Cross sectional study of factors associated to self-reported blood-borne infections among drug users
Reyes-Urueña, Juliana (Agència de Salut Pública de Barcelona)
Brugal, María Teresa (Institut d'Investigació Biomèdica Sant Pau)
Majo, Xavier (Generalitat de Catalunya. Departament de Salut)
Domingo Salvany, Antònia (Institut Hospital del Mar d'Investigacions Mèdiques)
Caylà, Joan A.. (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Universitat Autònoma de Barcelona

Fecha:	2015
Resumen:	The study's aim was to estimate the self-reported prevalence of Human Immunodeficiency Virus (HIV) and Hepatitis C Virus (HCV), and to describe their associated risk factors in a population of users of illicit drugs recruited in Catalonia- Spain, during 2012. Cross-sectional study. People with illicit drugs use were selected in three different types of healthcare centres. The questionnaire was a piloted, structured ad hoc instrument. An analysis was made to identify factors associated to self-reported HCV, HIV and co-infection. Correlates of reported infections were determined using univariate and multivariate Poisson regression (with robust variance). Among 512 participants, 39. 65 % self-reported positive serostatus for HCV and 14. 84 % for HIV, co-infection was reported by 13. 48 %. Among the 224 injecting drug users (IDUs), 187 (83. 48 %), 68 (30. 36 %) and 66 (29. 46 %) reported being positive for HCV, HIV and co-infection, respectively. A higher proportion of HIV-infected cases was observed among women, (18. 33 % vs. 13. 78 % in men). Prevalence of HCV, HIV and co-infection were higher among participants with early onset of drug consumption, long periods of drug injection or who were unemployed. A positive serostatus was self-reported by 21(7. 34 %) participants who did not report any injection; among them 16 and eight, reported being positive for HCV and HIV, respectively; three reported co-infection. Only two people declared exchanging sex for money. For those that reported a negative test, the median time since the last HIV test was 11. 41 months (inter-quartile range (IQR) 4-12) and for the HCV test was 4. 5 months (IQR 2-7). Among drug users in Catalonia, HIV, HCV and co-infection prevalence are still a big issue especially among IDUs. Women and drug users who have never injected drugs are groups with a significant risk of infection; this might be related to their high-risk behaviours and to being unaware of their serological status.
Ayudas:	Instituto de Salud Carlos III PI11/01358 Instituto de Salud Carlos III RD12/0028/0018 Agència de Gestió d'Ajuts Universitaris i de Recerca 2009/SGR-718
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Drug users ; Illicit drugs ; HIV ; Hepatitis ; Spain ; Risk Factors
Publicado en:	BMC public health, Vol. 15 (november 2015) , ISSN 1471-2458

DOI: 10.1186/s12889-015-2442-6
PMID: 26566634

8 p, 372.0 KB

El registro aparece en las colecciones:
Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > Institut de Recerca Sant Pau
Artículos > Artículos de investigación
Artículos > Artículos publicados