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AIDS and Behavior

, Volume 22, Issue 7, pp 2161–2171 | Cite as

Risk Behaviors for HIV and HCV Infection Among People Who Inject Drugs in Hai Phong, Viet Nam, 2014

  • Huong Thi DuongEmail author
  • Don Des Jarlais
  • Oanh Hai Thi Khuat
  • Kamyar Arasteh
  • Jonathan Feelemyer
  • Pham Minh Khue
  • Hoang Thi Giang
  • Didier Laureillard
  • Vinh Vu Hai
  • Roselyne Vallo
  • Laurent Michel
  • Jean Pierre Moles
  • Nicolas Nagot
  • Drive Study Group
Original Paper

Abstract

We examined the potential for HIV and hepatitis C (HCV) transmission across persons who inject drugs (PWID), men-who-have-sex-with-men (MSM) and female commercial sex workers (CSW) PWID and the potential for sexual transmission of HIV from PWID to the general population in Hai Phong, Viet Nam. Using respondent driven and convenience sampling we recruited 603 participants in 2014. All participants used heroin; 24% used non-injected methamphetamine. HIV prevalence was 25%; HCV prevalence was 67%. HIV infection was associated with HCV prevalence and both infections were associated with length of injecting career. Reported injecting risk behaviors were low; unsafe sexual behavior was high among MSM-PWID and CSW-PWID. There is strong possibility of sexual transmission to primary partners facilitated by methamphetamine use. We would suggest future HIV prevention programs utilize multiple interventions including “treatment as prevention” to potential sexual transmission of HIV among MSM and CSW-PWID and from PWID to the general population.

Keywords

HIV Persons who inject drugs (PWID) Vietnam Respondent driven sampling (RDS) Sex workers Men who have sex with men (MSM) 

