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Cross sectional study of factors associated to self-reported blood-borne infections among drug users.

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dc.contributor.author Reyes-Urueña, Juliana
dc.contributor.author Brugal i Puig, M. Teresa
dc.contributor.author Majó, Xavier
dc.contributor.author Domingo i Salvany, Antònia
dc.contributor.author Caylà i Busqueras, Joan A.
dc.date.accessioned 2016-02-11T08:11:45Z
dc.date.available 2016-02-11T08:11:45Z
dc.date.issued 2015
dc.identifier.citation Reyes-Urueña J, Brugal MT, Majo X, Domingo-Salvany A, Caylà JA. Cross sectional study of factors associated to self-reported blood-borne infections among drug users. BMC Public Health. 2015 Nov 13;15(1):1122. doi: 10.1186/s12889-015-2442-6.
dc.identifier.issn 1471-2458
dc.identifier.uri http://hdl.handle.net/10230/25786
dc.description.abstract BACKGROUND: 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. METHODS: 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). RESULTS: 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). CONCLUSIONS: 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.
dc.description.sponsorship Funding for this study was provided by Spanish Government Grant: Instituto de Salud Carlos III -FIS PI11/01358. Further financial support was provided by the Agència de Gestió d’Ajuts Universitaris i de Recerca (AGAUR 2009 SGR 718) and FIS-Redes de investigación cooperativa RD12/0028/0018.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartof BMC Public Health. 2015 Nov 13;15(1):1122
dc.rights This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://​creativecommons.​org/​licenses/​by/​4.​0/​), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://​creativecommons.​org/​publicdomain/​zero/​1.​0/​) applies to the data made available in this article, unless otherwise stated.
dc.rights.uri http://creativecommons.org/licenses/by/4.0/
dc.subject.other Drogues -- Efectes secundaris
dc.subject.other Drogoaddictes
dc.title Cross sectional study of factors associated to self-reported blood-borne infections among drug users.
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1186/s12889-015-2442-6
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion


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