Sexual behavior among injection drug users in 3 indonesian cities carries a high potential for HIV spread to noninjectors.


Pisani, E; Dadun, ; Sucahya, PK; Kamil, O; Jazan, S; (2003) Sexual behavior among injection drug users in 3 indonesian cities carries a high potential for HIV spread to noninjectors. Lippincott, Williams & Wilkins.

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Abstract

To establish the prevalence of injecting practices that carry a risk of HIV infection among injection drug users (IDUs) in Indonesia and to examine the risk of sexual transmission of HIV from IDUs to noninjecting populations. A first round of behavioral surveillance among community-recruited male IDUs in 3 cities. In late 2002, IDU gathering places were mapped in 3 cities, and 650 IDUs were recruited using multiple wave sampling originating from sites systematically selected for diversity. Trained interviewers, mostly former IDUs, administered a questionnaire focusing on injecting practices, sexual behavior, and HIV-related knowledge. Almost all IDUs knew that HIV is transmissible through shared needles, but 85% of injectors reported using a syringe previously used by another IDU in the previous week. Over two thirds of IDUs were sexually active, 48% reported multiple partners, and 40% had bought sex from a female sex worker in the preceding 12 months. Consistent condom use was reported by 10%. The potential for the sexual spread of HIV from IDUs to noninjectors is extremely high in Indonesia. Interventions are urgently needed to reduce high levels of needle sharing, but a focus on needle cleaning and increasing condom use among IDUs is also essential.

Item Type: Other
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Nutrition and Public Health Interventions Research (2003-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
PubMed ID: 14615658
URI: http://researchonline.lshtm.ac.uk/id/eprint/4647063

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