Notes

Funding

This study was funded by the ANRS 12299 and NIDA P30DA011041. The views expressed in this publication do not necessarily represent the position of the National Institutes of Health or l’Agence de recherche ANRS.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the Institutional Review Boards of the Hai Phong University of Medicine and Pharmacy and Mount Sinai Beth Israel.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Aceijas C, Stimson GV, Hickman M, Rhodes T. Global overview of injecting drug use and HIV infection among injecting drug users. AIDS. 2004;18(17):2295–303.CrossRefPubMedGoogle Scholar
  2. 2.
    Baral S, Sifakis F, Cleghorn F, Beyrer C. Elevated risk for HIV infection among men who have sex with men in low- and middle-income countries 2000–2006: a systematic review. PLoS Med. 2007;4(12):e339.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Ghys PD, Jenkins C, Pisani E. HIV surveillance among female sex workers. AIDS. 2001;15:S33–40.CrossRefPubMedGoogle Scholar
  4. 4.
    Strathdee SA, Lozada R, Martinez G, Vera A, Rusch M, Nguyen L, et al. Social and structural factors associated with HIV infection among female sex workers who inject drugs in the Mexico-US border region. PLoS ONE. 2011;6(4):e19048.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Stall R, Purcell DW. Intertwining epidemics: a review of research on substance use among men who have sex with men and its connection to the AIDS epidemic. AIDS Behav. 2000;4(2):181–92.CrossRefGoogle Scholar
  6. 6.
    Lowndes CM, Alary M, Platt L. Injection drug use, commercial sex work, and the HIV/STI epidemic in the Russian Federation. Sex Transm Dis. 2003;30(1):46–8.CrossRefPubMedGoogle Scholar
  7. 7.
    Grassly NC, Garnett GP, Schwartländer B, Gregson S, Anderson RM. The effectiveness of HIV prevention and the epidemiological context. Bull World Health Org. 2001;79(12):1121–32.PubMedPubMedCentralGoogle Scholar
  8. 8.
    National Institute of Hygiene and Epidemiology FV, United States Agency for International Development (USAID). Results from the HIV/STI Integrated Biological and Behavioral Surveillance (IBBS) in Vietnam. 2011.Google Scholar
  9. 9.
    García MC, Meyer SB, Ward P. Elevated HIV prevalence and risk behaviours among men who have sex with men (MSM) in Vietnam: a systematic review. BMJ Open. 2012;2(5):e001511.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Tanimoto T, Cuong NH, Ishizaki A, et al. Multiple routes of hepatitis C virus transmission among injection drug users in Hai Phong, Northern Vietnam. J Med Virol. 2010;82(8):1355–63.CrossRefPubMedGoogle Scholar
  11. 11.
    Le L-VN, Nguyen TA, Tran HV, et al. Correlates of HIV infection among female sex workers in Vietnam: injection drug use remains a key risk factor. Drug Alcohol Depend. 2015;150:46–53.CrossRefPubMedGoogle Scholar
  12. 12.
    Tran T, Detels R, Long H, Lan H. Drug use among female sex workers in Hanoi, Vietnam. Addiction. 2005;100:619–25.CrossRefPubMedGoogle Scholar
  13. 13.
    Des Jarlais DC, Duong HT, Pham Minh K, Khuat OH, Nham TT, Arasteh K, et al. Integrated respondent-driven sampling and peer support for persons who inject drugs in Haiphong, Vietnam: a case study with implications for interventions. AIDS Care. 2016;13:1–4.Google Scholar
  14. 14.
    Heckathorn DD. Respondent-driven sampling: a new approach to the study of hidden populations. In: Social problems. Ewing: University of California Press; 1997.Google Scholar
  15. 15.
    Ahmed T, Long TN, Huong PT, Stewart DE. Drug injecting and HIV risk among injecting drug users in Hai Phong, Vietnam: a qualitative analysis. BMC Public Health. 2015;15(1):32.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    StataCorp. 2011. Stata Statistical Software: Release 12. College Station, TX: StataCorp LP.Google Scholar
  17. 17.
    Chitwood D, Sanchez J, Comerford M, Page J, McBride D, Kitner K. First injection and current risk factors for HIV among new and long-term injection drug users. AIDS Care. 2000;12(3):313–20.CrossRefPubMedGoogle Scholar
  18. 18.
    Chitwood D, Comerford M, Kitner K, Palacios W, Sanchez J. A comparison of HIV risk behaviors between new and long-term injection drug users. Subst Use Misuse. 2001;36:91–111.CrossRefPubMedGoogle Scholar
  19. 19.
    Ahmed T, Long TN, Huong PT, Stewart DE. Drug injecting and HIV risk among injecting drug users in Hai Phong, Vietnam: a qualitative analysis. BMC Public Health. 2015;15(1):1.CrossRefGoogle Scholar
  20. 20.
    Koblin BA, Murrill C, Camacho M, Xu G, K-l Liu, Raj-Singh S, et al. Amphetamine use and sexual risk among men who have sex with men: results from the National HIV Behavioral Surveillance study—New York City. Subst Use Misuse. 2007;42(10):1613–28.CrossRefPubMedGoogle Scholar
  21. 21.
    McNall M, Remafedi G. Relationship of amphetamine and other substance use to unprotected intercourse among young men who have sex with men. Arch Pediatr Adolesc Med. 1999;153(11):1130–5.CrossRefPubMedGoogle Scholar
  22. 22.
    Frosch DL, Shoptaw S, Huber A, Rawson RA, Ling W. Sexual HIV risk among gay and bisexual male methamphetamine abusers. J Subst Abuse Treat. 1996;13(6):483–6.CrossRefPubMedGoogle Scholar
  23. 23.
    Halkitis PN, Green MKA, Mourgues MP. Longitudinal investigation of methamphetamine use among gay and bisexual men in New York City: findings from Project BUMPS. J Urban Health. 2005;82(1):i18–25.CrossRefPubMedPubMedCentralGoogle Scholar
  24. 24.
    Macaluso M, Demand MJ, Artz LM, Hook EWI. Partner type and condom use. AIDS. 2000;14(5):537–46.CrossRefPubMedGoogle Scholar
  25. 25.
    McCreesh N, Frost S, Seeley J, et al. Evaluation of respondent-driven sampling. Epidemiology. 2012;23(1):138.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Huong Thi Duong
    • 1
    Email author
  • Don Des Jarlais
    • 2
  • Oanh Hai Thi Khuat
    • 3
  • Kamyar Arasteh
    • 2
  • Jonathan Feelemyer
    • 2
  • Pham Minh Khue
    • 1
  • Hoang Thi Giang
    • 1
  • Didier Laureillard
    • 4
    • 5
  • Vinh Vu Hai
    • 6
  • Roselyne Vallo
    • 4
  • Laurent Michel
    • 7
  • Jean Pierre Moles
    • 4
  • Nicolas Nagot
    • 4
  • Drive Study Group
  1. 1.Faculty of Public HealthHai Phong University of Medicine and PharmacyHai PhongViet Nam
  2. 2.Icahn School of Medicine at Mount SinaiNew YorkUSA
  3. 3.Supporting Community Development InitiativesHanoiViet Nam
  4. 4.Inserm U1058, Etablissement Français du Sang, University of MontpellierMontpellierFrance
  5. 5.Department of Infectious and Tropical DiseasesUniversity HospitalNîmesFrance
  6. 6.Infectious Diseases DepartmentViet Tiep HospitalHai PhongViet Nam
  7. 7.CESP/Inserm1018, Pierre Nicole CentreFrench Red CrossParisFrance

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