HIV prevalence and risks among injection and noninjection drug users in northern Thailand: Need for comprehensive HIV prevention programs

Myat Htoo Razak, Jaroon Jittiwutikam, Vinai Suriyanon, Tassanai Vongchak, Namtip Srirak, Christopher Beyrer, Surinda Kawichai, Sodsai Tovanabutra, Kittipong Rungruengthanakit, Pathom Sawanpanyalert, David D Celentano

Research output: Contribution to journalArticle

Abstract

The authors sought to determine sociodemographic and sexual and drug use risk factors for HIV infection among drug users in northern Thailand adjacent to the Golden Triangle. The authors enrolled patients admitted for inpatient drug detoxification at one treatment center in northern Thailand and studied HIV risks and prevalence using an interviewer-administered questionnaire and serum collection with HIV pretest and posttest counseling. Between February 1, 1999 and January 31, 2000, 1865 patients admitted for opiate and methamphetamine dependence completed study procedures. Overall HIV prevalence was 10.3%: 30.0% among 513 injection drug users (IDUs) and 2.8% among non-IDUs (OR = 14.8, 95% CI: 10.2, 21.6). HIV seroprevalence was 2.4% among exclusive methamphetamine users (98% of whom are nonIDUs) and 3.4% among opium smokers. Injection drug use was the dominant risk factor in multivariate models. Although Thailand is widely recognized as having a successful national response to the heterosexual HIV epidemic, seroprevalence in IDUs remains high. Despite a sharp increase of non-IDUs admitted to the drug treatment center, HIV infection and risks remained high among IDUs in northern Thailand. HIV prevention campaigns need to focus on IDUs and to implement harm reduction strategies to reduce transmission to IDUs and further contain the HIV epidemic in Thailand.

Original languageEnglish (US)
Pages (from-to)259-266
Number of pages8
JournalJournal of Acquired Immune Deficiency Syndromes
Volume33
Issue number2
StatePublished - Jun 1 2003

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Keywords

  • Adolescents
  • Ethnic minorities
  • HIV-1 prevalence
  • Injection drug use
  • Methamphetamines
  • Thailand

ASJC Scopus subject areas

  • Virology
  • Immunology

Cite this

Razak, M. H., Jittiwutikam, J., Suriyanon, V., Vongchak, T., Srirak, N., Beyrer, C., Kawichai, S., Tovanabutra, S., Rungruengthanakit, K., Sawanpanyalert, P., & Celentano, D. D. (2003). HIV prevalence and risks among injection and noninjection drug users in northern Thailand: Need for comprehensive HIV prevention programs. Journal of Acquired Immune Deficiency Syndromes, 33(2), 259-266.