Injecting, Sexual Risk Behaviors and HIV Infection in Young Cocaine and Heroin Users in Spain

被引:14
作者
Brugal, M. Teresa [2 ,8 ]
Pulido, Jose [1 ]
Toro, Carlos [3 ]
de la Fuente, Luis [2 ,4 ]
Bravo, Maria J. [2 ]
Ballesta, Rosario [6 ]
Soriano, Vicente [3 ]
Barrio, Gregorio [2 ,5 ]
Vallejo, Fernando [1 ,2 ]
Domingo-Salvany, Antonia [2 ,7 ]
Castellano, Yolanda [8 ]
机构
[1] Univ Complutense, Ctr Nacl Epidemiol, Inst Salud Carlos III, ES-28029 Madrid, Spain
[2] Univ Complutense, CIBERESP, ES-28029 Madrid, Spain
[3] Univ Complutense, Hosp Carlos 3, ES-28029 Madrid, Spain
[4] Univ Complutense, Secretaria Plan Nacl Sida, Minist Sanidad & Consumo, ES-28029 Madrid, Spain
[5] Univ Complutense, Dept Med Prevent Salud Publ & Hist Ciencia, ES-28029 Madrid, Spain
[6] Fdn Andaluza Atenc Drogodependencias, Seville, Spain
[7] Hosp del Mar, IMIM, Unidad Serv Sanitarios, Barcelona, Spain
[8] Hosp del Mar, IMIM, Agencia Salut Publ Barcelona, Barcelona, Spain
关键词
Cocaine; Heroin; Injecting risk behaviors; Sexual risk behaviors; HEPATITIS-C VIRUS; DRUG-USERS; SYDNEY; SEROPREVALENCE; ASSOCIATION; PREVALENCE; PATTERNS; CANADA; CITIES;
D O I
10.1159/000220345
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
Aim: To evaluate differences between young cocaine users and heroin users (HUs) regarding the prevalence of sexual and injection risk behavior, and HIV, HCV and HBV infection. Methods: Two community cohorts were recruited in Madrid, Barcelona and Seville; 720 cocaine users, of whom 586 had never used heroin (CUs), and 991 HUs were interviewed. Dried blood spot samples were tested. Results: CUs were less marginalized socially than HUs. Only 0.9% had ever injected versus 64.3%; none had ever injected with borrowed syringes versus 25%; 2.2% had an injecting steady partner in the last 12 months versus 24.9%; 4.8% had ever traded sex versus 16.0%. However, 31.0 versus 12.7% had unprotected sex with more than two occasional partners in the last 12 months; 45.0 versus 21.9% had sniffed through tubes used by more than 10 persons. Only 32.3% knew their HIV status versus 80.3%; 0.4 versus 18.1% were HIV positive; 0.9 versus 51.9% were HCV positive, and 1.5 versus 17.0% were HBV positive. Conclusions: The intense cocaine epidemic has hitherto had little impact on either HIV, HBV or HCV in Spain. However, surveillance should be intensified given the high percentage of CUs having unprotected sex with occasional partners. Copyright (c) 2009 S. Karger AG, Basel
引用
收藏
页码:171 / 178
页数:8
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