Comparing sexual risks and patterns of alcohol and drug use between injection drug users (IDUs) and non-IDUs who report sexual partnerships with IDUs in St. Petersburg, Russia
<p>Abstract</p> <p>Background</p> <p>To date, the great majority of Russian HIV infections have been diagnosed among IDUs and concerns about the potential for a sexual transmission of HIV beyond the IDU population have increased. This study investigated differences in t...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2010-11-01
|
Series: | BMC Public Health |
Online Access: | http://www.biomedcentral.com/1471-2458/10/676 |
id |
doaj-6bb39ac5eb794316a78226c5587dd8a1 |
---|---|
record_format |
Article |
spelling |
doaj-6bb39ac5eb794316a78226c5587dd8a12020-11-24T21:40:23ZengBMCBMC Public Health1471-24582010-11-0110167610.1186/1471-2458-10-676Comparing sexual risks and patterns of alcohol and drug use between injection drug users (IDUs) and non-IDUs who report sexual partnerships with IDUs in St. Petersburg, RussiaVerevochkin SergeiKrasnoselskikh Tatiana VToussova Olga VWhite EdwardAbdala NadiaKozlov Andrei PHeimer Robert<p>Abstract</p> <p>Background</p> <p>To date, the great majority of Russian HIV infections have been diagnosed among IDUs and concerns about the potential for a sexual transmission of HIV beyond the IDU population have increased. This study investigated differences in the prevalence of sexual risk behaviors between IDUs and non-IDUs in St. Petersburg, Russia and assessed associations between substance use patterns and sexual risks within and between those two groups.</p> <p>Methods</p> <p>Cross-sectional survey data and biological test results from 331 IDUs and 65 non-IDUs who have IDU sex partners were analyzed. Multivariate regression was employed to calculate measures of associations.</p> <p>Results</p> <p>IDUs were less likely than non-IDUs to report multiple sexual partners and unprotected sex with casual partners. The quantity, frequency and intensity of alcohol use did not differ between IDUs and non-IDUs, but non-IDUs were more likely to engage in alcohol use categorized as risky per the alcohol use disorders identification test (AUDIT-C). Risky sexual practices were independently associated with monthly methamphetamine injection among IDUs and with risky alcohol use among non-IDUs. Having sex when high on alcohol or drugs was associated with unprotected sex only among IDUs.</p> <p>Conclusions</p> <p>Greater prevalence of sexual risk among non-IDUs who have IDU sex partners compared to IDUs suggests the potential for sexual transmission of HIV from the high-prevalence IDU population into the general population. HIV prevention programs among IDUs in St. Petersburg owe special attention to risky alcohol use among non-IDUs who have IDU sex partners and the propensity of IDUs to have sex when high on alcohol or drugs and forgo condoms.</p> http://www.biomedcentral.com/1471-2458/10/676 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Verevochkin Sergei Krasnoselskikh Tatiana V Toussova Olga V White Edward Abdala Nadia Kozlov Andrei P Heimer Robert |
spellingShingle |
Verevochkin Sergei Krasnoselskikh Tatiana V Toussova Olga V White Edward Abdala Nadia Kozlov Andrei P Heimer Robert Comparing sexual risks and patterns of alcohol and drug use between injection drug users (IDUs) and non-IDUs who report sexual partnerships with IDUs in St. Petersburg, Russia BMC Public Health |
author_facet |
Verevochkin Sergei Krasnoselskikh Tatiana V Toussova Olga V White Edward Abdala Nadia Kozlov Andrei P Heimer Robert |
author_sort |
Verevochkin Sergei |
title |
Comparing sexual risks and patterns of alcohol and drug use between injection drug users (IDUs) and non-IDUs who report sexual partnerships with IDUs in St. Petersburg, Russia |
title_short |
Comparing sexual risks and patterns of alcohol and drug use between injection drug users (IDUs) and non-IDUs who report sexual partnerships with IDUs in St. Petersburg, Russia |
