Gender Differences in Risky Injection Practices Among People Who Inject Drugs in Colombia

2019 ◽  
Vol 18 (3) ◽  
pp. 140-148 ◽  
Author(s):  
David Toro-Tobón ◽  
Dedsy Berbesi-Fernández ◽  
Elizabeth Trejos-Castillo ◽  
Silvia G. Arbelaez
Keyword(s):  
Gender Differences ◽  
People Who Inject Drugs ◽  
Injection Practices

Smoking crack might increase high risk injection practices among people who inject drugs

2015 ◽  
Vol 146 ◽  
pp. e85 ◽  
Author(s):  
Elise Roy ◽  
Caty Blanchette ◽  
Pascale Leclerc ◽  
Michel Alary ◽  
Carole Morissette ◽  
...  
Keyword(s):  
High Risk ◽  
People Who Inject Drugs ◽  
Injection Practices

scholarly journals Association of Injection Practices and Overdose With Drug Use Typologies: A Latent Class Analysis Among People Who Inject Drugs in Baltimore, 2017

2019 ◽  
Vol 31 (4) ◽  
pp. 344-362 ◽  
Author(s):  
Rachel E. Gicquelais ◽  
Becky L. Genberg ◽  
Jacquie Astemborski ◽  
David D. Celentano ◽  
Gregory D. Kirk ◽  
...  
Keyword(s):  
Drug Use ◽  
Prescription Drug ◽  
Prescription Drugs ◽  
Latent Class ◽  
People Who Inject Drugs ◽  
Community Based ◽  
Prescription Drug Use ◽  
Overdose Mortality ◽  
Behavior Profiles ◽  
Injection Practices

Increasing overdose mortality and new HIV outbreaks in the U.S. highlight the need to identify risk behavior profiles among people who inject drugs (PWID). We characterized latent classes of drug use among a community-based sample of 671 PWID in Baltimore during 2017 and evaluated associations of these classes with sharing syringes, obtaining syringes from pharmacies or syringe services programs (SSPs), and nonfatal overdose in the past 6 months. We identified three classes of current drug use: infrequent use (76% of participants), prescription drug use (12%), and heroin and/or cocaine injection (12%). PWID in the heroin and/or cocaine injection and prescription drug use classes had higher odds of both overdose and sharing syringes (relative to infrequent use). PWID in the prescription drug use class were 64% less likely to obtain syringes through SSPs/pharmacies relative to heroin and/or cocaine injection. Harm reduction programs need to engage people who obtain prescription drugs illicitly.

scholarly journals Gender differences in planning ability and hepatitis C virus among people who inject drugs

2015 ◽  
Vol 47 ◽  
pp. 33-37 ◽  
Author(s):  
J.D. Scheidell ◽  
M.R. Khan ◽  
L.M. Clifford ◽  
E.M. Dunne ◽  
L.D. Keen II. ◽  
...  
Keyword(s):  
Gender Differences ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
People Who Inject Drugs ◽  
Planning Ability

scholarly journals Risky injection practices and HCV awareness in Chiang Mai Province, Thailand: a respondent-driven sampling study of people who inject drugs

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Myrtille Prouté ◽  
Sophie Le Coeur ◽  
Métrey H. Tiv ◽  
Timothée Dub ◽  
Parinya Jongpaijitsakul ◽  
...  
Keyword(s):  
Harm Reduction ◽  
Addiction Treatment ◽  
People Who Inject Drugs ◽  
Civil Society Organizations ◽  
Public Health Approach ◽  
Minority Ethnic Group ◽  
Respondent Driven Sampling ◽  
Chiang Mai ◽  
Chiang Mai Province ◽  
Injection Practices

