2015, Number S2
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salud publica mex 2015; 57 (S2)
Correlates of perceived risk of HIV infection among persons who inject drugs in Tijuana, Baja California, Mexico
Armenta RF, Abramovitz D, Lozada R, Vera A, Garfein RS, Magis-Rodríguez C, Strathdee SA
Language: English
References: 36
Page: 107-112
PDF size: 242.71 Kb.
ABSTRACT
Objective. We identified correlates of perceived risk of HIV
infection among persons who inject drugs (PWID) in Tijuana.
Materials and methods. PWID ≥18 years of age who
injected drugs in the past month were recruited between
2006-2007 and completed risk assessment interviews and
serologic testing for HIV, syphilis, and tuberculosis. Logistic
regression was used to determine factors associated with
high-perceived risk of HIV infection.
Results. Among 974
PWID, HIV prevalence was 4.4%; 45.0% of participants perceived
themselves to be more likely to become HIV infected
relative to other PWID in Tijuana. Participants who reported
high-perceived risk of HIV infection participated in high-risk
behaviors such as injecting with used syringes, transactional
sex, and were less likely to have had an HIV test.
Conclusions.
Recognition of HIV infection risk was associated with
high risk behaviors and markers of vulnerability. Findings support
efforts to encourage HIV testing and access to health
care for this vulnerable population.
REFERENCES
Censida. El VIH/SIDA en Mexico 2012. In: Centro Nacional para la Prevencion y el Control del VIH/SIDA, ed [accessed on August 12, 2014]. Available at: http://www.censida.salud.gob.mx/descargas/biblioteca/VIHSIDA_ MEX2012.pdf: Secretaria de Salud; 2012.
Strathdee SA, Lozada R, Ojeda VD, Pollini RA, Brouwer KC, Vera A, et al. Differential effects of migration and deportation on HIV infection among male and female injection drug users in Tijuana, Mexico. PLoS One 2008;3(7):e2690.
Bastos FI, Caceres C, Galvao J, Veras MA, Castilho EA. AIDS in Latin America: assessing the current status of the epidemic and the ongoing response. Intl J Epidemiol 2008;37(4):729-737.
Deiss RG, Lozada RM, Burgos JL, Strathdee SA, Gallardo M, Cuevas J, et al. HIV prevalence and sexual risk behaviour among non-injection drug users in Tijuana, Mexico. Global Public Health 2012;7(2):175-183.
Decosas J, Kane F, Anarfi JK, Sodji KD, Wagner HU. Migration and AIDS. Lancet 1995;346(8978):826-828.
Lyttleton C, Amarapibal A. Sister cities and easy passage: HIV, mobility and economies of desire in a Thai/Lao border zone. Soc Sci Med 2002;54(4):505-518.
Rhodes T, Singer M, Bourgois P, Friedman SR, Strathdee SA. The social structural production of HIV risk among injecting drug users. Soc Sci Med 2005;61(5):1026-1044.
Strathdee SA, Lozada R, Pollini RA, Brottwer KC, Mantsios A, Abramovitz DA, et al. Individual, social, and environmental influences associated with HIV infection among injection drug users in Tijuana, Mexico. Jaids 2008;47(3):369-376.
Essien EJ, Ogungbade GO, Ward D, Fernandez-Esquer ME, Smith CR, Holmes L. Injecting drug use is associated with HIV risk perception among Mexican Americans in the Rio Grande Valley of South Texas, USA. Public Health 2008;122(4):397-403.
Wagner KD, Lankenau SE, Palinkas LA, Richardson JL, Chou CP, Unger JB. The influence of the perceived consequences of refusing to share injection equipment among injection drug users: balancing competing risks. Addictive Behaviors 2011;36(8):835-842.
Robles RR, Cancel LI, Colón HM, Matos TD, Freeman DH, Sahai H. Prospective effects of perceived risk of developing HIV/AIDS on risk behaviors among injection drug users in Puerto Rico. Addiction 1995;90(8):1105-1111.
Muñoz F, Burgos JL, Cuevas-Mota J, Teshale E, Garfein RS. Individual and Socio-Environmental Factors Associated with Unsafe Injection Practices Among Young Adult Injection Drug Users in San Diego. AIDS Behav 2014;19(1):199-210.
Adedimeji AA, Omololu FO, Odutolu O. HIV risk perception and constraints to protective behaviour among young slum dwellers in Ibadan, Nigeria. J Heatlh Popul Nutr 2007;25(2):146-157.
Akwara PA, Madise NJ, Hinde A. Perception of risk of HIV/AIDS and sexual behaviour in Kenya. J Biosoc Sci 2003;35(3):385-411.
