Sex work, drug use, HIV infection, and spread of sexually transmitted infections in Moscow, Russian Federation

Rates of HIV-1 infection are growing rapidly, and the epidemic of sexually transmitted infections is continuing at an alarming rate, in the Russian Federation. We did a cross-sectional study of sexually transmitted infections, HIV infection, and drug use in street youth at a juvenile detention facil...

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Bibliographic Details
Published in:The Lancet (British edition) 2005-07, Vol.366 (9479), p.57-60
Main Authors: Shakarishvili, A, Dubovskaya, LK, Zohrabyan, LS, St Lawrence, JS, Aral, SO, Dugasheva, LG, Okan, SA, Lewis, JS, Parker, KA, Ryan, CA
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Adult
Drug use
Epidemics
Female
Females
HIV
HIV Infections - epidemiology
HIV Infections - transmission
HIV-1
Homeless Persons
Homelessness
Human immunodeficiency virus
Humans
Infections
Male
Middle Aged
Moscow - epidemiology
Prevalence
Prisons
Sex industry
Sex Work
Sexually transmitted diseases
Sexually Transmitted Diseases - epidemiology
Sexually Transmitted Diseases - transmission
STD
Substance-Related Disorders - epidemiology
Syphilis
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Summary:Rates of HIV-1 infection are growing rapidly, and the epidemic of sexually transmitted infections is continuing at an alarming rate, in the Russian Federation. We did a cross-sectional study of sexually transmitted infections, HIV infection, and drug use in street youth at a juvenile detention facility, adults at homeless detention centres, and women and men at a remand centre in Moscow. 160 (79%) women at the remand centre were sex workers. 91 (51%) homeless women had syphilis. At least one bacterial sexually transmitted infection was present in 97 (58%) female juvenile detainees, 120 (64%) women at the remand centre, and 133 (75%) homeless women. HIV seroprevalence was high in women at the remand centre (n=7 [4%]), adolescent male detainees (5 [3%]), and homeless women (4 [2%]). In view of the interaction between sexually transmitted infections and HIV infection, these findings of high prevalence of sexually transmitted infections show that these disenfranchised populations have the potential to make a disproportionately high contribution to the explosive growth of the HIV epidemic unless interventions targeting these groups are implemented in the Russian Federation.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(05)66828-6