Historique
Article de Périodique
Effects of sex work on the prevalence of syphilis among injection drug users in 3 Russian cities (2007)
(Effets du commerce du sexe sur la prévalence de la syphilis chez les usagers de drogue par voie intraveineuse dans trois villes russes)
Auteur(s) :
L. PLATT ;
T. RHODES ;
A. JUDD ;
E. KOSHKINA ;
MAKSIMOVA S. ;
N. LATISHEVSKAYA ;
A. RENTON ;
T. McDONALD ;
J. V. PARRY
Article en page(s) :
478-485
Refs biblio. :
32
Domaine :
Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Discipline :
EPI (Epidémiologie / Epidemiology)
Note générale :
American Journal of Public Health, 2007, 97, (3), 478-485
Note de contenu :
tabl.
Résumé :
ENGLISH :
OBJECTIVES: We examined risk factors for syphilis infection among injection drug users in 3 Russian Federation cities, focusing particular attention on the potential roles of gender and sex work. METHODS: We conducted a cross-sectional survey of injection drug users in Moscow, Volgograd, and Barnaul, collecting behavioral data and testing for antibodies to Treponema pallidum. Associations between presence of antibodies to T pallidum and covariates were explored. RESULTS: Overall, the prevalence of antibodies to T pallidum was 11% (95% confidence interval=9.7%, 13.1%). Syphilis was associated with involvement in sex work and with gender in Moscow and Barnaul but not in Volgograd. Female injection drug users not involved in sex work were more likely than men to be younger and to have recently begun to inject; female injection drug users involved in sex work were more likely than those not involved in sex work to inject daily. CONCLUSIONS: Syphilis transmission dynamics varied by region. Sex work can increase syphilis risk among injection drug users, potentially feeding the momentum of sexually transmitted HIV and syphilis among noninjectors. Targeted interventions are needed to reduce both sexual and injection risk behaviors among injection drug users. (Author' s abstract)
ENGLISH :
OBJECTIVES: We examined risk factors for syphilis infection among injection drug users in 3 Russian Federation cities, focusing particular attention on the potential roles of gender and sex work. METHODS: We conducted a cross-sectional survey of injection drug users in Moscow, Volgograd, and Barnaul, collecting behavioral data and testing for antibodies to Treponema pallidum. Associations between presence of antibodies to T pallidum and covariates were explored. RESULTS: Overall, the prevalence of antibodies to T pallidum was 11% (95% confidence interval=9.7%, 13.1%). Syphilis was associated with involvement in sex work and with gender in Moscow and Barnaul but not in Volgograd. Female injection drug users not involved in sex work were more likely than men to be younger and to have recently begun to inject; female injection drug users involved in sex work were more likely than those not involved in sex work to inject daily. CONCLUSIONS: Syphilis transmission dynamics varied by region. Sex work can increase syphilis risk among injection drug users, potentially feeding the momentum of sexually transmitted HIV and syphilis among noninjectors. Targeted interventions are needed to reduce both sexual and injection risk behaviors among injection drug users. (Author' s abstract)
Affiliation :
Centre for Research on Drugs and Health Behavior, Imperial College, London, England. lucy.platt@lshtm.ac.uk
Royaume-Uni. United Kingdom.
Royaume-Uni. United Kingdom.