Injecting drug users who are (un)aware of their HIV serostatus: findings from the multi-center study AjUDE-Brasil II
Autor(a) principal: | |
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Data de Publicação: | 2006 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2737 |
Resumo: | This study aimed to characterize the profiles of injecting drug users (IDUs) who were unaware of their HIV serostatus, given the importance of this information for prevention strategies, especially in this vulnerable population, key to the HIV/AIDS dynamic. As part of a cross-sectional multi-city survey, IDUs were interviewed and HIV-tested by the ELISA technique. IDUs were categorized according to knowledge of their own HIV status as either aware or unaware. Means, averages, and proportions were compared between the groups using bi- and multivariate analyses. Of 857 IDUs interviewed, 34.2% were unaware of their HIV serostatus. Those who were unaware were more likely: to have been recruited at sites where the HIV prevalence rate was considered medium (> 10 to 50%; odds ratio = 8.0) or high (> 50%; 4.0); to be illiterate (OR = 4.54); to have no prior HIV test (OR = 2.22); to be male (OR = 1.81); and to have been enrolled more recently in syringe-exchange programs (OR = 1.69). HIV prevention programs should target both individuals at risk and HIV-positive individuals. Programs to expand access to HIV testing are pivotal and should be tailored to specific contexts and populations. |
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Injecting drug users who are (un)aware of their HIV serostatus: findings from the multi-center study AjUDE-Brasil IIAIDS SerodiagnosisIntravenous Substance AbuseAcquired Immunodeficiency SyndromeHIVThis study aimed to characterize the profiles of injecting drug users (IDUs) who were unaware of their HIV serostatus, given the importance of this information for prevention strategies, especially in this vulnerable population, key to the HIV/AIDS dynamic. As part of a cross-sectional multi-city survey, IDUs were interviewed and HIV-tested by the ELISA technique. IDUs were categorized according to knowledge of their own HIV status as either aware or unaware. Means, averages, and proportions were compared between the groups using bi- and multivariate analyses. Of 857 IDUs interviewed, 34.2% were unaware of their HIV serostatus. Those who were unaware were more likely: to have been recruited at sites where the HIV prevalence rate was considered medium (> 10 to 50%; odds ratio = 8.0) or high (> 50%; 4.0); to be illiterate (OR = 4.54); to have no prior HIV test (OR = 2.22); to be male (OR = 1.81); and to have been enrolled more recently in syringe-exchange programs (OR = 1.69). HIV prevention programs should target both individuals at risk and HIV-positive individuals. Programs to expand access to HIV testing are pivotal and should be tailored to specific contexts and populations.Este estudo busca caracterizar o perfil de usuários de drogas injetáveis (UDIs) que desconhecem seu status sorológico para a infecção pelo HIV, em virtude da importância desta população na dinâmica da epidemia de HIV/AIDS e do conhecimento da sorologia como estratégia preventiva. Foram analisadas informações do Projeto AjUDE-Brasil II, estudo seccional multicêntrico, obtidas mediante questionário e teste sorológico para diagnóstico do HIV (ELISA). Os UDIs foram agrupados em: (1) UDIs que desconheciam seu sorostatus para a infecção pelo HIV e (2) UDIs que o conheciam. Foram realizadas comparações de médias, medianas e proporções, análises bivariadas e multivariadas. Dos 857 UDIs, 34,2% desconheciam sua sorologia. Estes apresentaram, significativamente, uma maior chance de terem sido recrutados de locais onde a prevalência do HIV era considerada média (OR = 8,0) e alta (OR = 4,0); de serem do sexo masculino (OR = 1,8); de freqüentarem há menos tempo os programas de redução de danos (OR = 1,7), de nunca terem realizado o teste anti-HIV (OR = 2,2) e de nunca terem estudado (OR = 4,5). Estratégias preventivas devem ser elaboradas visando aos diferentes fatores associados ao desconhecimento do status sorológico, principalmente levando em consideração