Differences in HIV Risk Behaviors by Gender in a Sample of Tanzanian Injection Drug Users
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This study investigated differences in drug use and sexual behaviors among from 237 male and 123 female heroin users in Dar es Salaam, Tanzania. Multivariate models of risk of needle sharing were estimated using multivariate logistic regression. Men were significantly older, more likely to inject only white heroin, share needles, and give or lend used needles to other injectors. Women were more likely to be living on the streets, have injected brown heroin, have had sex, have had a higher number of sex partners, and have used a condom with the most recent sex partner. Being male and earning less than US $46 in the past month were significant predictors of increased risk of needle sharing. Despite differences in sociodemographic, drug use, and sexual behaviors by gender, both male and female injectors in Dar es Salaam exhibit elevated risk of HIV infection associated with drug use.
KeywordsSub-Saharan Africa Tanzania Injection drug users Needle sharing Sex risks
This research is based on an ongoing collaboration between researchers at the University of Texas-Health Science Center at Houston and Muhimbili University College of Health Sciences and is supported by a grant from the National Institute on Drug Abuse, National Institutes of Health, USA. The opinions expressed in the manuscript are solely those of the authors.
- Blattner, W., O’Brien, T., & Mueller, N. (1997). Retroviruses–Human immunodeficiency virus. In A. Evansand R. Kaslow (Eds.), Viral infections of humans: Epidemiology and control (pp. 713–783). New York: Plenum Medical Book Company.Google Scholar
- Colfax, G., Mansergh, G., Gusman, R., Vittinghoff, E., Mark, G., Rader, M., et al. (2001). Drug use and sexual risk behavior among gay and bisexual men who attend circuit parties: A venue-based comparison. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 28, 373–379.Google Scholar
- Dowling-Guyer, S., Johnson, M., Fisher, D., Needle, R., Watters, J., Andersen, M., et al. (1994). Reliability of drug users’ self-reported HIV risk behaviors and validity of self-reported recent drug use. Assessment, 1, 383–392.Google Scholar
- Friedman, S., Jose, B., Deren, S., Des Jarlais, D., & Neaigus, A. (1995). Risk factors for human immunodeficiency virus seroconversion among out-of-treatment drug injectors in high and low seroprevalence cities. American Journal of Epidemiology, 42, 864–874.Google Scholar
- McCurdy, S. (2001). Urban threats: Manyema women, low fertility and venereal diseases in British colonial Tanganyika. In D. Hodgsonand S. McCurdy (Eds.), “Wicked” women and the reconfiguration of gender in Africa (pp. 212–233). Portsmouth, NH: Heinemann.Google Scholar
- McCurdy, S., Williams, M., Kilonzo, G., Ross, M., & Leshabari, M. (2005). Heroin and HIV risk in Dar es Salaam, Tanzania: Youth hangouts, mageto, and injecting practices. AIDS Care, S65–S76.Google Scholar
- Murphy, S., & Waldorf, D. (1991). Kickin’ down to the street doc: Shooting galleries in San Francisco Bay Area. Contemporary Drug Problems, 1991, 9–29.Google Scholar
- Patrick, D., Strathdee, S., Archibald, C., Ofner, M., Craib, K., Cornelisse, P., et al. (1997). Determinants of HIV seroconversion in injection drug users during a period of rising prevalence in Vancouver. International Journal of STD and AIDS, 8, 837–445.Google Scholar
- Singer, M., Jia, Z., Schensul, J., Weeks, M., & Bryan, J. (1992). AIDS and the IV drug user: The local context in prevention efforts. In R. Boltonand M. Singer (Eds.), Rethinking AIDS prevention: Cultural approaches (pp. 147–168). Yverdon, Switzerland: Gordon and Breach Science Publishers.Google Scholar
- Vanichseni, S., Choopanya, K., Des Jarlais, D., Plangsringarm, K., Sonchai, W., Carballo, M., et al. (1992). HIV testing and sexual behavior among intravenous drug users in Bangkok, Thailand. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 5, 1119–1123.Google Scholar