

Resources

About