o contexto em que o UDIs está inserido.Reports in Public HealthCadernos de Saúde Pública2006-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2737Reports in Public Health; Vol. 22 No. 4 (2006): AprilCadernos de Saúde Pública; v. 22 n. 4 (2006): Abril1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2737/5502https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2737/5503Ferreira, Aline DayrellCaiaffa, Waleska TeixeiraBastos, Francisco I.Mingoti, Sueli Aparecidainfo:eu-repo/semantics/openAccess2024-03-06T15:27:12Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/2737Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:03:11.254436Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Injecting drug users who are (un)aware of their HIV serostatus: findings from the multi-center study AjUDE-Brasil II |
title |
Injecting drug users who are (un)aware of their HIV serostatus: findings from the multi-center study AjUDE-Brasil II |
spellingShingle |
Injecting drug users who are (un)aware of their HIV serostatus: findings from the multi-center study AjUDE-Brasil II Ferreira, Aline Dayrell AIDS Serodiagnosis Intravenous Substance Abuse Acquired Immunodeficiency Syndrome HIV |
title_short |
Injecting drug users who are (un)aware of their HIV serostatus: findings from the multi-center study AjUDE-Brasil II |
title_full |
Injecting drug users who are (un)aware of their HIV serostatus: findings from the multi-center study AjUDE-Brasil II |
title_fullStr |
Injecting drug users who are (un)aware of their HIV serostatus: findings from the multi-center study AjUDE-Brasil II |
title_full_unstemmed |
Injecting drug users who are (un)aware of their HIV serostatus: findings from the multi-center study AjUDE-Brasil II |
title_sort |
Injecting drug users who are (un)aware of their HIV serostatus: findings from the multi-center study AjUDE-Brasil II |
author |
Ferreira, Aline Dayrell |
author_facet |
Ferreira, Aline Dayrell Caiaffa, Waleska Teixeira Bastos, Francisco I. Mingoti, Sueli Aparecida |
author_role |
author |
author2 |
Caiaffa, Waleska Teixeira Bastos, Francisco I. Mingoti, Sueli Aparecida |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Ferreira, Aline Dayrell Caiaffa, Waleska Teixeira Bastos, Francisco I. Mingoti, Sueli Aparecida |
dc.subject.por.fl_str_mv |
AIDS Serodiagnosis Intravenous Substance Abuse Acquired Immunodeficiency Syndrome HIV |
topic |
AIDS Serodiagnosis Intravenous Substance Abuse Acquired Immunodeficiency Syndrome HIV |
description |
This study aimed to characterize the profiles of injecting drug users (IDUs) who were unaware of their HIV serostatus, given the importance of this information for prevention strategies, especially in this vulnerable population, key to the HIV/AIDS dynamic. As part of a cross-sectional multi-city survey, IDUs were interviewed and HIV-tested by the ELISA technique. IDUs were categorized according to knowledge of their own HIV status as either aware or unaware. Means, averages, and proportions were compared between the groups using bi- and multivariate analyses. Of 857 IDUs interviewed, 34.2% were unaware of their HIV serostatus. Those who were unaware were more likely: to have been recruited at sites where the HIV prevalence rate was considered medium (> 10 to 50%; odds ratio = 8.0) or high (> 50%; 4.0); to be illiterate (OR = 4.54); to have no prior HIV test (OR = 2.22); to be male (OR = 1.81); and to have been enrolled more recently in syringe-exchange programs (OR = 1.69). HIV prevention programs should target both individuals at risk and HIV-positive individuals. Programs to expand access to HIV testing are pivotal and should be tailored to specific contexts and populations. |
publishDate |
2006 |
dc.date.none.fl_str_mv |
2006-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2737 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2737 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2737/5502 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2737/5503 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 22 No. 4 (2006): April Cadernos de Saúde Pública; v. 22 n. 4 (2006): Abril 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1798943356902965248 |