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1996-02-26
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Document 0269
DOCN M9620269
TI [Prevalence of HIV infection among drug users in Zuid-Limburg]
DT 9602
AU Wiessing LG; Houweling H; Meulders WA; Cerda E; Jansen M; Sprenger MJ;
Rijksinstituut voor Volksgezondheid en Milieu, Centrum voor;
Infectieziekten Epidemiologie, Bilthoven.
SO Ned Tijdschr Geneeskd. 1995 Sep 23;139(38):1936-40. Unique Identifier :
AIDSLINE MED/96010944
AB OBJECTIVES. To assess the prevalence of HIV infection among intravenous
(IDU) and non-intravenous drug users in Heerlen and Maastricht (Southern
Netherlands), to detect subgroups of IDU with a higher risk of HIV
infection, and to assess the risk of further spread of HIV. DESIGN.
Cross-sectional study. SETTING. Heerlen, Kerkrade, Brunssum and
Maastricht, the Netherlands. METHODS. Between August 15 and November 25,
1994, a saliva specimen and a short questionnaire were obtained from 449
drug users (340 IDU) in Heerlen (and environs) and Maastricht.
Participants were recruited through methadone care (54%), syringe
exchange (16%), a street prostitution project (3%), street recruitment
(23%) and other drug users (4%). RESULTS. Of the 340 IDU 33 were
infected (prevalence: 10% (95% confidence interval: 7-13)), among the
109 non-IDU no infections were found (0% (0-3)). IDU making use of the
syringe exchange had a higher prevalence (odds ratio 3.13 (1.37-7.61)).
In logistic regression analysis, this finding could not be explained by
selection on more risky injecting. One in five currently injecting IDU
reported having used someone else's used needle or syringe in the last 6
months. One in five IDU had a non-drug user as steady sexual partner. In
sexual contacts between steady partners condom use was low. On the basis
of self-reported serostatus it appeared that some infections have taken
place in the last two years. CONCLUSIONS. The prevalence of HIV
infections among IDU in Heerlen and Maastricht is about 10%. IDU using
the syringe exchange have a higher prevalence. This means this
prevention reaches the high-risk group, but probably can not avoid all
infections. The risk of further spread among IDU is high. The risk of
spread to non-IDU and non-drug users is present.
DE Adolescence Adult AIDS Serodiagnosis/METHODS English Abstract
Epidemiologic Methods Female Human HIV Antibodies/ISOLATION & PURIF
HIV Infections/*COMPLICATIONS/EPIDEMIOLOGY Male Middle Age
Netherlands/EPIDEMIOLOGY Prevalence Questionnaires Risk-Taking
Saliva/IMMUNOLOGY Substance Abuse/*COMPLICATIONS Substance Abuse,
Intravenous/*COMPLICATIONS Support, Non-U.S. Gov't JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).