Needle sharing among southern Thai drug injectors

FRANÇAIS :
Cette étude transversale auprès de 272 usagers de drogues injectables thaïlandais montre que 91% ont au moins une fois partagé leur matériel dinjection, et que pour 68% dentre eux cette pratique est actuelle. Seulement 5% des participants de létude savent que leau de javel peut réduire les risques de transmission du VIH. La croyance que le nettoyage à leau des seringues est suffisant pour éviter la transmission du VIH est largement répandue.
ENGLISH :
Aim: To examine factors associated with needle sharing among injecting drug users (IDU) in southern Thailand. Design: Using a cross-sectional survey, 272 active IDU were interviewed about their socio-economic background, needle sharing and drug use patterns at six drug-treatment clinics in southern Thailand. Findings Ninety-one per cent of IDU gave a past history of ever sharing injecting equipment: of these, 23% currently injected but did not share and 68% still shared. Only 5% of participants knew that bleaching needles could reduce HIV transmission risks. Recent needle sharing was correlated with number of IDU friends (OR 12.23: CI, 5.24-28.51), engaging in illegal jobs (OR 2.74; CI, 1.13-6.67), being unable to use new needles at all times (OR 2.89; CI. 1.17-7.14) and believing that cleaning contaminated shared needles with at least plain water could reduce HIV transmission (OR 3.32; CI, 1.16-6.68). Conclusions: Our data suggest that AIDS prevention efforts should focus on approaches to reduce needle sharing. Needle exchange programs, HIV counseling and testing and bleach distribution may reduce levels of needle-sharing risks. (Author' s abstract)