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Randomized Controlled Trial
. 2009;15(3):163-70.
doi: 10.1159/000220344. Epub 2009 Jun 5.

Correlates of unsafe equipment sharing among injecting drug users in St. Petersburg, Russia

V Anna Gyarmathy  1 , Nan Li, Karin E Tobin, Irving F Hoffman, Nikolai Sokolov, Julia Levchenko, Julia Batluk, Andrei A Kozlov, Andrei P Kozlov, Carl A Latkin
Affiliations
Randomized Controlled Trial

Correlates of unsafe equipment sharing among injecting drug users in St. Petersburg, Russia

V Anna Gyarmathy et al. Eur Addict Res. 2009.

Abstract

Aims: To assess among injecting drug users (IDUs) in St. Petersburg, Russia, the urban environment, social norms and individual correlates of unsafe injecting.

Methods: Between December 2004 and January 2007, 446 IDUs were interviewed in St. Petersburg, Russia.

Results: Prevalence of HCV was 96% and HIV 44%. 17% reported receptive syringe sharing after an HIV-infected IDU, 49% distributive syringe sharing, 76% sharing cookers, 73% sharing filters and 71% syringe-mediated drug sharing when not all syringes were new. Urban environmental characteristics correlated with sharing cookers and syringe-mediated sharing, and social norms correlated with receptive and distributive syringe sharing and sharing cookers. Individual correlates included cleaning used syringes (all 5 dependent variables) and self-report of HIV infection (receptive and distributive syringe sharing).

Conclusion: HIV status disclosure is an unreliable but frequently used HIV prevention method among IDUs in St. Petersburg, who reported alarmingly high levels of injecting equipment sharing. Voluntary counseling and testing should be widely available for this population. Ethnography is needed to assess the effectiveness of the syringe cleaning process. Prevention interventions need to be ongoing among IDUs in St. Petersburg, and should incorporate urban environmental factors and social norms, which may involve peer education and social network interventions.

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References

    1. Rhodes T, Platt L, Maximova S, Koshkina E, Latishevskaya N, Hickman M, Renton A, Bobrova N, McDonald T, Parry JV. Prevalence of HIV, hepatitis C and syphilis among injecting drug users in Russia: a multi-city study. Addiction. 2006;101:252–66. - PubMed
    1. Kozlov AP, Shaboltas AV, Toussova OV, Verevochkin SV, Masse BR, Perdue T, Beauchamp G, Sheldon W, Miller WC, Heimer R, Ryder RW, Hoffman IF. HIV incidence and factors associated with HIV acquisition among injection drug users in St Petersburg, Russia. AIDS. 2006;20:901–6. - PubMed
    1. Rhodes T, Platt L, Judd A, Mikhailova LA, Sarang A, Wallis N, Alpatova T, Hickman M, Parry JV. Hepatitis C virus infection, HIV co-infection, and associated risk among injecting drug users in Togliatti, Russia. Int J STD AIDS. 2005;16:749–54. - PubMed
    1. Aceijas C, Stimson GV, Hickman M, Rhodes T. Global overview of injecting drug use and HIV infection among injecting drug users. AIDS. 2004;18:2295–303. - PubMed
    1. Elovich R, Drucker E. On drug treatment and social control: Russian narcology’s great leap backwards. Harm Reduct J. 2008;5:23. - PMC - PubMed

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