Title |
HIV and STI Prevalence and Injection Behaviors Among People Who Inject Drugs in Nairobi: Results from a 2011 Bio-behavioral Study Using Respondent-Driven Sampling
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Published in |
AIDS and Behavior, November 2014
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DOI | 10.1007/s10461-014-0936-3 |
Pubmed ID | |
Authors |
Waimar Tun, Meredith Sheehy, Dita Broz, Jerry Okal, Nicholas Muraguri, H. Fisher Raymond, Helgar Musyoki, Andrea A. Kim, Mercy Muthui, Scott Geibel |
Abstract |
There is a dearth of evidence on injection drug use and associated HIV infections in Kenya. To generate population-based estimates of characteristics and HIV/STI prevalence among people who inject drugs (PWID) in Nairobi, a cross-sectional study was conducted with 269 PWID using respondent-driven sampling. PWID were predominantly male (92.5 %). An estimated 67.3 % engaged in at least one risky injection practice in a typical month. HIV prevalence was 18.7 % (95 % CI 12.3-26.7), while STI prevalence was lower [syphilis: 1.7 % (95 % CI 0.2-6.0); gonorrhea: 1.5 % (95 % CI 0.1-4.9); and Chlamydia: 4.2 % (95 % CI 1.2-7.8)]. HIV infection was associated with being female (aOR, 3.5; p = 0.048), having first injected drugs 5 or more years ago (aOR, 4.3; p = 0.002), and ever having practiced receptive syringe sharing (aOR, 6.2; p = 0.001). Comprehensive harm reduction programs tailored toward PWID and their sex partners must be fully implemented as part of Kenya's national HIV prevention strategy. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 163 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 32 | 20% |
Unspecified | 27 | 17% |
Researcher | 20 | 12% |
Student > Ph. D. Student | 12 | 7% |
Other | 9 | 6% |
Other | 29 | 18% |
Unknown | 34 | 21% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 32 | 20% |
Unspecified | 27 | 17% |
Social Sciences | 26 | 16% |
Nursing and Health Professions | 20 | 12% |
Psychology | 5 | 3% |
Other | 15 | 9% |
Unknown | 38 | 23% |