Correlates of HIV Risk Among Injecting Drug Users in Sixteen Ukrainian Cities
We present findings from a HIV survey using respondent driven sampling among 3,711 injecting drug users (IDUs) in 16 cities in Ukraine in 2008. Eligible participants were males and females who injected drugs in the past 1 month, ≥16 years and lived/worked in their respective interview area. The impact of injecting and sexual risk behaviors on HIV-infection were analyzed using four logistic models. Overall HIV prevalence was 32%. In the sexual risk model, paying for sex in the past 3 months and condom use during last sex increased the odds of HIV infection. Being female, having greater than 3 years of injection drug use, always sharing equipment and using alcohol with drugs in the past month remained significant in all four models. These findings indicate the urgent need to scale up peer education, needle exchange and methadone substitution programs for IDUs with specific programs targeting the needs of female injectors
KeywordsUkraine HIV/AIDS Injecting drug users Sexual risk behaviors Respondent driven sampling
- 1.Wessing L, Van de Laar MJ, Donoghoe MC, Guarita B, Klempova D, Griffiths P. HIV among injection drug users in Europe: increasing trends in the East. Eurosurveillance. 2008;13(50). http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19067. Accessed 21 September 2010.
- 3.National AIDS Prevention Centre/Ministry of Health. HIV infection in Ukraine in 2008. Information bulletin No 31. Kyiv, Ukraine. 2009. http://www.aidsalliance.org.ua/ru/library/research/pdf/bulleten31en.pdf. Accessed 21 September 2010.
- 4.Ministry of Health of Ukraine. Ukraine: national report on monitoring progress towards the UNGASS declaration of commitment on HIV/AIDS. Reporting period: January 2006–December 2007. Kyiv, Ukraine. 2008. http://data.unaids.org/pub/Report/2008/ukraine_2008_country_progress_report_en.pdf. Accessed 21 September 2010.
- 6.International HIV/AIDS Alliance. Estimation of the size of most at risk populations for HIV-injection drug users, female sex workers, men who have sex with men. Kyiv, Ukraine. 2009.Google Scholar
- 7.International HIV/AIDS Alliance. Results from the study on seroconvertor behaviour. Unpublished data. Kyiv, Ukraine. 2007.Google Scholar
- 12.Dumchev KV, Soldyshev R, Han-Zhu Qian, Zezyulin OO, Chandler SD, Slobodyanyuk P, Moroz L, Schumacher JE. HIV and hepatitis C virus infections among Hanka injection drug users in Central Ukraine: a cross-sectional survey. Harm Reduct J. 2009;6:23. Available from: http://harmreductionjournal.com/content/pdf/1477-7517-6-23.pdf.
- 17.Behavioral surveillance surveys: guidelines for repeated behavioral surveys in populations at risk of HIV. Available from http://www.fhi.org/en/HIVAIDS/pub/guide/bssguidelines.htm. Accessed 21 September 2010.
- 18.Monitoring the declaration of commitment on HIV/AIDS. Guidelines on construction of core indicators. UNAIDS, March 2007. Available from http://data.unaids.org/pub/Manual/2009/JC1676_Core_Indicators_2009_en.pdf. Accessed 21 September 2010.
- 19.Benyo A. Promoting secondary exchange: opportunities to advance public health. The Harm Reduction Coalition, Syringe Access Expansion Project. New York, 2006. http://www.harmreduction.org/downloads/fact%20sheet%20secondaryx.pdf. Accessed 5 June 2010.
- 21.Bellis MA, Hughes K, Calafat A, Juan M, Ramon A, Rodriguez JA, Mendes F, Schnitzer S, Phillips-Howard P. Sexual uses of alcohol and drugs and the associated health risks: a cross sectional study of young people in nine European cities. BMC Public Health. 2008;8:155 doi: 10.1186/1471-2458-8-155.
- 24.United Nations Office of Drug Control. HIV/AIDS prevention and care for female injecting drug users. 2006. Available http://www.unodc.org/documents/hiv-aids/publications/HIV-AIDS_femaleIDUs_Aug06.pdf. Accessed 21 September 2010.
- 25.Pohorila NB, Shamota AZ. Izuchenie rasprostranennosti VICH i povedenia riska v gruppe PIN, otsenka chislennosti PIN v Moskve [The study of HIV-prevalence and risk behavior within IDUs; number estimation of IDUs in Moscow]. The report for the global fund for HIV, tuberculosis and malaria prevention. Unpublished data. Moscow: “ESVERO”. 2010.Google Scholar
- 26.European Monitoring Centre for Drugs and Drug Addiction. Statistical bulletin, Lisbon, Portugal. 2007. Available from http://www.emcdda.europa.eu/html.cfm/index39756EN.html. Accessed 21 September 2010.
- 27.Des Jarlais DC, Perlis T, Stimson G, Poznyak V, The WHO Phase II Drug Injection Collaborative Study Group. Using standardized methods for research on HIV and injecting drug use in developing/transitional countries: case study from the WHO Drug Injection Study Phase II. BMC Public Health. 2006;6:54.CrossRefPubMedGoogle Scholar
- 29.International HIV/Alliance. HIV/AIDS: gender prospective. HIV/AIDS Newsletter. 2006. Available from http://www.aidsalliance.org.ua/cgi-bin/index.cgi?url=/en/library/our/aidsnws/index.htm. Accessed 21 September 2010.
- 31.Booth RE, Lehman WEK, Latkin CA, Dvoryak S, Brewster JT, Royer MS, Sinitsyna L. Individual and network interventions with injection drug users in 5 Ukraine cities. Am J Public Health. 10.2105/AJPH.2009.172304 E-pub ahead of print April 15, 2010.