Please use this identifier to cite or link to this item:
10.1111/add.16283
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DC Field | Value | Language |
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dc.contributor.author | European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) | - |
dc.contributor.author | Uuskula, A. | - |
dc.contributor.author | Rannap, J. | - |
dc.contributor.author | Kivite-Urtane, A. | - |
dc.date.accessioned | 2023-11-01T02:05:01Z | - |
dc.date.available | 2023-11-01T02:05:01Z | - |
dc.date.issued | 2023-11 | - |
dc.identifier.citation | European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) , Uuskula , A , Rannap , J & Kivite-Urtane , A 2023 , ' Incarceration history is associated with HIV infection among community-recruited people who inject drugs in Europe : A propensity-score matched analysis of cross-sectional studies ' , Addiction , vol. 118 , no. 11 , pp. 2177-2192 . https://doi.org/10.1111/add.16283 | - |
dc.identifier.issn | 0965-2140 | - |
dc.identifier.other | unpaywall: 10.1111/add.16283 | - |
dc.identifier.other | Mendeley: cd68018b-f553-3a58-960f-6fdb5da70826 | - |
dc.identifier.uri | https://dspace.rsu.lv/jspui/handle/123456789/14935 | - |
dc.description | Publisher Copyright: © 2023 Society for the Study of Addiction. | - |
dc.description.abstract | Aims: We measured the association between a history of incarceration and HIV positivity among people who inject drugs (PWID) across Europe. Design, Setting and Participants: This was a cross-sectional, multi-site, multi-year propensity-score matched analysis conducted in Europe. Participants comprised community-recruited PWID who reported a recent injection (within the last 12 months). Measurements: Data on incarceration history, demographics, substance use, sexual behavior and harm reduction service use originated from cross-sectional studies among PWID in Europe. Our primary outcome was HIV status. Generalized linear mixed models and propensity-score matching were used to compare HIV status between ever- and never-incarcerated PWID. Findings: Among 43 807 PWID from 82 studies surveyed (in 22 sites and 13 countries), 58.7% reported having ever been in prison and 7.16% (n = 3099) tested HIV-positive. Incarceration was associated with 30% higher odds of HIV infection [adjusted odds ratio (aOR) = 1.32, 95% confidence interval (CI) = 1.09–1.59]; the association between a history of incarceration and HIV infection was strongest among PWID, with the lowest estimated propensity-score for having a history of incarceration (aOR = 1.78, 95% CI = 1.47–2.16). Additionally, mainly injecting cocaine and/or opioids (aOR = 2.16, 95% CI = 1.33–3.53), increased duration of injecting drugs (per 8 years aOR = 1.31, 95% CI = 1.16–1.48), ever sharing needles/syringes (aOR = 1.91, 95% CI = 1.59–2.28) and increased income inequality among the general population (measured by the Gini index, aOR = 1.34, 95% CI = 1.18–1.51) were associated with a higher odds of HIV infection. Older age (per 8 years aOR = 0.84, 95% CI = 0.76–0.94), male sex (aOR = 0.77, 95% CI = 0.65–0.91) and reporting pharmacies as the main source of clean syringes (aOR = 0.72, 95% CI = 0.59–0.88) were associated with lower odds of HIV positivity. Conclusions: A history of incarceration appears to be independently associated with HIV infection among people who inject drugs (PWID) in Europe, with a stronger effect among PWID with lower probability of incarceration. | en |
dc.format.extent | 16 | - |
dc.format.extent | 1319582 | - |
dc.language.iso | eng | - |
dc.relation.ispartof | Addiction | - |
dc.rights | info:eu-repo/semantics/openAccess | - |
dc.subject | Europe | - |
dc.subject | HIV | - |
dc.subject | PWID | - |
dc.subject | Incarceration | - |
dc.subject | Injection drug use | - |
dc.subject | Prison | - |
dc.subject | incarceration | - |
dc.subject | prison | - |
dc.subject | injection drug use | - |
dc.subject | 3.3 Health sciences | - |
dc.subject | 3.1 Basic medicine | - |
dc.subject | 1.1. Scientific article indexed in Web of Science and/or Scopus database | - |
dc.subject | Psychiatry and Mental health | - |
dc.subject | Medicine (miscellaneous) | - |
dc.subject | SDG 3 - Good Health and Well-being | - |
dc.title | Incarceration history is associated with HIV infection among community-recruited people who inject drugs in Europe : A propensity-score matched analysis of cross-sectional studies | en |
dc.type | /dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article | - |
dc.identifier.doi | 10.1111/add.16283 | - |
dc.contributor.institution | Institute of Public Health | - |
dc.identifier.url | https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=rsu_pure_&SrcAuth=WosAPI&KeyUT=WOS:001042130200001&DestLinkType=FullRecord&DestApp=WOS | - |
dc.identifier.url | https://www.mendeley.com/catalogue/cd68018b-f553-3a58-960f-6fdb5da70826/ | - |
dc.identifier.url | http://www.scopus.com/inward/record.url?scp=85173932021&partnerID=8YFLogxK | - |
dc.description.status | Peer reviewed | - |
Appears in Collections: | Research outputs from Pure / Zinātniskās darbības rezultāti no ZDIS Pure |
Files in This Item:
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Incarceration_history_is_associated_with_HIV_infection_among_community-recruited_people_who_inject_drugs_in_Europe.pdf | 1.29 MB | Adobe PDF | View/Open |
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