The role of ‘‘long-term’’ and ‘‘new’’ injectors in a declining HIV/AIDS epidemic in Rio de Janeiro, Brazil

Detalhes bibliográficos
Autor(a) principal: Vilas-Boas Hacker, Mariana de Andrea
Data de Publicação: 2005
Outros Autores: Friedman, Samuel R., Dias, Paulo Roberto Telles Pires, Teixeira, Sylvia Lopes Maia, Bongertz, Vera, Morgado, Mariza Gonçalves, Bastos, Francisco Inácio Pinkusfeld Monteiro
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/622
Resumo: MARIANA A. HACKER,1 SAMUEL R. FRIEDMAN,2 PAULO ROBERTO TELLES,3 SYLVIA LOPES TEIXEIRA,4 VERA BONGERTZ,4 MARIZA G. MORGADO,4 AND FRANCISCO INÁCIO BASTOS1 - 1Department of Health Information, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil - 2National Development Research Institutes, Inc., New York City, New York, USA - 3Rio de Janeiro Harm Reduction Project, State University of Rio de Janeiro, Rio de Janeiro, Brazil - 4Department of Immunology, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
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spelling Vilas-Boas Hacker, Mariana de AndreaFriedman, Samuel R.Dias, Paulo Roberto Telles PiresTeixeira, Sylvia Lopes MaiaBongertz, VeraMorgado, Mariza GonçalvesBastos, Francisco Inácio Pinkusfeld Monteiro2010-08-23T16:58:32Z2010-11-04T14:20:05Z2010-11-04T14:20:05Z2010-08-23T16:58:32Z2005VILAS-BOAS HACKER, Mariana de Andrea et al. The role of ‘‘long-term’’ and ‘‘new’’ injectors in a declining HIV/AIDS epidemic in Rio de Janeiro, Brazil. Substance Use & Misuse, New York, v. 40, p. 99–123, 2005.1532-2491 (Online)https://www.arca.fiocruz.br/handle/icict/62210.1081/LSUM-200030511MARIANA A. HACKER,1 SAMUEL R. FRIEDMAN,2 PAULO ROBERTO TELLES,3 SYLVIA LOPES TEIXEIRA,4 VERA BONGERTZ,4 MARIZA G. MORGADO,4 AND FRANCISCO INÁCIO BASTOS1 - 1Department of Health Information, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil - 2National Development Research Institutes, Inc., New York City, New York, USA - 3Rio de Janeiro Harm Reduction Project, State University of Rio de Janeiro, Rio de Janeiro, Brazil - 4Department of Immunology, Oswaldo Cruz Foundation, Rio de Janeiro, BrazilBackground. A substantial decline of HIV prevalence has been observed in injection drug users (IDUs) from Rio de Janeiro, in recent years. Differential characteristics and behaviors of new (injecting for <6 years) and long-term (>¼6 y) injectors may help to understand recent changes and to implement appropriate prevention strategies. recruited from different communities, interviewed, and tested for HIV. Contingency table analysis and t-tests were used to assess differences between new and long-term injectors. Multiple logistic regression was used to identify independent predictors of HIV serostatus for long-term and new injectors. Results. HIV prevalence was 11.7% for 309 long-term injectors (95% CI 8.1– 15.3) and 4.3% for 300 new injectors (95% CI 2.0–6.6). New injectors reported having engaged in treatment and having received syringes from needle exchange programs (NEPs) more frequently than long-term injectors in the last 6 months, but sharing behaviors remained frequent and even increased vis-a`-vis long-term injectors. For male new injectors, ‘‘sexual intercourse with another man’’ was found to be the sole significant risk factor for HIV infection (Adj OR¼8.03; 95% CI 1.52–42.48). Among male long-term injectors, ‘‘to have ever injected with anyone infected with HIV’’ (Adj OR¼3.91; 95% CI 1.09–14.06) and to have ‘‘ever been in prison’’ (Adj OR¼2.56; 95% CI 1.05–6.24) were found to be significantly associated with HIV infection. Discussion. New injectors are seeking help in drug treatment centers or needle exchange programs. They differ from long-term injectors in terms of their risk factors for HIV infection and have lower prevalence levels for HIV. Such differences may help to understand the recent dynamics of HIV/AIDS in this population and highlight the need to reinforce new injectors’ help-seeking behavior and to reduce current unacceptably high levels of unprotected sex and syringe sharing in new injectors despite attendance of prevention/treatment programs.The project in its different phases and components was funded by the Oswaldo Cruz Foundation/Brazilian Ministry of Health, the Rio de Janeiro State Research Council (FAPERJ) and the National Research Council (CNPq), and the World Health Organization (WHO). SRF was supported by the US National Institute on Drug Abuse grants R01 DA03574 (Risk Factors for AIDS Among Intravenous Drug Users) and R01 DA13128 (Networks, Norms and HIV Risk Among Youth).Oswaldo Cruz Foundation. Department of Health Information. Rio de Janeiro, RJ, Brazil.National Development Research Institutes, Inc., New York City, New York, USAState University of Rio de Janeiro. Rio de Janeiro Harm Reduction Project. Rio de Janeiro, RJ, Brazil.Department of Immunology, Oswaldo Cruz Foundation, Rio de