HIV prevalence and risk behaviours among injecting drug users in six indonesian cities implications for future HIV prevention programs

The HIV prevalence among injecting drug users (IDUs) in Indonesia reached 50% in 2005. While drug use remains illegal in Indonesia, a needle and syringe program (NSP) was implemented in 2006. In 2007, an integrated behavioural and biological surveillance survey was conducted among IDUs in six cities...

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Bibliographic Details
Published in:Harm reduction journal 2012-09, Vol.9 (1), p.37-37
Main Authors: Morineau, Guy, Bollen, Liesbeth Jm, Syafitri, Rizky Ika, Nurjannah, Nurjannah, Mustikawati, Dyah Erti, Magnani, Robert
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Addictive behaviors
AIDS
Behavior
Chlamydia
Cities
Cities and towns
Disease transmission
Drug addicts
Gonorrhea
Harm reduction
Health facilities
HIV
HIV (Viruses)
HIV infection
HIV testing
Human immunodeficiency virus
Indonesia
Infections
Injecting drug users
NGOs
Nongovernmental organizations
Police
Prevalence studies (Epidemiology)
Prevention
Psychological aspects
Risk factors
Risk taking
Sexual behavior
Sexually transmitted diseases
STD
Studies
Surveys
Syphilis
Treponema pallidum
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Summary:The HIV prevalence among injecting drug users (IDUs) in Indonesia reached 50% in 2005. While drug use remains illegal in Indonesia, a needle and syringe program (NSP) was implemented in 2006. In 2007, an integrated behavioural and biological surveillance survey was conducted among IDUs in six cities. IDUs were selected via time-location sampling and respondent-driven sampling. A questionnaire was administered face-to-face. IDUs from four cities were tested for HIV, syphilis, gonorrhoea and chlamydia. Factors associated with HIV were assessed using generalized estimating equations. Risk for sexual transmission of HIV was assessed among HIV-positive IDUs. Among 1,404 IDUs, 70% were daily injectors and 31% reported sharing needles in the past week. Most (76%) IDUs received injecting equipment from NSP in the prior week; 26% always carried a needle and those who didn't, feared police arrest. STI prevalence was low (8%). HIV prevalence was 52%; 27% among IDUs injecting less than 1 year, 35% among those injecting for 1-3 years compared to 61% in long term injectors (p 
ISSN:1477-7517
1477-7517
DOI:10.1186/1477-7517-9-37