title_full |
Comparing sexual risks and patterns of alcohol and drug use between injection drug users (IDUs) and non-IDUs who report sexual partnerships with IDUs in St. Petersburg, Russia |
title_fullStr |
Comparing sexual risks and patterns of alcohol and drug use between injection drug users (IDUs) and non-IDUs who report sexual partnerships with IDUs in St. Petersburg, Russia |
title_full_unstemmed |
Comparing sexual risks and patterns of alcohol and drug use between injection drug users (IDUs) and non-IDUs who report sexual partnerships with IDUs in St. Petersburg, Russia |
title_sort |
comparing sexual risks and patterns of alcohol and drug use between injection drug users (idus) and non-idus who report sexual partnerships with idus in st. petersburg, russia |
publisher |
BMC |
series |
BMC Public Health |
issn |
1471-2458 |
publishDate |
2010-11-01 |
description |
<p>Abstract</p> <p>Background</p> <p>To date, the great majority of Russian HIV infections have been diagnosed among IDUs and concerns about the potential for a sexual transmission of HIV beyond the IDU population have increased. This study investigated differences in the prevalence of sexual risk behaviors between IDUs and non-IDUs in St. Petersburg, Russia and assessed associations between substance use patterns and sexual risks within and between those two groups.</p> <p>Methods</p> <p>Cross-sectional survey data and biological test results from 331 IDUs and 65 non-IDUs who have IDU sex partners were analyzed. Multivariate regression was employed to calculate measures of associations.</p> <p>Results</p> <p>IDUs were less likely than non-IDUs to report multiple sexual partners and unprotected sex with casual partners. The quantity, frequency and intensity of alcohol use did not differ between IDUs and non-IDUs, but non-IDUs were more likely to engage in alcohol use categorized as risky per the alcohol use disorders identification test (AUDIT-C). Risky sexual practices were independently associated with monthly methamphetamine injection among IDUs and with risky alcohol use among non-IDUs. Having sex when high on alcohol or drugs was associated with unprotected sex only among IDUs.</p> <p>Conclusions</p> <p>Greater prevalence of sexual risk among non-IDUs who have IDU sex partners compared to IDUs suggests the potential for sexual transmission of HIV from the high-prevalence IDU population into the general population. HIV prevention programs among IDUs in St. Petersburg owe special attention to risky alcohol use among non-IDUs who have IDU sex partners and the propensity of IDUs to have sex when high on alcohol or drugs and forgo condoms.</p> |
url |
http://www.biomedcentral.com/1471-2458/10/676 |
work_keys_str_mv |
AT verevochkinsergei comparingsexualrisksandpatternsofalcoholanddrugusebetweeninjectiondrugusersidusandnoniduswhoreportsexualpartnershipswithidusinstpetersburgrussia AT krasnoselskikhtatianav comparingsexualrisksandpatternsofalcoholanddrugusebetweeninjectiondrugusersidusandnoniduswhoreportsexualpartnershipswithidusinstpetersburgrussia AT toussovaolgav comparingsexualrisksandpatternsofalcoholanddrugusebetweeninjectiondrugusersidusandnoniduswhoreportsexualpartnershipswithidusinstpetersburgrussia AT whiteedward comparingsexualrisksandpatternsofalcoholanddrugusebetweeninjectiondrugusersidusandnoniduswhoreportsexualpartnershipswithidusinstpetersburgrussia AT abdalanadia comparingsexualrisksandpatternsofalcoholanddrugusebetweeninjectiondrugusersidusandnoniduswhoreportsexualpartnershipswithidusinstpetersburgrussia AT kozlovandreip comparingsexualrisksandpatternsofalcoholanddrugusebetweeninjectiondrugusersidusandnoniduswhoreportsexualpartnershipswithidusinstpetersburgrussia AT heimerrobert comparingsexualrisksandpatternsofalcoholanddrugusebetweeninjectiondrugusersidusandnoniduswhoreportsexualpartnershipswithidusinstpetersburgrussia |
_version_ |
1725926238874238976 |