HIV SEROPREVALENCE IN A SAMPLE OF TANZANIAN INTRAVENOUS DRUG USERS

Injection drug use has recently emerged in sub-Saharan Africa. The purpose of this study was to assess the factors associated with increased risk of testing HIV-positive in a sample of injection drug users (IDUs) in Dar es Salaam, Tanzania. Participants were recruited by a trained outreach worker or...

Full description

Saved in:
Bibliographic Details
Published in:AIDS education and prevention 2009-10, Vol.21 (5), p.474-483
Main Authors: WILLIAMS, Mark L, MCCURDY, Sheryl A, BOWEN, Anne M, KILONZO, Gad P, ATKINSON, John S, ROSS, Michael W, LESHABARI, M. T
Format: Article
Language:English
Subjects:
Acquired Immune Deficiency Syndrome
Addictive behaviors
Adult
Adult and adolescent clinical studies
African Languages
AIDS
AIDS Serodiagnosis - methods
AIDS Serodiagnosis - statistics & numerical data
Biological and medical sciences
Drug Abuse
Drug addiction
Drug addictions
Drug Injection
Drug use
Drug Users - statistics & numerical data
Epidemics
Female
Health promotion
HIV
HIV Seropositivity - epidemiology
HIV Seroprevalence
Human immunodeficiency virus
Human viral diseases
Humans
Infectious diseases
Logistic Models
Male
Marital Status
Medical Evaluation
Medical sciences
Multivariate Analysis
Narcotics
Needle exchange programs
Neighborhoods
Pretests Posttests
Prevention
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public health
Questionnaires
Risk Factors
Sampling
Sexual Behavior
Sexuality
Sexually Transmitted Diseases
Social Networks
Social Support
Socioeconomic Factors
Studies
Substance Abuse, Intravenous - epidemiology
Support Networks
Tanzania
Tanzania - epidemiology
Toxicology
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Injection drug use has recently emerged in sub-Saharan Africa. The purpose of this study was to assess the factors associated with increased risk of testing HIV-positive in a sample of injection drug users (IDUs) in Dar es Salaam, Tanzania. Participants were recruited by a trained outreach worker or were referred by IDUs who had completed the study. Blood specimens and self-reported socioeconomic and behavioral data were collected from 315 male and 219 female IDUs. Data were analyzed using univariate odds ratios and multivariate logistic regression modeling. Forty-two percent of the sample tested HIV-positive. Several socioeconomic, injection, and sexual factors were found to be associated with increased odds of testing HIV-positive. Multivariate analysis showed that having had sex more than 81 times in past 30 days, earning less than 100,000 shillings (US$76) in the past month, residency in Dar es Salaam for less than 5 years, and injecting for 3 years were independently associated with the greatest risk of infection. The rate of HIV infection in this sample of IDUs was found to be very high, suggesting that injection drug use may be a factor in the continuing epidemic in sub-Saharan Africa. The factors associated with increased risk of HIV infection suggest further research is needed on the needle use and sexual networks of IDUs.
ISSN:0899-9546
1943-2755
DOI:10.1521/aeap.2009.21.5.474