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首页> 外文期刊>AIDS >HIV prevalence and risk behaviors of male injection drug users in Cairo, Egypt.
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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流行率和危险行为。

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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：在第一次生物和行为综合监测系统调查浪潮的背景下，测量埃及开罗男性注射吸毒者中的艾滋病毒感染率和相关风险行为。设计与方法：鉴于注射毒品的隐藏性质，我们在一项横断面研究中使用了受访者驱动的采样的对等推荐方法，在2006年5月至8月间在开罗招募了男性吸毒者样本。收集了行为数据通过面对面的采访，获得了用于HIV抗体检测的血清。人口估计是使用受访者驱动的抽样分析工具得出的。结果：该研究招募了413名男性注射毒品者。人群估计的艾滋病毒感染率为0.6％（95％置信区间为0.1-1.8）。超过一半（53.0％）的人报告使用用过的针头或注射器注射药物，近三分之一（32.4％）的人在上个月与一个或多个人共享了用过的针头或注射器。总体而言，前一年有70.5％发生过性行为，其中9.4％的人在过去12个月内报告过与男性伴侣发生性关系，而13.2％的人报告过与商业性工作者发生过性行为。所有伴侣类型在性交时使用安全套的比例都很低，只有5.8％的人进行过HIV检测。结论：这是埃及首次进行的生物学和行为学综合监控系统调查，旨在追踪男性吸毒者中的艾滋病流行情况，与全球估计相比，其感染率相对较低，尽管这一数字比普通人群高很多倍。此外，性网络中的高风险注射行为和无保护性行为的发生率很高，其中包括与男性发生性关系的男性，女性性工作者，妻子以及其他定期和休闲伴侣。以受访者为主导的抽样方法有效地招募了男性吸毒者，其结果被用于指导监测和预防计划。

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