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Title: Prevalence, correlates, and risk perception of HIV infection among heroin users in Central Taiwan
Authors: Lin, Tsang-Yaw
Chen, Vincent C. H.
Lee, Chao-Hui
Chen, Chung-Ying
Shao, Wen-Chuan
Chang, Sheng-Huang
Chou, Jen-Yu
Lai, Te-Jen
Ferri, Cleusa P. [UNIFESP]
Gossop, Michael
Lee, Charles T. C.
Tsaotun Psychiat Ctr
Chung San Med Univ Hosp
Chung Shan Med Univ
Taipei City Hosp
Taipei Med Univ
Universidade Federal de São Paulo (UNIFESP)
Kings Coll London
Kaohsiung Med Univ
Keywords: Degree of risk perception
Heroin users
HIV infection
Methadone maintenance treatment program
Issue Date: 1-Dec-2013
Publisher: Elsevier B.V.
Citation: Kaohsiung Journal of Medical Sciences. Taipei: Elsevier Taiwan, v. 29, n. 12, p. 673-679, 2013.
Abstract: We investigated the prevalence and correlated factors of human immunodeficiency virus (HIV) among heroin users attending methadone maintenance treatment (MMT) programs in Central Taiwan, and explored the degree of risk perception of HIV infection among the participants. Our study participants were 781 heroin users seeking treatment at the MMT program at Tsaotun Psychiatric Center in Taiwan. the presence of HIV antibodies was identified by microparticle enzyme immunoassay and confirmed by western blot. Multivariate logistic regression was used to identify the independent correlates of HIV infection. the mean age of the sample was 36.1 years [standard deviation (SD) = 7.6]; of the patients, 710 (90.9%) were men. the prevalence of HIV infection among our study population was 20.7%. Multivariate logistic regression analysis revealed that HIV infection was independently associated with the age of the patients of initial heroin use, heroin injection use, nondrug-related criminal convictions, needle-sharing behaviors, and sharing injection paraphernalia. A strong agreement existed between self-reported HIV serostatus and the results of laboratory analyses, with 88.8% of patients reporting their condition correctly. We found a high rate of HIV infection among patients in the MMT program. Factors associated with HIV infection were mostly related to drug-use behaviors. These findings stress the importance of education regarding drug-risk behaviors. Copyright (C) 2013, Kaohsiung Medical University. Published by Elsevier Taiwan LLC. All rights reserved.
ISSN: 1607-551X
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