Seroprevalence of select bloodborne pathogens and associated risk behaviors among injection drug users in the Paso del Norte region of the United States-Mexico border

被引:10
作者
Baumbach, Joan P. [1 ]
Foster, Lily N. [1 ]
Mueller, Mark [1 ]
Cruz, Michelle Firestone [2 ]
Arbona, Sonia [3 ]
Melville, Sharon [3 ]
Ramos, Rebeca [4 ]
Strathdee, Steffanie A. [5 ]
机构
[1] New Mexico Dept Hlth, Santa Fe, NM USA
[2] Ctr Addict & Mental Hlth, Toronto, ON, Canada
[3] Texas Dept State Hlth Serv, Austin, TX USA
[4] US Mexico Border Hlth Assoc, El Paso, TX USA
[5] Univ Calif San Diego, San Diego, CA 92103 USA
关键词
Human Immunodeficiency Virus; Respondent Drive Sampling; Needle Exchange Program; Harm Reduction Program; Social Network Size;
D O I
10.1186/1477-7517-5-33
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Background: The region situated where the borders of Mexico, Texas and New Mexico meet is known as 'Paso del Norte'. The Paso del Norte Collaborative was formed to study the seroprevalence of select pathogens and associated risk behaviors among injection drug users (IDUs) in the region. Methods: Respondent-driven sampling (RDS) was used: 459 IDU participants included 204 from Mexico; 155 from Texas; and 100 from New Mexico. Each of the three sites used a standardized questionnaire that was verbally administered and testing was performed for select bloodborne infections. Results: Participants were mostly male (87.4%) and Hispanic/Latino (84.7%) whose median age was 38. In Mexico, Texas and New Mexico, respectively: hepatitis B virus (HBV) was seen in 88.3%, 48.6% and 59.6% of participants; hepatitis C virus (HCV) in 98.7%, 76.4% and 80.0%; human immunodeficiency virus (HIV) in 2.1%, 10.0% and 1.0%; and syphilis in 4.0%, 9.9% and 3.0%. Heroin was the drug injected most often. More IDUs in New Mexico were aware of and used needle exchange programs compared with Texas and Mexico. Conclusion: There was mixed success using RDS: it was more successfully applied after establishing good working relationships with IDU populations. Study findings included similarities and distinctions between the three sites that will be used to inform prevention interventions.
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页数:9
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