Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/746
Title: Risk behavior and HIV seroprevalence among injecting drug users in Rio de Janeiro, Brazil
Authors: Dias, Paulo Roberto Telles Pires
Bastos, Francisco Inácio Pinkusfeld Monteiro
Guydish, Joseph
Inciardi, James A.
Surratt, Hilary R.
Pearl, Michelle
Hearst, Norman
Affilliation: Nucleo de Estudos e Pesquisa em Atenção ao uso de Drogas (NEPAD), State University of Rio de Janeiro, Rio de Janeiro, Brazil
Departamento de Informações para a Saúde/Centro de Informação en Ciencia e Tecnologia, Oswaldo Cruz Foundation, Rio de janeiro, Brazil
Institute for Health Policy Studies, University of California, San Francisco, California, USA
Comprehensive Drug Research Center, University of Miami School of Medicine, Miami, Florida
Comprehensive Drug Research Center, University of Miami School of Medicine, Miami, Florida
Institute for Health Policy Studies, University of California, San Francisco, California, USA
Center for AIDS Prevention Studies, University of California, San Francisco, California, USA
Abstract: Objective: To characterize HIV seroprevalence and reisk behavior among injecting drug users (IDUS) in Rio de Janeiro, Brazil, between 1990 and 1996. Design: We report data from three separate cross-sectional samples of IDUS in Rio de Janeiro: the World Health Organization (WHO) sample (n=479), the Proviva sample (n=138) and thr Brasil sample (n=110). These data provide the most comprehensive view available, to date, of this understudied population im Rio. Methods: Demographic characteristics, HIV/AIDS risk behavior and HIV seroprevalence were compared across the three samples and combined analyses were performed to determine the factors associated with injecting risk behavior, sexual risk behavior and HIV seropositivity. Results: The overal HIV seroprevalence among IDUS 25%. Two encouraging findings of the present analysis were the lower levels of needle-sharing among participants recruited in the latest years (1995-1996) andthe lower HIV serprevalence in the Proviva sample composed mainly of less educated, poorer IDUS living im deprived neighborhoods. No trends toward safer behavior were foundfor sexual risk, younger age being the principal factor associated with high risk. Conclusions: Levels of needle-sharing and sexual risk among IDUS in Rio remain high, demonstrating the urgent need to increase the limites preventive measures under-taken so far. Seroprevalence levels for HIV remain significantly lower in the most deprived sample, arguing for the fundamental importance of prompt and effective prevention strategies to keep infections rates from rising among the poorest and largest strata of Rio's IDUS.
keywords: Aids
HIV
injecting drug use
Brazil
Issue Date: 1997
Publisher: Rapid Science Publishers
Citation: TELLES, Paulo R., et al. Risk behavior and HIV seroprevalence among injecting drug users in Rio de Janeiro, Brazil. AIDS, v.11 suppl 1, p.S35-S42, 1997
ISSN: 1350-2840
Copyright: open access
Appears in Collections:ICICT - Artigos de Periódicos

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