Young people who inject drugs in India have highHIV incidence and behavioural risk: a cross‐sectional study
| Autor: | Allison M. McFall, Sion Kim Harris, Sunil S. Solomon, Shruti H. Mehta, Lakshmi Ganapathi, Gregory M. Lucas, Muniratnam S. Kumar, Santhanam Anand, Aylur K. Srikrishnan |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Adolescent Cross-sectional study Sexual Behavior Population Psychological intervention India HIV Infections HIV incidence Logistic regression emerging‐adult Young Adult 03 medical and health sciences Risk-Taking 0302 clinical medicine Prevalence Humans Medicine Needle Sharing 030212 general & internal medicine Young adult Substance Abuse Intravenous education Research Articles young‐adult education.field_of_study Harm reduction 030505 public health Unsafe Sex business.industry Incidence injection drug users Age Factors 1. No poverty Public Health Environmental and Occupational Health Odds ratio injection risks Confidence interval 3. Good health Cross-Sectional Studies Infectious Diseases sexual risks Female 0305 other medical science business Research Article Demography |
| Zdroj: | Journal of the International AIDS Society |
| ISSN: | 1758-2652 |
| Popis: | Introduction There are limited data on young people who inject drugs (PWID) from low‐ and middle‐income countries where injection drug use remains a key driver of new HIV infections. India has a diverse injection drug use epidemic and estimates suggest that at least half of PWID are ≤30 years of age. We compared injection and sexual risk behaviours and HIV incidence between younger and older PWID and characterized uptake of HIV testing and harm reduction services to inform targeted HIV prevention efforts. Methods We analysed cross‐sectional data from 14,381 PWID recruited from cities in the Northeast and North/Central regions of India in 2013 using respondent driven sampling (RDS). We compared “emerging‐adult” (18 to 24 years, 26% of sample) and “young‐adult” PWID (25 to 30 years, 30% of sample) to older PWID (>30 years, 44% of sample) using logistic regression to evaluate factors associated with three recent risk behaviours: needle‐sharing, multiple sexual partners and unprotected sex. We estimated age‐stratified cross‐sectional HIV incidence using a validated multi‐assay algorithm. Results Compared to older adults, emerging‐adults in the Northeastern states were significantly more likely to share needles (males adjusted odds ratio [aOR] 1.82; females aOR 2.29, p |
| Databáze: | OpenAIRE |
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