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首页> 外文期刊>Drug and alcohol review >Increasing prevalence of HIV, and persistent high-risk behaviours among drug users in Bangladesh: need for a comprehensive harm reduction programme.
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Increasing prevalence of HIV, and persistent high-risk behaviours among drug users in Bangladesh: need for a comprehensive harm reduction programme.

机译：孟加拉国吸毒者中艾滋病毒的患病率不断上升，以及持续的高风险行为：需要一项全面的减少伤害方案。

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INTRODUCTION AND AIMS: The aim of this study was to examine trends in HIV and related risk behaviours in drug users in Bangladesh, the effects of prevention and harm reduction initiatives that have already been undertaken and to highlight immediate needs. DESIGN AND METHODS: Journal publications, conference abstracts and proceedings were collected and reviewed. As there were relatively few published papers, the grey literature was also reviewed. Experts involved in the development and evaluation of current programmes or policy were contacted for official reports, policy documents or unpublished materials. The trends in injecting and sexual risk behaviours were tabulated. RESULTS: Periodic behavioural and serosurveillance on recognised sentinel groups shows clearly that HIV prevalence among injecting drug users has been increasing steadily. In the capital city, the HIV prevalence among injecting drug users is close to the level of a concentrated epidemic (4.9%). While harm reduction strategies have brought a scope of reduction of injecting-related risk behaviours, the persistent high rates of needle sharing and high prevalence of sexual risk behaviours remains alarming. Non-injecting drug users have maintained a low prevalence of HIV but their high-risk sexual behaviours and transformation into injecting drug users with time are of concern. DISCUSSION AND CONCLUSIONS: There are substantial gaps between current needs and the ongoing prevention and harm reduction activities. There is a pressing need for a comprehensive harm reduction programme and review of any policies and laws which may impede this.
机译：引言和目的：这项研究的目的是研究孟加拉国吸毒者的艾滋病毒趋势和相关风险行为，已经采取的预防和减少危害举措的效果，并着眼于近期需求。设计与方法：收集并审查期刊出版物，会议摘要和会议记录。由于发表的论文相对较少，因此对灰色文献也进行了回顾。联系了参与制定和评估当前计划或政策的专家以获取正式报告，政策文件或未出版的材料。将注射和性危险行为的趋势制成表格。结果：对公认的前哨人群进行定期的行为和血清监测清楚地表明，注射吸毒者中的艾滋病毒感染率一直在稳定增长。在首都，注射吸毒者中的艾滋病毒流行率已接近集中流行水平（4.9％）。尽管减少伤害战略已在一定程度上减少了与注射有关的危险行为，但持续高比率的共用针头和高流行的性危险行为仍然令人震惊。非注射吸毒者的艾滋病毒感染率一直很低，但是他们的高风险性行为以及随着时间的推移转变为注射吸毒者令人关注。讨论和结论：当前的需求与正在进行的预防和减少危害活动之间存在很大差距。迫切需要制定一项全面的减少伤害计划，并审查任何可能阻碍其发展的政策和法律。

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