Trends in Injection Risk Behaviors among People Who Inject Drugs and the Impact of Harm Reduction Programs in Ukraine, 2007–2013

Makarenko, Iuliia; Ompad, Danielle C.; Sazonova, Yana; Saliuk, Tetiana; DeHovitz, Jack; Gensburg, Lenore

doi:10.1007/s11524-016-0119-9

Cited by 17 publications

(13 citation statements)

References 42 publications

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“…1 The decreasing prevalence among PWID may be explained by the effect of prevention programs, studied previously. 7,23,24 The prevention services supported by the GF are reaching more than 60% of the PWID population annually, a level recommended to achieve population-level impact. 25 The quality of Ukrainian HIV prevention programs has been recognized by a number of independent experts.…”

Section: Discussionmentioning

confidence: 99%

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Trends in HIV prevalence among people injecting drugs, men having sex with men, and female sex workers in Ukraine

et al. 2018

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Once recognized as the most severe in Europe, the HIV epidemic in Ukraine is concentrated among people who inject drugs, men who have sex with men, and female sex workers. Integrated biobehavioral surveys, as a part of the second generation surveillance, are used to monitor HIV infection trends in key populations since 2002. The present paper is focused on the analysis of HIV prevalence trends in four nationally representative rounds of integrated biobehavioral surveys from 2008/9, 2011, 2013, and 2015 in people who inject drugs, men who have sex with men, and female sex workers. Between 2008/9 and 2015, the HIV prevalence has decreased significantly in people who inject drugs (24.2 to 22.0%) and female sex workers (13.6 to 6.3%), while the change in men who have sex with men was not significant (8.5 to 7.8%). There was a significant increase in people who inject drugs and men who have sex with men between 2013 and 2015. In subgroups younger than 25 years, prevalence increased more than twofold in men who have sex with men (1.9 to 4.3%), with no changes in people who inject drugs and female sex workers. The observed decline in prevalence, especially in young subgroups, may result from the effect of extensive prevention efforts on drug injection-related transmission. Recent increase in young men who have sex with men may be a sign of a new wave of the epidemic in this group.

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Section: Discussionmentioning

confidence: 99%

“…Results of the surveys have been published in reports, but only partial results were available in peer-reviewed literature. 2,[6][7][8][9] In this paper, we present the results of the first analysis of trends in HIV prevalence in three main KPs based on the last four rounds of IBBS in Ukraine.…”

Section: Introductionmentioning

confidence: 99%

Trends in HIV prevalence among people injecting drugs, men having sex with men, and female sex workers in Ukraine

et al. 2018

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“…In terms of horizontally-acquired HIV injecting drug use (IDU) has been a key driver of the epidemic among young people in Ukraine 3 , including among marginalised youth 4 as average age of IDU initiation is in the late teens 5 . In recent years, young people aged 15–24 years have accounted for a declining number and proportion of newly diagnosed HIV infections (12% in 2009 vs. 5.2% in 2016) 1 .…”

Section: Introductionmentioning

confidence: 99%

Young people in HIV care in Ukraine: a national survey on characteristics and service provision

et al. 2019

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Background: Ukraine’s perinatally HIV-infected (PHIV) young people are ageing into adolescence/young adulthood and, alongside those with horizontally-acquired HIV infections, require transitional and other support services. We aimed to map this population and policies/service provision at specialist HIV centres, to inform future service development. Methods: A national survey was conducted of 28 HIV/AIDS centres on number, characteristics (age group, HIV acquisition mode) and care setting (paediatric/adult) of 10-24 year olds in HIV care in each of 24 regions in January 2016. Information was collected on policies/service provision at each centre. Results: Of 13,286 young people aged 10-24 years registered for HIV care nationally in Ukraine in January 2016, 1,675 were aged 10-18 years. Three-quarters of ≤19 year olds were PHIV, while 72% of 20-24-year-olds had sexually-acquired infection. Five regions accounted for two-thirds of 10-18 year olds in paediatric and 85% of 19-24 year olds in adult services. In 2015, 97 young people transitioned from paediatric to adult services nationally, typically at 18 years although with flexibility in timing at 17/28 centres. At 27/28 centres, horizontally HIV-infected young people aged <18 years began their HIV care in paediatric services sometimes (5) or always (22). Transition support most commonly consisted of a joint appointment with paediatrician and adult doctor, and support from a psychologist/social worker (both at 24/28 centres). Only 5/28 centres offered routine HIV care during the evening or weekend, and availability of integrated sexual/reproductive health and harm reduction services was uneven. Of 16/28 centres selectively following-up patients who did not attend for care, 15 targeted patients in paediatric services. Conclusions: Heterogeneity in the population and in service availability at the main regional/municipal HIV/AIDS centres has implications for potential structural barriers to HIV care, and development of services for this group.

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“…In terms of behaviourally-acquired HIV (BHIV) among young people in Ukraine, injecting drug use (IDU) has been a key driver of the epidemic 3 , including among marginalised youth 4 as average age of IDU initiation is in the late teens 5 . In recent years, young people aged 15-24 years have accounted for a declining number and proportion of newly diagnosed HIV infections (12% in 2009 vs. 5.2% in 2016) 1 .…”

Section: Introductionmentioning

confidence: 99%

Young people in HIV care in Ukraine: a national survey on characteristics and service provision

Kyselyova¹,

Martsynovska²,

Volokha³

et al. 2019

F1000Res

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Background: Ukraine’s perinatally HIV-infected (PHIV) young people are ageing into adolescence/young adulthood and, alongside those with behaviourally-acquired infections (BHIV), require transitional and other support services. We aimed to map this population and policies/service provision at specialist HIV centres, to inform future service development. Methods: A national survey was conducted of 28 HIV/AIDS centres on number, characteristics (age group, HIV acquisition mode) and care setting (paediatric/adult) of 10-24 year olds in HIV care in each of 24 regions in January 2016. Information was collected on policies/service provision at each centre. Results: Of 13,286 young people aged 10-24 years registered for HIV care nationally in Ukraine in January 2016, 1,675 were aged 10-18 years. Three-quarters of ≤19 year olds were PHIV, while 72% of 20-24-year-olds had sexually-acquired infection. Five regions accounted for two-thirds of 10-18 year olds in paediatric and 85% of 19-24 year olds in adult services. In 2015, 97 young people transitioned from paediatric to adult services nationally, typically at 18 years although with flexibility in timing at 17/28 centres. At 27/28 centres, BHIV young people aged <18 years began their HIV care in paediatric services sometimes (5) or always (22). Transition support most commonly consisted of a joint appointment with paediatrician and adult doctor, and support from a psychologist/social worker (both at 24/28 centres). Only 5/28 centres offered routine HIV care during the evening or weekend, and availability of integrated sexual/reproductive health and harm reduction services was uneven. Of 16/28 centres selectively following-up patients who did not attend for care, 15 targeted patients in paediatric services. Conclusions: Heterogeneity in the population and in service availability at the main regional/municipal HIV/AIDS centres has implications for potential structural barriers to HIV care, and development of services for this group.

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Trends in Injection Risk Behaviors among People Who Inject Drugs and the Impact of Harm Reduction Programs in Ukraine, 2007–2013

Cited by 17 publications

References 42 publications

Trends in HIV prevalence among people injecting drugs, men having sex with men, and female sex workers in Ukraine

Trends in HIV prevalence among people injecting drugs, men having sex with men, and female sex workers in Ukraine

Young people in HIV care in Ukraine: a national survey on characteristics and service provision

Young people in HIV care in Ukraine: a national survey on characteristics and service provision

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