Abstract Background People who inject drugs (PWID) are the most exposed to hepatitis C virus (HCV). In Thailand, drug use is highly criminalized, and harm reduction services are scarce. This study estimates risky injection practices and assesses the proportion of HCV awareness and screening in the PWID population in Northern Thailand. Methods We used respondent-driven sampling (RDS) to recruit PWID in Chiang Mai Province. Social and behavioural data were collected through face-to-face interviews at an addiction treatment facility. Weighted population estimates were calculated to limit biases related to the non-random sampling method. Univariate and multivariate analyses were performed to study factors associated with HCV awareness and screening. Results One hundred seventy-one PWID were recruited between April 2016 and January 2017. Median age was 33 (Interquartile range: 26–40) years, 12.2% were women, and 49.4% belonged to a minority ethnic group. Among participants, 76.8% injected heroin, 20.7% methadone, and 20.7% methamphetamine. We estimate that 22.1% [95% CI: 15.7–28.6] of the population had shared needles in the last 6 months and that 32.0% [95% CI: 23.6–40.4] had shared injection material. Only 26.6% [95% CI: 17.6–35.6] had heard of HCV. Factors independently associated with knowledge of HCV included belonging to a harm reduction organization (adjusted odds ratio (aOR) = 5.5 [95% CI: 2.0–15.3]) and voluntary participation in a drug rehabilitation programme (aOR = 4.3 [95% CI: 1.3–13.9]), while Lahu ethnicity was negatively associated (aOR = 0.3 [95% CI: 0.1–0.9]). We estimate that 5% of the PWID population were screened for HCV; the only factor independently associated with being screened was membership of a harm reduction organization (aOR = 5.7 [95% CI: 1.6–19.9]). Conclusion Our study reveals that the PWID population is poorly informed and rarely screened for HCV, despite widespread risky injection practices. A public health approach aimed at reducing the incidence of HCV should target the PWID population and combine harm reduction measures with information and destigmatization campaigns. Civil society organizations working with PWID are a major asset for the success of such an approach, based on their current positive interventions promoting awareness of and screening for HCV.

scholarly journals Gender Differences in Factors Related to HIV Risk Behaviors among People Who Inject Drugs in North-East India

PLoS ONE ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. e0169482 ◽  
Author(s):  
Bushra Sabri ◽  
Allison M. McFall ◽  
Sunil S. Solomon ◽  
Aylur K. Srikrishnan ◽  
Canjeevaram K. Vasudevan ◽  
...  
Keyword(s):  
Gender Differences ◽  
Risk Behaviors ◽  
Hiv Risk ◽  
People Who Inject Drugs ◽  
Hiv Risk Behaviors ◽  
North East India ◽  
North East

scholarly journals 1050. Hepatitis C Infection amongst People who Inject Drugs (PWID): Injection Practices and Risk Factors

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S554-S555
Author(s):  
Nityasri Sankar ◽  
Kim Murray ◽  
Debra D Burris ◽  
Kinna Thakarar
Keyword(s):  
Risk Factors ◽  
Hepatitis C ◽  
People Who Inject Drugs ◽  
Computer Assisted ◽  
Opioid Epidemic ◽  
Hepatitis C Infection ◽  
Item Score ◽  
Safe Injection ◽  
Unsafe Injection ◽  
Injection Practices

Abstract Background The rapidly progressing U.S. opioid epidemic has led to an increased prevalence of infections associated with injection drug use (IDU), such as Hepatitis C (HCV). Previous studies have identified a lack of screening, prevention, and treatment of HCV, which has contributed to an increase in HCV-related mortality. Transmission has been linked to unsafe injection practices. Our study aims to characterize risk factors associated with Hepatitis C (HCV) exposure amongst people who inject drugs (PWID) in Maine, a state heavily impacted by the opioid epidemic. Methods Data was obtained from a cross-sectional study of participants hospitalized with an IDU-associated infection at four hospitals in Maine identified as high-risk for HIV/HCV outbreaks. The Audio Computer-Assisted Self-Interview survey and medical record review were used to collect data. The components from the BIRSI 7-item score were used to assess the use of safe injection practices. HCV exposure was defined as HCV antibody positive and/or self-reported exposure. Analysis was performed using descriptive analyses and univariate regression modeling. Results Of the 101 participants enrolled, n=76 (75%) were identified as having exposure to HCV. Out of participants exposed to HCV, 57% reported homelessness (p=< 0.01). Participants exposed to HCV were more likely to have bacteremia during hospitalization (25%, p=.02). All participants unexposed to HCV perceived low likelihood of contracting HCV due to injecting (p=.01). Seventy-one percent of people exposed to HCV reported infrequent use alcohol pads prior to injecting (p=< 0.01) and 67% reported infrequent hand-washing (p=.09). Participants with a higher BIRSI-7 score had higher odds of exposure to HCV (OR=1.48, 95% CI 1.10-2.04). Conclusion The data obtained highlights significant relationships between HCV exposure and certain risk factors. Homelessness was found to be associated with HCV exposure, suggesting an opportunity for more targeted intervention within this subgroup of PWID. Unsafe injection practices as measured by the BIRSI-7 score were related to HCV exposure, indicating educational opportunities about safe injection practices. Overall, targeted harm reduction services could be beneficial in the screening and prevention of HCV exposure amongst PWID. Disclosures All Authors: No reported disclosures

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