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首页> 外文期刊>JAIDS: Journal of acquired immune deficiency syndromes >High HIV sexual risk behaviors and sexually transmitted disease prevalence among injection drug users in Northern Vietnam: implications for a generalized HIV epidemic.
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High HIV sexual risk behaviors and sexually transmitted disease prevalence among injection drug users in Northern Vietnam: implications for a generalized HIV epidemic.

机译：越南北部注射吸毒者中高艾滋病毒的性风险行为和性传播疾病的流行：对艾滋病毒普遍流行的影响。

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摘要

BACKGROUND: HIV prevalence in Vietnam is currently concentrated among injection drug users (IDUs). The extent to which this core risk group represents a potential for broader HIV transmission to the general population is currently unknown. METHODS: A community-based cross-sectional study among IDUs in Vietnam assessed sexually transmitted disease (STD) prevalence and behavioral risk factors. Qualitative interview data enhanced quantitative findings. RESULTS: The prevalence of any STDs among 272 IDUs was 30% (chlamydia, 9%; herpes simplex virus type 2 [HSV-2], 22%; gonorrhea, 0%; and syphilis, 1%). Part-time work or unemployment (odds ratio [OR] = 2.74, 95% confidence interval [CI]: 1.1 to 6.9), sex with > or =2 sex workers in the past year (OR = 4.9, 95% CI: 1.91 to 12.6), having ever smoked heroin (OR = 4.5, 95% CI: 1.1 to 18.3), and injecting less frequently than daily (OR = 3.9, 95% CI: 1.43 to 10.6) were independently associated with chlamydial infection. Urban residency (OR = 4.0, 95% CI: 1.4 to 11.0) and daily injecting (OR = 2.2, 95% CI: 1.1 to 4.4) were independently associated with HSV-2. Odds of HSV-2 among older (> or =28 years of age) IDUs who had sex with <2 sex workers in the past year was higher than among younger IDUs who had sex with more sex workers (OR = 6.4, 95% CI: 2.1 to 18.4). CONCLUSIONS: High STD prevalence and high-risk sexual and parenteral behaviors among IDUs indicate the potential for HIV/STD transmission to the general Vietnamese population.
机译：背景：越南的艾滋病毒流行目前主要集中在注射吸毒者（IDU）中。目前尚不清楚该核心风险组在多大程度上可能将艾滋病毒传播给普通人群。方法：在越南的注射吸毒者中进行的一项基于社区的横断面研究评估了性传播疾病（STD）的患病率和行为危险因素。定性访谈数据增强了定量结果。结果：272个注射吸毒者中任何性病的患病率为30％（衣原体为9％; 2型单纯疱疹病毒[HSV-2]为22％;淋病为0％;梅毒为1％）。在过去的一年中，兼职或失业（优势比[OR] = 2.74，95％置信区间[CI]：1.1至6.9），与>或= 2个性工作者发生性行为（OR = 4.9，95％CI：1.91至12.6），曾经吸烟过海洛因（OR = 4.5，95％CI：1.1至18.3），且注射频率低于每日一次（OR = 3.9，95％CI：1.43至10.6），与衣原体感染独立相关。 HSV-2与城市居住（OR = 4.0，95％CI：1.4至11.0）和每日注射（OR = 2.2，95％CI：1.1至4.4）独立相关。在过去一年中与<2个性工作者发生性关系的年龄较大（>或= 28岁）IDU的HSV-2发生率高于与性工作者发生性行为的年轻IDU的发生率（OR = 6.4，95％CI ：2.1至18.4）。结论：注射吸毒者中性病流行率高，性和肠胃外行为风险高，表明艾滋病毒/性病可传播给越南总人口。

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