Titre du document / Document title

Injecting equipment sharing among injecting drug users in Togliatti City, Russian Federation: Maximizing the protective effects of syringe distribution

Auteur(s) / Author(s)

RHODES Tim ⁽¹⁾ ; JUDD Ali ⁽¹⁾ ; MIKHAILOVA Larissa ^{(2 3)} ; SARANG Anya ⁽⁴⁾ ; KHUTORSKOY Mikhail ⁽⁵⁾ ; PLATT Lucy ⁽¹⁾ ; LOWNDES Catherine M. ⁽⁶⁾ ; RENTON Adrian ⁽¹⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ The Centre for Research on Drugs and Health Behaviour and Department for International Development Knowledge Programme in HIV/AIDS, Imperial College Faculty of Medicine, University of London, ROYAUME-UNI
⁽²⁾ City Narcological Services, Togliatti City, Samara Oblast, RUSSIE, FEDERATION DE
⁽³⁾ NGO Parents Against Drugs, Togliatti, RUSSIE, FEDERATION DE
⁽⁴⁾ AIDS Foundation East-West, Moscow, RUSSIE, FEDERATION DE
⁽⁵⁾ Togliatti City Administration and Department of Health, Togliatti Samara Oblast, ROYAUME-UNI
⁽⁶⁾ Communicable Disease Surveillance Centre, Central Public Health Laboratory, Colindale, ROYAUME-UNI

Résumé / Abstract

Objective: To compare risk factors for injecting equipment sharing among injecting drug users (IDUs) in Togliatti City, Russia. Design: Unlinked, anonymous, cross-sectional community-recruited survey with oral fluid sample collection. Methods: Between September and October 2001, 426 IDUs completed an interviewer-administered questionnaire and oral fluid samples were tested for HIV. Univariate and multivariate analyses compared potential risk factors for injecting equipment sharing. Results: More than half (56% [234/418]) of the sample were positive for antibodies to HIV. A third (36%) had injected with used needles and syringes in the last 4 weeks. IDUs who reported syringe exchanges or outreach workers as their main sources of new needles and syringes in the last 4 weeks had 0.3 times the odds of sharing compared with those obtaining them from a pharmacy or shop, whereas those whose main source was buying them from the streets or obtaining them from friends, sexual partners, or other drug users had 12 times the odds of receptive needle and syringe sharing. IDUs who reported being last arrested or detained by the police for a drug-related offense had higher odds of sharing. Conclusions: Findings highlight the delicate balance in HIV prevention between potentially competing strategies of law enforcement and syringe distribution.

Revue / Journal Title

Journal of acquired immune deficiency syndromes    ISSN  1525-4135 

Source / Source

2004, vol. 35, n^o3, pp. 293-300 [8 page(s) (article)] (42 ref.)

Langue / Language

Anglais

Editeur / Publisher

Lippincott Williams & Wilkins, Hagerstown, MD, ETATS-UNIS  (1999) (Revue)

Mots-clés anglais / English Keywords

Virology

;

Microbiology

;

Drug addiction

;

Mots-clés français / French Keywords

Virologie

;

Microbiologie

;

Toxicomanie

;

Mots-clés espagnols / Spanish Keywords

Virología

;

Microbiología

;

Toxicomanía

;

Mots-clés d'auteur / Author Keywords

injecting drug use

;

injecting risk behavior

;

Russia

;

HIV prevention

;

syringe exchange

;

Localisation / Location

INIST-CNRS, Cote INIST : 21576, 35400011355329.0110