Successful testing and treating of HIV/AIDS in Indonesia depends on the addiction treatment modality
Shelly Iskandar,1–3 Cor AJ de Jong,3 Teddy Hidayat,1 Ike MP Siregar,1 Tri H Achmad,4 Reinout van Crevel,5 Andre Van der Ven51Department of Psychiatry, Padjadjaran University/Hasan Sadikin Hospital, Bandung, Indonesia; 2Health Research Unit, Medical Faculty, Padjadjaran Univervisity, 3N...
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doaj-e8149ac56e53475081f88384c604f5a52020-11-24T21:33:19ZengDove Medical PressJournal of Multidisciplinary Healthcare1178-23902012-12-012012default329336Successful testing and treating of HIV/AIDS in Indonesia depends on the addiction treatment modalityIskandar Sde Jong CAHidayat TSiregar IMAchmad THvan Crevel Rvan der Ven AShelly Iskandar,1–3 Cor AJ de Jong,3 Teddy Hidayat,1 Ike MP Siregar,1 Tri H Achmad,4 Reinout van Crevel,5 Andre Van der Ven51Department of Psychiatry, Padjadjaran University/Hasan Sadikin Hospital, Bandung, Indonesia; 2Health Research Unit, Medical Faculty, Padjadjaran Univervisity, 3Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA), Nijmegen, The Netherlands; 4Department of Biochemistry, Faculty of Medicine, Padjadjaran University/Hasan Sadikin Hospital, Bandung, Indonesia; 5Department of General Internal Medicine and Nijmegen Institute for Inflammation, Infection and Immunity, Radboud University Nijmegen Medical Centre, Nijmegen, The NetherlandsBackground: In many settings, people who inject drugs (PWID) have limited access to human immunodeficiency virus (HIV) care which is provided in several hospitals and primary health centers in big cities. Substance abuse treatment (SAT) can be used as the entry-point to HIV programs. The aim of this study is to describe the characteristics of the PWID who had accessed SAT and determine which SAT modality associates significantly with HIV programs.Methods: PWID were recruited by respondent-driven sampling in an urban setting in Java, Indonesia and interviewed with the Addiction Severity Index (ASI), Blood-Borne Virus Transmission Risk Assessment Questionnaires, and Knowledge Questionnaire on HIV/AIDS. The information regarding the use of substance abuse treatment and HIV program were based on questions in ASI.Results: Seventy-seven percent of 210 PWID had accessed SAT at least once. PWID who had accessed a SAT modality reported more severe drug problems. The most widely used SAT were opioid substitution (57%) and traditional/faith-based treatment (56%). Accessing substitution treatment (adjusted odds ratio [OR] = 5.8; 95% confidence interval [CI]: 2.5–13.9) or residential drug-free treatment (adjusted OR = 3.7; 95% CI: 1.4–9.7) was significantly associated with HIV testing, whereas accessing substitution treatment (adjusted OR = 3.8; 95% CI: 1.9–7.5) or other medical services (adjusted OR = 3.1; 95% CI: 1.1–8.7) was significantly associated with HIV treatment. There was no significant association between accessing traditional/faith-based treatment and HIV testing and treatment.Conclusion: Efforts should be made to link HIV services with traditional/faith-based treatment to increase the coverage of HIV programs.Keywords: HIV, addiction treatment, access to care, people who inject drugshttp://www.dovepress.com/successful-testing-and-treating-of-hivaids-in-indonesia-depends-on-the-a11756 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Iskandar S de Jong CA Hidayat T Siregar IM Achmad TH van Crevel R van der Ven A |
spellingShingle |
Iskandar S de Jong CA Hidayat T Siregar IM Achmad TH van Crevel R van der Ven A Successful testing and treating of HIV/AIDS in Indonesia depends on the addiction treatment modality Journal of Multidisciplinary Healthcare |
author_facet |
Iskandar S de Jong CA Hidayat T Siregar IM Achmad TH van Crevel R van der Ven A |
author_sort |
Iskandar S |
title |
Successful testing and treating of HIV/AIDS in Indonesia depends on the addiction treatment modality |
title_short |
Successful testing and treating of HIV/AIDS in Indonesia depends on the addiction treatment modality |
title_full |
Successful testing and treating of HIV/AIDS in Indonesia depends on the addiction treatment modality |
title_fullStr |
Successful testing and treating of HIV/AIDS in Indonesia depends on the addiction treatment modality |
title_full_unstemmed |
Successful testing and treating of HIV/AIDS in Indonesia depends on the addiction treatment modality |
title_sort |
successful testing and treating of hiv/aids in indonesia depends on the addiction treatment modality |
publisher |
Dove Medical Press |
series |
Journal of Multidisciplinary Healthcare |
issn |
1178-2390 |
publishDate |
2012-12-01 |
description |
Shelly Iskandar,1–3 Cor AJ de Jong,3 Teddy Hidayat,1 Ike MP Siregar,1 Tri H Achmad,4 Reinout van Crevel,5 Andre Van der Ven51Department of Psychiatry, Padjadjaran University/Hasan Sadikin Hospital, Bandung, Indonesia; 2Health Research Unit, Medical Faculty, Padjadjaran Univervisity, 3Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA), Nijmegen, The Netherlands; 4Department of Biochemistry, Faculty of Medicine, Padjadjaran University/Hasan Sadikin Hospital, Bandung, Indonesia; 5Department of General Internal Medicine and Nijmegen Institute for Inflammation, Infection and Immunity, Radboud University Nijmegen Medical Centre, Nijmegen, The NetherlandsBackground: In many settings, people who inject drugs (PWID) have limited access to human immunodeficiency virus (HIV) care which is provided in several hospitals and primary health centers in big cities. Substance abuse treatment (SAT) can be used as the entry-point to HIV programs. The aim of this study is to describe the characteristics of the PWID who had accessed SAT and determine which SAT modality associates significantly with HIV programs.Methods: PWID were recruited by respondent-driven sampling in an urban setting in Java, Indonesia and interviewed with the Addiction Severity Index (ASI), Blood-Borne Virus Transmission Risk Assessment Questionnaires, and Knowledge Questionnaire on HIV/AIDS. The information regarding the use of substance abuse treatment and HIV program were based on questions in ASI.Results: Seventy-seven percent of 210 PWID had accessed SAT at least once. PWID who had accessed a SAT modality reported more severe drug problems. The most widely used SAT were opioid substitution (57%) and traditional/faith-based treatment (56%). Accessing substitution treatment (adjusted odds ratio [OR] = 5.8; 95% confidence interval [CI]: 2.5–13.9) or residential drug-free treatment (adjusted OR = 3.7; 95% CI: 1.4–9.7) was significantly associated with HIV testing, whereas accessing substitution treatment (adjusted OR = 3.8; 95% CI: 1.9–7.5) or other medical services (adjusted OR = 3.1; 95% CI: 1.1–8.7) was significantly associated with HIV treatment. There was no significant association between accessing traditional/faith-based treatment and HIV testing and treatment.Conclusion: Efforts should be made to link HIV services with traditional/faith-based treatment to increase the coverage of HIV programs.Keywords: HIV, addiction treatment, access to care, people who inject drugs |
url |
http://www.dovepress.com/successful-testing-and-treating-of-hivaids-in-indonesia-depends-on-the-a11756 |
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