HIV Risk Behaviors, Perceived Severity of Drug Use Problems, and Prior Treatment Experience in a Sample of Young Heroin Injectors in Dar Es Salaam, Tanzania

Overview

Journal Afr J Drug Alcohol Stud

Date 2012 Oct 2

PMID 23024611

Citations 17

Authors

John Atkinson

Sheryl McCurdy

Mark Williams

Jessie Mbwambo

Gad Kilonzo

Affiliations

Soon will be listed here.

Abstract

Interviews were conducted with 203 male and 95 female heroin injectors aged 17 to 25 in Dar es Salaam, Tanzania. Nearly one-quarter of participants reported injecting with needles used by someone else. Few reported cleaning needles with bleach. Multiple sexual partnerships, unprotected sex, and trading sex for money were especially present among women, the majority (55%) of whom was HIV seropositive. Self reports suggest the presence of heroin dependence among users. While most participants expressed a desire to quit their use, only 14 (5%) had been in treatment. There appears to be a large unmet need for heroin use treatment. These findings need to be considered in light of a potential forthcoming wave of heroin injection in sub-Saharan Africa.

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References

Darke S . Self-report among injecting drug users: a review. Drug Alcohol Depend. 1998; 51(3):253-63; discussion 267-8. DOI: 10.1016/s0376-8716(98)00028-3. View

Cunningham-Williams R, Cottler L, Compton W, Desmond D, Wechsberg W, Zule W . Reaching and enrolling drug users for HIV prevention: a multi-site analysis. Drug Alcohol Depend. 1999; 54(1):1-10. DOI: 10.1016/s0376-8716(98)00149-5. View

Williams M, McCurdy S, Bowen A, Kilonzo G, Atkinson J, Ross M . HIV seroprevalence in a sample of Tanzanian intravenous drug users. AIDS Educ Prev. 2009; 21(5):474-83. PMC: 2862568. DOI: 10.1521/aeap.2009.21.5.474. View

MORSE E, Morse P, Burchfiel K, Zeanah P . Behavioral factors affecting HIV prevention for adolescent and young adult IDUs. J Assoc Nurses AIDS Care. 1998; 9(3):77-90. DOI: 10.1016/S1055-3290(98)80022-8. View

Fennema J, van Ameijden E, van den Hoek A, Coutinho R . Young and recent-onset injecting drug users are at higher risk for HIV. Addiction. 1998; 92(11):1457-65. View

Ross M, McCurdy S, Kilonzo G, Williams M, Leshabari M . Drug use careers and blood-borne pathogen risk behavior in male and female Tanzanian heroin injectors. Am J Trop Med Hyg. 2008; 79(3):338-43. View

Siegal H, Falck R, Wang J, Carlson R . Predictors of drug abuse treatment entry among crack-cocaine smokers. Drug Alcohol Depend. 2002; 68(2):159-66. DOI: 10.1016/s0376-8716(02)00192-8. View

Bowser B, Ryan L, Smith C, Lockett G . Outreach-based drug treatment for sex trading women: the Cal-Pep risk-reduction demonstration project. Int J Drug Policy. 2008; 19(6):492-5. DOI: 10.1016/j.drugpo.2007.07.007. View

Williams M, Ross M, Atkinson J, Bowen A, Klovdahl A, Timpson S . An investigation of concurrent sex partnering in two samples of drug users having large numbers of sex partners. Int J STD AIDS. 2006; 17(5):309-14. DOI: 10.1258/095646206776790123. View

10.

Rondinelli A, Ouellet L, Strathdee S, Latka M, Hudson S, Hagan H . Young adult injection drug users in the United States continue to practice HIV risk behaviors. Drug Alcohol Depend. 2009; 104(1-2):167-74. DOI: 10.1016/j.drugalcdep.2009.05.013. View

11.

Rothman J, Rudnick D, Slifer M, Agins B, Heiner K, Birkhead G . Co-located substance use treatment and HIV prevention and primary care services, New York State, 1990-2002: a model for effective service delivery to a high-risk population. J Urban Health. 2007; 84(2):226-42. PMC: 2231631. DOI: 10.1007/s11524-006-9137-3. View

12.

Fuller C, Vlahov D, Latkin C, Ompad D, Celentano D, Strathdee S . Social circumstances of initiation of injection drug use and early shooting gallery attendance: implications for HIV intervention among adolescent and young adult injection drug users. J Acquir Immune Defic Syndr. 2003; 32(1):86-93. DOI: 10.1097/00126334-200301010-00013. View

13.

Gyarmathy V, Neaigus A . The relationship of sexual dyad and personal network characteristics and individual attributes to unprotected sex among young injecting drug users. AIDS Behav. 2007; 13(2):196-206. PMC: 2651987. DOI: 10.1007/s10461-007-9285-9. View

14.

Sadler G, Lee H, Lim R, Fullerton J . Recruitment of hard-to-reach population subgroups via adaptations of the snowball sampling strategy. Nurs Health Sci. 2010; 12(3):369-74. PMC: 3222300. DOI: 10.1111/j.1442-2018.2010.00541.x. View

15.

Hilton B, Thompson R, Janzen R . Harm reduction theories and strategies for control of human immunodeficiency virus: a review of the literature. J Adv Nurs. 2001; 33(3):357-70. DOI: 10.1046/j.1365-2648.2001.01672.x. View

16.

Williams M, McCurdy S, Atkinson J, Kilonzo G, Leshabari M, Ross M . Differences in HIV risk behaviors by gender in a sample of Tanzanian injection drug users. AIDS Behav. 2006; 11(1):137-44. DOI: 10.1007/s10461-006-9102-x. View

17.

Wechsberg W, Zule W, Riehman K, Luseno W, Lam W . African-American crack abusers and drug treatment initiation: barriers and effects of a pretreatment intervention. Subst Abuse Treat Prev Policy. 2007; 2:10. PMC: 1847815. DOI: 10.1186/1747-597X-2-10. View

18.

McCurdy S, Ross M, Williams M, Kilonzo G, Leshabari M . Flashblood: blood sharing among female injecting drug users in Tanzania. Addiction. 2010; 105(6):1062-70. PMC: 4407801. DOI: 10.1111/j.1360-0443.2010.02908.x. View

19.

Parry C, Petersen P, Carney T, Dewing S, Needle R . Rapid assessment of drug use and sexual HIV risk patterns among vulnerable drug-using populations in Cape Town, Durban and Pretoria, South Africa. SAHARA J. 2008; 5(3):113-9. DOI: 10.1080/17290376.2008.9724909. View

20.

Parry C, Dewing S, Petersen P, Carney T, Needle R, Kroeger K . Rapid assessment of HIV risk behavior in drug using sex workers in three cities in South Africa. AIDS Behav. 2008; 13(5):849-59. DOI: 10.1007/s10461-008-9367-3. View