Sexual Behavior and Risks for HIV Infection and Transmission Among Male Injecting Drug Users in Yunnan, China

Overview

Journal Int J Infect Dis

Publisher Elsevier

Specialty Infectious Diseases

Date 2008 Sep 10

PMID 18778963

Citations 28

Authors

Yan Yao

Ning Wang

Jennifer Chu

Guowei Ding

Xia Jin

Yongli Sun

Guixiang Wang

Junjie Xu

Kumi Smith

Affiliations

Soon will be listed here.

Abstract

Objectives: To analyze the risk factors, particularly sexual behaviors, associated with HIV infection, and to describe the risks for HIV transmission among male injecting drug users (IDUs) in China.

Methods: A cross-sectional study of 314 IDUs in Yunnan Province was conducted. Information on demographics, HIV serostatus, and sexual and drug-using behaviors was collected.

Results: HIV prevalence among the study subjects was 59.9%. HIV infection was associated with older age (> or = 27 years), early drug initiation (at < or = 20 years of age), and frequent injection (> or = once a day). Thirty-seven percent reported multiple sexual partners. Consistent condom use rates were lowest with regular partners (23.8%), followed by 42.5% with casual partners, and 57.3% with female sex workers. Ninety-eight percent of subjects received high 'HIV knowledge' scores. Few of the subjects who needed medical care sought it out.

Conclusions: Despite awareness of HIV, needle sharing and unprotected sex persist in the population, and the HIV prevalence is high. Further interventions should not only seek to educate but also to reduce high-risk behaviors.

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References

Yin L, Qin G, Qian H, Zhu Y, Hu W, Zhang L . Continued spread of HIV among injecting drug users in southern Sichuan Province, China. Harm Reduct J. 2007; 4:6. PMC: 1802748. DOI: 10.1186/1477-7517-4-6. View

Strathdee S, Sherman S . The role of sexual transmission of HIV infection among injection and non-injection drug users. J Urban Health. 2004; 80(4 Suppl 3):iii7-14. PMC: 3456264. DOI: 10.1093/jurban/jtg078. View

Colon H, Robles R, Marrero C, Reyes J, Sahai H . Behavioral effects of receiving HIV test results among injecting drug users in Puerto Rico. AIDS. 1996; 10(10):1163-8. View

Rhodes T, Donoghoe M, Hunter G, Stimson G . Continued risk behaviour among HIV positive drug injectors in London: implications for intervention. Addiction. 1993; 88(11):1553-60. DOI: 10.1111/j.1360-0443.1993.tb03141.x. View

Zhao C, Liu Z, Zhao D, Liu Y, Liang J, Tang Y . Drug abuse in China. Ann N Y Acad Sci. 2004; 1025:439-45. DOI: 10.1196/annals.1316.054. View

Rosengard C, Anderson B, Stein M . Intravenous drug users' HIV-risk behaviors with primary/other partners. Am J Drug Alcohol Abuse. 2004; 30(2):225-36. PMC: 1351211. DOI: 10.1081/ada-120037375. View

Liu H, Grusky O, Li X, Ma E . Drug users: a potentially important bridge population in the transmission of sexually transmitted diseases, including AIDS, in China. Sex Transm Dis. 2006; 33(2):111-7. DOI: 10.1097/01.olq.0000199762.28231.ee. View

Flom P, Friedman S, Kottiri B, Neaigus A, Curtis R, Des Jarlais D . Stigmatized drug use, sexual partner concurrency, and other sex risk network and behavior characteristics of 18- to 24-year-old youth in a high-risk neighborhood. Sex Transm Dis. 2001; 28(10):598-607. DOI: 10.1097/00007435-200110000-00006. View

Harcourt C, Donovan B . The many faces of sex work. Sex Transm Infect. 2005; 81(3):201-6. PMC: 1744977. DOI: 10.1136/sti.2004.012468. View

10.

Yu X, Wang X, Mao P, Wang S, Li Z, Zhang J . Characterization of HIV type 1 heterosexual transmission in Yunnan, China. AIDS Res Hum Retroviruses. 2003; 19(11):1051-5. DOI: 10.1089/088922203322588422. View

11.

Beyrer C, Razak M, Lisam K, Chen J, Lui W, Yu X . Overland heroin trafficking routes and HIV-1 spread in south and south-east Asia. AIDS. 2000; 14(1):75-83. DOI: 10.1097/00002030-200001070-00009. View

12.

Lollis C, Strothers H, Chitwood D, McGhee M . Sex, drugs, and HIV: does methadone maintenance reduce drug use and risky sexual behavior?. J Behav Med. 2001; 23(6):545-57. DOI: 10.1023/a:1005555519831. View

13.

Ngo A, McCurdy S, Ross M, Markham C, Ratliff E, Pham H . The lives of female sex workers in Vietnam: Findings from a qualitative study. Cult Health Sex. 2007; 9(6):555-70. DOI: 10.1080/13691050701380018. View

14.

Kapadia F, Latka M, Hudson S, Golub E, CAMPBELL J, Bailey S . Correlates of consistent condom use with main partners by partnership patterns among young adult male injection drug users from five US cities. Drug Alcohol Depend. 2007; 91 Suppl 1:S56-63. DOI: 10.1016/j.drugalcdep.2007.01.004. View

15.

Purcell D, Mizuno Y, Metsch L, Garfein R, Tobin K, Knight K . Unprotected sexual behavior among heterosexual HIV-positive injection drug using men: associations by partner type and partner serostatus. J Urban Health. 2006; 83(4):656-68. PMC: 2430482. DOI: 10.1007/s11524-006-9066-1. View

16.

Lau J, Feng T, Lin X, Wang Q, Tsui H . Needle sharing and sex-related risk behaviours among drug users in Shenzhen, a city in Guangdong, southern China. AIDS Care. 2005; 17(2):166-81. DOI: 10.1080/09540120512331325662. View

17.

Zheng X, Tian C, Choi K, Zhang J, Cheng H, Yang X . Injecting drug use and HIV infection in southwest China. AIDS. 1994; 8(8):1141-7. DOI: 10.1097/00002030-199408000-00017. View

18.

Des Jarlais D . Structural interventions to reduce HIV transmission among injecting drug users. AIDS. 2000; 14 Suppl 1:S41-6. DOI: 10.1097/00002030-200006001-00006. View

19.

Gao H, Wang N, Shi X, Yang Z, Qian H, Zhao R . [Study on sexual behavior and HIV/STIs among miners in Yunnan province]. Zhonghua Liu Xing Bing Xue Za Zhi. 2006; 27(1):5-8. View

20.

Booth R . Gender differences in high-risk sex behaviours among heterosexual drug injectors and crack smokers. Am J Drug Alcohol Abuse. 1995; 21(4):419-32. DOI: 10.3109/00952999509002708. View