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Case control study of HIV positivity among male intravenous drug addicts (IVDA) in Bangkok.

Vanichseni S, Wright N, Akarasewi P, Pokapanichwong W, Taylor D, Choopanya K; International Conference on AIDS.

Int Conf AIDS. 1989 Jun 4-9; 5: 1013 (abstract no. W.G.P.19).

Bangkok Metropolitan Administration, Thailand

OBJECTIVE: To determine risk factors for HIV infection in an explosive epidemic among Bangkok IVDA. METHODS: In July 1988, 452 male IVDA registered at 6 detoxification clinics consented to be interviewed and give a blood sample. RESULTS: 43% were HIV+. Compared to HIV- controls, no relationship was found with age, marital status, recent tattooing or blood transfusion, history of STD or other sexual variables. Associated with HIV+ status were 1. Injecting in company with others, OR 1.9(95CL 1.1-3.2), 2. Sharing injection equipment, OR 2.6(1.5-4.4), 3. Sharing same "load", OR 3.2(1.7-6.0), 4. Injecting at seller's house, OR 1.5 (1.0-2.3), and 5. Time in jail, OR 1.5(1.0-2.2). Only 2. and 3. remained significant after multivariate analysis. Compared to nonsharing IVDA (18% of subjects), those with characteristics 2. through 5. had a cumulative OR of 14.9. CONCLUSION: Widespread "works" sharing behavior led to an increase in HIV+ prevalence among Bangkok's IVDA from less than 1% in December 1987 to 16% in February, and 44% in September 1988. An intervention effort to change drug use behavior is underway.

Publication Types:
  • Meeting Abstracts
Keywords:
  • AIDS Vaccines
  • Acquired Immunodeficiency Syndrome
  • Case-Control Studies
  • Disease Outbreaks
  • HIV Infections
  • HIV Seropositivity
  • Male
  • Prevalence
  • Risk Factors
  • Substance Abuse, Intravenous
Other ID:
  • 00533689
UI: 102181280

From Meeting Abstracts




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