Community attitudes toward HIV prevention for injection drug users: Findings from a cross-border project in southern China and northern Vietnam
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Success of HIV prevention projects for injection drug users (IDUs) depends on the support of the communities in which they are implemented. This article presents data from cross-sectional community surveys of HIV knowledge and attitudes toward peer-based HIV prevention interventions for injection drug users in a border area of Lang Son Province, Vietnam and Ning Ming County, Guangxi Province, China. Analysis of these surveys at baseline and 18 months reveals generally high or improving levels of HIV knowledge and positive attitudes toward the interventions in both Vietnam and China. Levels of knowledge and positive attitudes tended to be higher in Vietnam than in China. Interviews with staff and peer educators suggest that the project’s community education efforts have increased support for the interventions and contributed to their smooth implementation. However, the community surveys also reveal some continuing deficits in HIV knowledge and understanding of the interventions, including perceptions that provision of new needles/syringes will result in increased drug use. Additional education, including dissemination of countervailing project data, is necessary to address these deficits and further increase community support for the interventions.
UNAIDS. Current status of HIV in China by December 1999. Beijing, China: UNAIDS; 2000.
Chu TV, West GR, Durant TM, et al. Characteristics of the emerging HIV epidemic in Northern Vietnam. In: XIII International AIDS Conference; July 9–14, 2000; Durban, South Africa. Poster abstract MoPeC2342.
Hien NT, Long NT, Huan TQ. HIV/AIDS epidemics in Vietnam: evolution and responses. AIDS Educ Prev. 2004;16:137–154.CrossRef
Khoshnood K, Weber S. Social vulnerability of injection drug users to HIV/AIDS in China: determinants and responses. Yale-China Health J. 2003;4:37–44.
Hong KT, Anh NTV, Ogden J. Understanding HIV and AIDS-Related Stigma and Discrimination in Vietnam. Washington, DC: International Center for Research on Women; 2004.
Bijay L. Community involvement in harm reduction. In: 15th International Conference on the Reduction of Drug-Related Harm; April 20–24, 2004; Melbourne, Australia. Abstract 692.
Hammett TM, Des Jarlais DC, Liu W, et al. Development and implementation of a crossborder HIV prevention intervention for injection drug users in Ning Ming County (Guangxi Province), China and Lang Son Province, Vietnam. Int J Drug Policy. 2003;14:389–398.CrossRef
Needle RH, Burrows D, Friedman S, et al. Evidence for Action: Effectiveness of Community-Based Outreach in Preventing HIV/AIDS Among Injecting Drug Users. Geneva: WHO/UNAIDS; 2003.
National Institute on Drug Abuse. Outreach/Risk Reduction Strategies for Changing HIV-Related Risk Behaviors Among Injection Drug Users: The National AIDS Demonstration Research (NADR) Project. Rockville, MD: National Institute on Drug Abuse; 1994.
Wiebel W. The Indigenous Leader Outreach Model: Intervention Manual. Rockville, MD: National Institute on Drug Abuse; 1993.
Des Jarlais DC, Hammett TM, Van LK, Liu W, Donghua M, Ngu D. Opiate agonist maintenance treatment for injecting drug user peer educators [letter]. Addiction. 2004;99:55–56.CrossRef
- Community attitudes toward HIV prevention for injection drug users: Findings from a cross-border project in southern China and northern Vietnam
Journal of Urban Health
Volume 82, Issue 4 Supplement, pp iv34-iv42
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Community attitudes
- HIV prevention
- Author Affiliations
- 1. Abt Associates, Inc., 55 Wheeler Street, 02138, Cambridge, MA
- 2. Guangxi Center for HIV/AIDS Prevention and Control, Nanning, China
- 3. Abt Associates, Hanoi, Vietnam
- 4. National AIDS Standing Bureau, Hanoi, Vietnam
- 5. Baron Edmond de Rothschild Foundation Chemical Dependency Institute, Beth Israel Medical Center, New York, New York