Janeiro, BrazilDepartment of Immunology, Oswaldo Cruz Foundation, Rio de Janeiro, BrazilDepartment of Immunology, Oswaldo Cruz Foundation, Rio de Janeiro, BrazilOswaldo Cruz Foundation. Department of Health Information. Rio de Janeiro, RJ, Brazil.engTaylor & Francis Inc.HIVAidsnew injectorspreventionWHO drug injection study phase IIThe role of ‘‘long-term’’ and ‘‘new’’ injectors in a declining HIV/AIDS epidemic in Rio de Janeiro, Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZTEXTBastos_The role_2005.pdf.txtBastos_The role_2005.pdf.txtExtracted texttext/plain73471https://www.arca.fiocruz.br/bitstream/icict/622/6/Bastos_The%20role_2005.pdf.txt51dfb84cb2f0d50ce1d14e4660cdea9dMD56ORIGINALBastos_The role_2005.pdfapplication/pdf290103https://www.arca.fiocruz.br/bitstream/icict/622/2/Bastos_The%20role_2005.pdf41a70ae3327517ebfee5917d9b96b702MD52LICENSElicense.txttext/plain1842https://www.arca.fiocruz.br/bitstream/icict/622/3/license.txte9b25f9982fe169d83a2786470bbe0baMD53THUMBNAILBastos_The role_2005.pdf.jpgBastos_The role_2005.pdf.jpgGenerated Thumbnailimage/jpeg1570https://www.arca.fiocruz.br/bitstream/icict/622/5/Bastos_The%20role_2005.pdf.jpg86ed363dd72e1e443e6b816ec6adad2cMD55icict/6222023-08-03 11:44:59.807oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-08-03T14:44:59Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv The role of ‘‘long-term’’ and ‘‘new’’ injectors in a declining HIV/AIDS epidemic in Rio de Janeiro, Brazil
title The role of ‘‘long-term’’ and ‘‘new’’ injectors in a declining HIV/AIDS epidemic in Rio de Janeiro, Brazil
spellingShingle The role of ‘‘long-term’’ and ‘‘new’’ injectors in a declining HIV/AIDS epidemic in Rio de Janeiro, Brazil
Vilas-Boas Hacker, Mariana de Andrea
HIV
Aids
new injectors
prevention
WHO drug injection study phase II
title_short The role of ‘‘long-term’’ and ‘‘new’’ injectors in a declining HIV/AIDS epidemic in Rio de Janeiro, Brazil
title_full The role of ‘‘long-term’’ and ‘‘new’’ injectors in a declining HIV/AIDS epidemic in Rio de Janeiro, Brazil
title_fullStr The role of ‘‘long-term’’ and ‘‘new’’ injectors in a declining HIV/AIDS epidemic in Rio de Janeiro, Brazil
title_full_unstemmed The role of ‘‘long-term’’ and ‘‘new’’ injectors in a declining HIV/AIDS epidemic in Rio de Janeiro, Brazil
title_sort The role of ‘‘long-term’’ and ‘‘new’’ injectors in a declining HIV/AIDS epidemic in Rio de Janeiro, Brazil
author Vilas-Boas Hacker, Mariana de Andrea
author_facet Vilas-Boas Hacker, Mariana de Andrea
Friedman, Samuel R.
Dias, Paulo Roberto Telles Pires
Teixeira, Sylvia Lopes Maia
Bongertz, Vera
Morgado, Mariza Gonçalves
Bastos, Francisco Inácio Pinkusfeld Monteiro
author_role author
author2 Friedman, Samuel R.
Dias, Paulo Roberto Telles Pires
Teixeira, Sylvia Lopes Maia
Bongertz, Vera
Morgado, Mariza Gonçalves
Bastos, Francisco Inácio Pinkusfeld Monteiro
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Vilas-Boas Hacker, Mariana de Andrea
Friedman, Samuel R.
Dias, Paulo Roberto Telles Pires
Teixeira, Sylvia Lopes Maia
Bongertz, Vera
Morgado, Mariza Gonçalves
Bastos, Francisco Inácio Pinkusfeld Monteiro
dc.subject.other.pt_BR.fl_str_mv HIV
Aids
new injectors
prevention
WHO drug injection study phase II
topic HIV
Aids
new injectors
prevention
WHO drug injection study phase II
description MARIANA A. HACKER,1 SAMUEL R. FRIEDMAN,2 PAULO ROBERTO TELLES,3 SYLVIA LOPES TEIXEIRA,4 VERA BONGERTZ,4 MARIZA G. MORGADO,4 AND FRANCISCO INÁCIO BASTOS1 - 1Department of Health Information, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil - 2National Development Research Institutes, Inc., New York City, New York, USA - 3Rio de Janeiro Harm Reduction Project, State University of Rio de Janeiro, Rio de Janeiro, Brazil - 4Department of Immunology, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
publishDate 2005
dc.date.issued.fl_str_mv 2005
dc.date.accessioned.fl_str_mv 2010-08-23T16:58:32Z
2010-11-04T14:20:05Z
dc.date.available.fl_str_mv 2010-11-04T14:20:05Z
2010-08-23T16:58:32Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv VILAS-BOAS HACKER, Mariana de Andrea et al. The role of ‘‘long-term’’ and ‘‘new’’ injectors in a declining HIV/AIDS epidemic in Rio de Janeiro, Brazil. Substance Use & Misuse, New York, v. 40, p. 99–123, 2005.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/622
dc.identifier.issn.pt_BR.fl_str_mv 1532-2491 (Online)
dc.identifier.doi.pt_BR.fl_str_mv 10.1081/LSUM-200030511
identifier_str_mv VILAS-BOAS HACKER, Mariana de Andrea et al. The role of ‘‘long-term’’ and ‘‘new’’ injectors in a declining HIV/AIDS epidemic in Rio de Janeiro, Brazil. Substance Use & Misuse, New York, v. 40, p. 99–123, 2005.
1532-2491 (Online)
10.1081/LSUM-200030511
url https://www.arca.fiocruz.br/handle/icict/622
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dc.publisher.none.fl_str_mv Taylor & Francis Inc.
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