Self-reported testing, HIV status and associated risk behaviours among people who inject drugs in Europe : Important differences between East and West

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dc.contributor.authorUuskula, Anneli
dc.contributor.authorRaag, Mait
dc.contributor.authorFolch, Cinta
dc.contributor.authorPrasad, Leonie
dc.contributor.authorKarnite, Anda
dc.contributor.authorvan Veen, Maaike G.
dc.contributor.authorEritsyan, Ksenia
dc.contributor.authorRosiƄska, Magdalena
dc.contributor.authorDes Jarlais, Don C
dc.contributor.authorWiessing, Lucas
dc.contributor.institutionDepartment of Public Health and Epidemiology
dc.date.accessioned2021-12-09T08:40:01Z
dc.date.available2021-12-09T08:40:01Z
dc.date.issued2014-07-17
dc.description.abstractAims: To describe HIV-related risk behaviours, HIV testing and HIV status among people who inject drugs (PWIDs) in the 2000 in European countries with high-prevalence HIV epidemics among PWID. Methods: Data from 12 cross-sectional studies among PWID from seven countries were used. Meta-analysis was used to synthesize the data and meta-regression to explain heterogeneity [in addition to deriving adjusted odds ratios (AORmeta)]. Results: Data on 1791 PWID from western (the West) and 3537 from central and eastern (the East) European countries were available. The mean age of participating PWIDs was 30.6 years (SD 7.9), 75% were men, and 36% [95% confidence interval 34-37%) were HIV-infected (30% West, 38% East); 22% had not previously been tested for HIV. The prevalence of reported high-risk behaviour was significantly higher among PWID from the East. Comparison of HIV-infected and uninfected PWID within countries yielded similar results across all countries: HIV-infected PWID were less likely to be sexually active [AORmeta 0.69 (0.58-0.81)], reported less unprotected sex [AORmeta 0.59 (0.40-0.83)], but reported more syringe sharing [AORmeta 1.70 (1.30-2.00)] and more frequent injecting [AORmeta 1.40 (1.20-1.70)] than their HIV-uninfected counterparts. Conclusion: Despite the absolute differences in reported risk behaviours among PWID in western and eastern Europe, the associations of risk behaviours with HIV status were similar across the sites and regions. There is a substantial potential for further HIV transmission and acquisition based on the continuous risk behaviours reported. HIV prevention and harm reduction interventions targeting PWID should be evaluated.en
dc.description.statusPeer reviewed
dc.format.extent151755
dc.identifier.citationUuskula, A, Raag, M, Folch, C, Prasad, L, Karnite, A, van Veen, M G, Eritsyan, K, RosiƄska, M, Des Jarlais, D C & Wiessing, L 2014, 'Self-reported testing, HIV status and associated risk behaviours among people who inject drugs in Europe : Important differences between East and West', AIDS, vol. 28, no. 11, pp. 1657-1664. https://doi.org/10.1097/QAD.0000000000000299
dc.identifier.doi10.1097/QAD.0000000000000299
dc.identifier.issn0269-9370
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/7007
dc.language.isoeng
dc.relation.ispartofAIDS
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectEurope
dc.subjectHIV
dc.subjectHIV testing
dc.subjectInjection drug use
dc.subjectRisk behaviour
dc.subject3.3 Health sciences
dc.subject1.4. Reviewed scientific article published in Latvia or abroad in a scientific journal with an editorial board (including university editions)
dc.subjectSDG 3 - Good Health and Well-being
dc.titleSelf-reported testing, HIV status and associated risk behaviours among people who inject drugs in Europe : Important differences between East and Westen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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