PMID- 26566634
OWN - NLM
STAT- MEDLINE
DCOM- 20160615
LR  - 20181202
IS  - 1471-2458 (Electronic)
IS  - 1471-2458 (Linking)
VI  - 15
DP  - 2015 Nov 13
TI  - Cross sectional study of factors associated to self-reported blood-borne 
      infections among drug users.
PG  - 1122
LID - 10.1186/s12889-015-2442-6 [doi]
LID - 1122
AB  - 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.
FAU - Reyes-Uruena, Juliana
AU  - Reyes-Uruena J
AD  - Department of Paediatrics, Gynaecology and Preventive Medicine, Universidad 
      Autonoma de Barcelona, Barcelona, Spain. juliana.reyes81@gmail.com.
AD  - Drug Use Epidemiology Research Group, IMIM-Hospital del Mar Medical Research 
      Institute, Dr Aiguader 88, 08003, Barcelona, Spain. juliana.reyes81@gmail.com.
AD  - Teaching Unit of Preventive Medicine and Public Health, PSMAR-UPF-ASPB, 
      Barcelona, Spain. juliana.reyes81@gmail.com.
AD  - Public Health Agency of Barcelona, Barcelona, Spain. juliana.reyes81@gmail.com.
FAU - Brugal, M Teresa
AU  - Brugal MT
AD  - Public Health Agency of Barcelona, Barcelona, Spain. tbrugal@aspb.cat.
AD  - Institute of Biomedical Research Sant Pau (IIB Sant Pau), Barcelona, Spain. 
      tbrugal@aspb.cat.
FAU - Majo, Xavier
AU  - Majo X
AD  - Department of Health Government of Catalonia, Barcelona, Spain. 
      xavier.major@gencat.cat.
FAU - Domingo-Salvany, Antonia
AU  - Domingo-Salvany A
AD  - Drug Use Epidemiology Research Group, IMIM-Hospital del Mar Medical Research 
      Institute, Dr Aiguader 88, 08003, Barcelona, Spain. adomingo@imim.es.
FAU - Cayla, Joan A
AU  - Cayla JA
AD  - Department of Paediatrics, Gynaecology and Preventive Medicine, Universidad 
      Autonoma de Barcelona, Barcelona, Spain. jcayla@aspb.cat.
AD  - Public Health Agency of Barcelona, Barcelona, Spain. jcayla@aspb.cat.
AD  - Institute of Biomedical Research Sant Pau (IIB Sant Pau), Barcelona, Spain. 
      jcayla@aspb.cat.
AD  - CIBER in Epidemiology and Public Health (CIBERESP), Barcelona, Spain. 
      jcayla@aspb.cat.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20151113
PL  - England
TA  - BMC Public Health
JT  - BMC public health
JID - 100968562
SB  - IM
MH  - Adult
MH  - Coinfection
MH  - Cross-Sectional Studies
MH  - Drug Users/*statistics & numerical data
MH  - Female
MH  - HIV Infections/*epidemiology
MH  - Hepatitis C/*epidemiology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prevalence
MH  - Risk Factors
MH  - Self Report
MH  - Sex Factors
MH  - Sex Workers
MH  - Spain/epidemiology
MH  - Substance Abuse, Intravenous/*epidemiology
PMC - PMC4644320
EDAT- 2015/11/17 06:00
MHDA- 2016/06/16 06:00
PMCR- 2015/11/13
CRDT- 2015/11/15 06:00
PHST- 2015/02/19 00:00 [received]
PHST- 2015/10/22 00:00 [accepted]
PHST- 2015/11/15 06:00 [entrez]
PHST- 2015/11/17 06:00 [pubmed]
PHST- 2016/06/16 06:00 [medline]
PHST- 2015/11/13 00:00 [pmc-release]
AID - 10.1186/s12889-015-2442-6 [pii]
AID - 2442 [pii]
AID - 10.1186/s12889-015-2442-6 [doi]
PST - epublish
SO  - BMC Public Health. 2015 Nov 13;15:1122. doi: 10.1186/s12889-015-2442-6.