Prevalence of infections, HIV risk behaviors and factors associated with HIV infection among male injecting drug users attending a needle/syringe exchange program in Dhaka, Bangladesh

Tasnim Azim, Ezazul Islam Chowdhury, Masud Reza, Mohammed Omar Faruque, Giasuddin Ahmed, Repon Khan, Motiur Rahman, Mohammed Moshtaq Pervez, Smarajit Jana, Steffanie A. Strathdee

Research output: Contribution to journalArticle

27 Scopus citations

Abstract

Injecting drug users (IDU) in Bangladesh are at the early stages of an HIV epidemic. To understand the dynamics of the HIV epidemic, male IDU (n = 561) were recruited from the needle/syringe exchange program in Dhaka in 2002, who underwent a risk-behavior survey and were tested for HIV, syphilis, hepatitis C, and hepatitis B. Correlates of HIV infection were determined by conducting bivariate and multiple regression analyses. The median age of the IDU was 35 years, 39.6% had no formal education, approximately half were married and/or living with their regular sex partner and 26% were currently homeless. The median age at first injection was 29 years. HIV was detected in 5.9% of the IDU and homelessness was the only factor independently associated with HIV (OR = 5.5). Urgent measures must be undertaken to prevent escalation of the HIV epidemic. The study's limitations are noted.

Original languageEnglish (US)
Pages (from-to)2124-2144
Number of pages21
JournalSubstance Use and Misuse
Volume43
Issue number14
DOIs
StatePublished - Dec 1 2008
Externally publishedYes

Keywords

  • Bangladesh
  • HIV
  • Hepatitis
  • Homelessness
  • Injecting drug user (IDU)
  • Needle Syringe Exchange Programs (NSEP)
  • Resource poor country
  • Risk behavior
  • Surrogate markers
  • Syphilis

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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