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HIV prevalence and risk behaviors of male injection drug users in Cairo, Egypt.

机译：埃及开罗男性注射吸毒者的艾滋病毒患病率和风险行为。

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OBJECTIVE: To measure HIV prevalence and related risk behaviors among male injection drug users (IDUs) in Cairo, Egypt in the context of the first survey wave of an integrated biological and behavioral surveillance system. DESIGN AND METHODS: Given the hidden nature of injection drug use, we used the peer-referral methodology of respondent-driven sampling in a cross-sectional study to recruit a sample of male IDUs in Cairo between May and August 2006. Behavioral data were collected through face-to-face interviews and serum was obtained for HIV antibody testing. Population estimates were produced using respondent-driven sampling Analysis Tool. RESULTS: The study enrolled 413 male IDUs. The population estimated HIV prevalence was 0.6% (95% confidence interval 0.1-1.8). More than half (53.0%) reported injecting drugs with used needles or syringes and nearly one-third (32.4%) shared their used needle or syringe with one or more persons in the preceding month. Overall, 70.5% had sex in the preceding year, of whom 9.4% reported sex with male partners and 13.2% reported sex with commercial sex workers in the preceding 12 months. Ever use of a condom during sex was low with all partner types and only 5.8% ever had an HIV test. CONCLUSION: This first survey wave of integrated biological and behavioral surveillance system in Egypt to track the HIV epidemic among male IDUs found relatively low prevalence of infection compared to global estimates, though the figure is many times higher than the general population. In addition, risky injection practices and unprotected sex were high with sexual networks including men who have sex with men, female sex workers, wives, and other regular and casual partners. The respondent-driven sampling method was effective in recruiting male IDUs and the results are being used to inform surveillance and prevention programs.
机译：目的：在埃及在综合生物和行为监测系统的第一次调查浪潮的背景下测量埃及的男性注射药物（IDU）中的艾滋病毒患病率和相关风险行为。设计和方法：鉴于注射药物的隐藏性质，我们在横断面研究中使用了受访者驱动的抽样的同伴推荐方法，以招募5月和8月之间的开罗的男性Idus样本。行为数据被收集通过面对面的采访和血清获得HIV抗体测试。使用受访者驱动的采样分析工具生产人口估计。结果：该研究注册了413名男性IDU。人口估计的艾滋病毒患病率为0.6％（95％置信区间0.1-1.8）。超过一半（53.0％）报告用过针或注射器注射药物，近三分之一（32.4％）分享其使用的针或注射器，在前一个月内与一个或多个人分享。总的来说，70.5％在前一年发生性行为，其中9.4％报告与男性合作伙伴的性别，13.2％的人报告与前12个月的商业工作者进行性交。所有伴侣类型的性别都曾经使用过避孕套，只有5.8％的艾滋病毒检验。结论：与全球估计相比，埃及综合生物和行为监测系统综合生物和行为监测系统的第一次调查浪潮发现，与全球估计相比，感染的患病率相对较低，尽管该数字多于一般人群。此外，风险的注射措施和无保护的性别伴有性网络，包括与男性，女性性工作者，妻子和其他常规和休闲合作伙伴发生性关系的人。受访者驱动的抽样方法有效地招募男性IDU，并用于通知监测和预防计划。

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