Fan W, Yin L, Qian HZ, Li D, Shao Y, Vermund SH, et al. HIV Risk Perception among HIV Negative or Status-Unknown Men Who Have Sex with Men in China. Biomed Res Int 2014;2014:232451.
MacKellar DA, Valleroy LA, Secura GM, Behel S, Bingham T, Celentano DD, et al. Perceptions of lifetime risk and actual risk for acquiring HIV among young men who have sex with men. AIDS Behav 2007;11(2):263-270.
Klein H, Tilley DL. Perceptions of HIV risk among internet-using, HIVnegative barebacking men. Am J Mens Health 2012;6(4):280-293.
Koh KC, Yong LS. HIV risk perception, sexual behavior, and HIV prevalence among men-who-have-sex-with-men at a community-based voluntary counseling and testing center in Kuala Lumpur, Malaysia. Interdiscip Perspect Infect Dis 2014;2014.
Shiferaw Y, Alemu A, Assefa A, Tesfaye B, Gibermedhin E, Amare M. Perception of risk of HIV and sexual risk behaviors among University students: implication for planning interventions. BMC Res Notes 2014;7:162.
Kowalewski MR, Henson KD, Longshore D. Rethinking perceived risk and health behavior: a critical review of HIV prevention research. Health Educ Behav 1997;24(3):313-325.
Khawcharoenporn T, Kendrick S, Smith K. HIV risk perception and preexposure prophylaxis interest among a heterosexual population visiting a sexually transmitted infection clinic. AIDS Patient Care STDS 2012;26(4):222-233.
Heckathorn DD. Snowball versus respondent-driven sampling. Sociol Methodol 2011;41(1):355-366.
Pinedo M, Burgos JL, Robertson AM, Vera A, Lozada R, Ojeda VD. Perceived risk of HIV infection among deported male injection drug users in Tijuana, Mexico. Global Public Health 2014;9(4):436-454.
Abramovitz D, Volz EM, Strathdee SA, Patterson TL, Vera A, Frost SD, et al. Using respondent-driven sampling in a hidden population at risk of HIV infection: who do HIV-positive recruiters recruit? Sex Transm Dis 2009;36(12):750-756.
Schwarcz S, Richards TA, Frank H, Wenzel C, Hsu LC, Chin CS, et al. Identifying barriers to HIV testing: personal and contextual factors associated with late HIV testing. AIDS Care 2011;23(7):892-900.
Delavande A, Kohler HP. The impact of HIV testing on subjective expectations and risky behavior in Malawi. Demography 2012;49(3):1011-1036.
Bruneau J, Zang G, Abrahamowicz M, Jutras-Aswad D, Daniel M, Roy E. Sustained drug use changes after hepatitis C screening and counseling among recently infected persons who inject drugs: a longitudinal study. Clin Infect Dis 2014;58(6):755-761.
Wolitski RJ, Kidder DP, Pals SL, Royal S, Aidala A, Stall R, et al. Randomized trial of the effects of housing assistance on the health and risk behaviors of homeless and unstably housed people living with HIV. AIDS Behav 2010;14(3):493-503.
Brown RA, Kennedy DP, Tucker JS, Wenzel SL, Golinelli D, Wertheimer SR, et al. Sex and relationships on the street: how homeless men judge partner risk on Skid Row. AIDS Behav 2012;16(3):774-784.
Brunsberg SA, Rosser BR, Smolenski D. HIV sexual risk behavior and health insurance coverage in men who have sex with men. Sex Res Social Policy 2012;9(2):125-131.
Neeraj-Sood YW. The impact of insurance and HIV treatment technology on HIV testing. Working paper 193972013.
Grönbladh L, Öhlund LS. Self-reported differences in side-effects for 110 heroin addicts during opioid addiction and during methadone treatment. Heroin Addict Relat Clin Probl 2011;13:5-12.
Judson BA, Goldstein A. Symptom complaints of patients maintained on methadone, LAAM (methadyl acetate), and naltrexone at different times in their addiction careers. Drug Alcohol Depend 1982;10(2-3):269-82.
Syvertsen JL, Robertson AM, Palinkas LA, Rangel MG, Martinez G, Strathdee SA. ‘Where sex ends and emotions begin’: love and HIV risk among female sex workers and their intimate, non-commercial partners along the Mexico-US border. Cult Health Sex 2013;15(5):540-54.
Tsui H, Lau JT, Xiang W, Gu J, Wang Z. Should associations between HIV-related risk perceptions and behaviors or intentions be positive or negative? PLoS One 2012;7(12):e52124.
Johnston CL, Marshall BD, Qi J, Zonneveld CJ, Kerr T, Montaner JS, et al. HIV knowledge and perceptions of risk in a young, urban, drug-using population. Public Health 2011;125(11):791-794.