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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
HIV risk and the overlap of injecting drug use and high-risk sexual behaviours among men who have sex with men in Zanzibar (Unguja), Tanzania
International Journal of Drug Policy, Volume 21, No. 6, Year 2010
Notification
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Description
Background: Men who have sex with men and inject drugs (MSM-IDU) are particularly vulnerable to HIV infection and have the potential to transmit HIV across multiple populations through their male and female sexual partners and injection drug-using partners. Methods: Respondent-driven sampling was used to recruit men who reported engaging in anal sex with another man in the past 3 months, aged ≥15 years, and living in Unguja, Zanzibar. Participants responded to a face-to-face interview about their HIV and injecting risk behaviours and were tested for HIV, Hepatitis B (HBV) and C (HCV) and syphilis. Results: Among the 509 MSM who enrolled in the survey, 14% (n= 66) reported injecting drugs in the past 3 months among which 66% used heroin, 60% used a needle after someone else had and 68% passed a needle to someone else after using it. MSM-IDU were significantly more likely to have two or more non-paying male receptive sex partners and to have engaged in group sex in the past month, to have symptoms of a sexually transmitted infection in past 6 months, to have been arrested or beaten in the past 12 months and to be infected with HIV and co-infected with HIV and HCV compared to MSM who did not inject drugs. MSM-IDU were less likely to have used a condom at last sex with a non-paid female partner, to know where to get a confidential HIV test and to have ever been tested for HIV compared to MSM who did not inject drugs. Conclusion: MSM-IDU, and MSM in general, in Unguja practice multiple high-risk behaviours that put them at risk for blood-borne and sexual transmission of HIV and HCV infection. Targeted interventions for MSM-IDU must account for the overlap of high-risk sexual and drug-using networks and integrate injection drug use and HIV services. © 2010 Elsevier B.V.
Authors & Co-Authors
Johnston, Lisa Grazina
United States, New Orleans
Tulane University School of Public Health and Tropical Medicine
Holman, Abigail
United States, Atlanta
Centers for Disease Control and Prevention
Dahoma, Mohammed J.U.
Tanzania, Mkokotoni
Ministry of Health Zanzibar
Miller, Leigh Ann
United States, New Orleans
Tulane University School of Public Health and Tropical Medicine
Kim, Evelyn J.
United States, Atlanta
Centers for Disease Control and Prevention
Mussa, Mahmoud I.
Tanzania, Mkokotoni
Ministry of Health Zanzibar
Othman, Asha A.
Tanzania, Mkokotoni
Ministry of Health Zanzibar
Kim, Andrea A.
United States, Atlanta
Centers for Disease Control and Prevention
Kendall, Carl
United States, New Orleans
Tulane University School of Public Health and Tropical Medicine
Sabin, Keith M.
United States, Atlanta
Centers for Disease Control and Prevention
Statistics
Citations: 52
Authors: 10
Affiliations: 3
Identifiers
Doi:
10.1016/j.drugpo.2010.06.001
ISSN:
09553959
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Tanzania
Participants Gender
Male
Female