Characteristics of high-risk HIV-Positive IDUs in vietnam: Implications for future interventions

Vivian F. Go, Constantine Frangakis, Le Van Nam, Teerada Sripaipan, Anna Bergenstrom, Fan Li, Carl Latkin, David D. Celentano, Vu Minh Quan

Research output: Contribution to journalArticle

Abstract

The HIV epidemic in Vietnam is concentrated primarily among injecting drug users (IDUs). To prevent HIV-1 superinfection and to develop effective HIV prevention programs, data are needed to understand the characteristics of high-risk HIV-positive IDUs. In 2003, we conducted a community-based cross-sectional study among predominately male, out-of-treatment IDUs, aged 18-45, in the Bac Ninh Province, Vietnam. Among 299 male participants, 42.8% were HIV-positive, and among those, 96.9% did not know their status prior to the study. Furthermore, 32% were HIV-positive and had high HIV behavioral risk (having unprotected sex or having shared injecting equipment in the past 6 months). Injecting for ≥3 years, younger age, and pooling money to buy drugs were independently associated with being at high risk for transmitting HIV. IDUs who purchased more than one syringe at a time were less likely to have high HIV behavioral risk. Structural interventions that increase syringe accessibility may be effective in reducing HIV risk behavior among HIV-positive IDUs. Study limitations are noted in the article. copyright

Original languageEnglish (US)
Pages (from-to)381-389
Number of pages9
JournalSubstance Use and Misuse
Volume46
Issue number4
DOIs
StatePublished - Feb 8 2011

Keywords

  • HIV
  • HIV-positive
  • Vietnam
  • injecting drug users

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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