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BMC Public Health

, 10:472

First Online: 10 August 2010Received: 28 January 2010Accepted: 10 August 2010DOI: 10.1186-1471-2458-10-472

Cite this article as: Iskandar, S., Basar, D., Hidayat, T. et al. BMC Public Health 2010 10: 472. doi:10.1186-1471-2458-10-472


BackgroundInjecting drug use is an increasingly important cause of HIV transmission in most countries worldwide, especially in eastern Europe, South America, and east and southeast Asia. Among people actively injecting drugs, provision of clean needles and opioid substitution reduce HIV-transmission. However, former injecting drug users fIDUs are often overlooked as a high risk group for HIV transmission. We compared HIV risk behavior among current and former injecting drug users IDUs in Indonesia, which has a rapidly growing HIV-epidemic largely driven by injecting drug use.

MethodsCurrent and former IDUs were recruited by respondent driven sampling in an urban setting in Java, and interviewed regarding drug use and HIV risk behavior using the European Addiction Severity Index and the Blood Borne Virus Transmission Questionnaire. Drug use and HIV transmission risk behavior were compared between current IDUs and former IDUs, using the Mann-Whitney and Pearson Chi-square test.

ResultsNinety-two out of 210 participants 44% were self reported former IDUs. Risk behavior related to sex, tattooing or piercing was common among current as well as former IDUs, 13% of former IDUs were still exposed to contaminated injecting equipment. HIV-infection was high among former 66% and current 60% IDUs.

ConclusionFormer IDUs may contribute significantly to the HIV-epidemic in Indonesia, and HIV-prevention should therefore also target this group, addressing sexual and other risk behavior.

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Autor: Shelly Iskandar - Diba Basar - Teddy Hidayat - Ike MP Siregar - Lucas Pinxten - Reinout van Crevel - Andre JAM Van der Ve

Fuente: https://link.springer.com/

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