BACKGROUND: Sexual transmissibility of HIV among young drug users in China has been investigated in few studies. The objective of this study was to examine the role of sexual transmission on HIV infection among injection drug users (IDUs) and noninjection drug users (NIDUs). METHODS: Respondent-driven sampling (RDS) was used to recruit 426 young heroin/opium drug users in Yunnan, China. Logistic regression modeling was performed to examine interrelationships among risky sexual behaviors, drug-use modes, and drug-use practices. RESULTS: Substantial proportions of NIDUs and IDUs reported engagement in risky sexual behaviors including: (1) multiple sexual partners (42% of NIDUs vs. 37% of IDUs), (2) concurrent sexual partnerships (48% vs. 46%), (3) commercial sex partners (23% vs. 24%), and sex partners who were NIDUs (14% vs. 17%). Both NIDUs and IDUs reported low levels of condom use with nonregular partners (48% vs. 42%) and regular partner (24% vs. 27%), and having a history of recent methamphetamine use (21% vs. 18%). Compared to IDUs, NIDUs reported having had fewer sex partners who were IDUs, fewer IDU network peers, more NIDU network peers, and having lower levels of HIV knowledge and self-perceived HIV risk. CONCLUSIONS: Generalization of the HIV epidemic from high-risk groups to the general population may be driven by risky sexual behavior among drug users. Reducing sexual transmission of HIV among both IDUs and NIDUs is the next major challenge for HIV intervention among drug users in China.
BACKGROUND: Sexual transmissibility of HIV among young drug users in China has been investigated in few studies. The objective of this study was to examine the role of sexual transmission on HIV infection among injection drug users (IDUs) and noninjection drug users (NIDUs). METHODS: Respondent-driven sampling (RDS) was used to recruit 426 young heroin/opium drug users in Yunnan, China. Logistic regression modeling was performed to examine interrelationships among risky sexual behaviors, drug-use modes, and drug-use practices. RESULTS: Substantial proportions of NIDUs and IDUs reported engagement in risky sexual behaviors including: (1) multiple sexual partners (42% of NIDUs vs. 37% of IDUs), (2) concurrent sexual partnerships (48% vs. 46%), (3) commercial sex partners (23% vs. 24%), and sex partners who were NIDUs (14% vs. 17%). Both NIDUs and IDUs reported low levels of condom use with nonregular partners (48% vs. 42%) and regular partner (24% vs. 27%), and having a history of recent methamphetamine use (21% vs. 18%). Compared to IDUs, NIDUs reported having had fewer sex partners who were IDUs, fewer IDU network peers, more NIDU network peers, and having lower levels of HIV knowledge and self-perceived HIV risk. CONCLUSIONS: Generalization of the HIV epidemic from high-risk groups to the general population may be driven by risky sexual behavior among drug users. Reducing sexual transmission of HIV among both IDUs and NIDUs is the next major challenge for HIV intervention among drug users in China.
Authors: Don C Des Jarlais; Kamyar Arasteh; Theresa Perlis; Holly Hagan; Abu Abdul-Quader; Douglas D Heckathorn; Courtney McKnight; Heidi Bramson; Chris Nemeth; Lucia V Torian; Samuel R Friedman Journal: AIDS Date: 2007-01-11 Impact factor: 4.177
Authors: Samuel M Jenness; Elizabeth M Begier; Alan Neaigus; Christopher S Murrill; Travis Wendel; Holly Hagan Journal: Am J Public Health Date: 2010-06-17 Impact factor: 9.308
Authors: Song Duan; Sheng Shen; Marc Bulterys; Yujiang Jia; Yuecheng Yang; Lifeng Xiang; Fei Tian; Lin Lu; Yao Xiao; Minjie Wang; Manhong Jia; Huazhou Jiang; Sten H Vermund; Yan Jiang Journal: BMC Public Health Date: 2010-04-07 Impact factor: 3.295
Authors: Don C Des Jarlais; Kamyar Arasteh; Jonathan Feelemyer; Courtney McKnight; David M Barnes; Susan Tross; David C Perlman; Aimee N C Campbell; Hannah L F Cooper; Holly Hagan Journal: J Subst Abuse Treat Date: 2016-08-21
Authors: Don C Des Jarlais; Courtney McKnight; Kamyar Arasteh; Jonathan Feelemyer; David C Perlman; Holly Hagan; Hannah L F Cooper Journal: J Subst Abuse Treat Date: 2013-10-23
Authors: Hong-Ha M Truong; Michael Grasso; Yea-Hung Chen; Timothy A Kellogg; Tyler Robertson; Alberto Curotto; Wayne T Steward; Willi McFarland Journal: PLoS One Date: 2013-08-21 Impact factor: 3.240
Authors: Rulin C Hechter; Michael A Horberg; Constance Weisner; Cynthia I Campbell; Richard Contreras; Lie-Hong Chen; Bobbi Jo H Yarborough; Gwen T Lapham; Irina V Haller; Brian K Ahmedani; Ingrid A Binswanger; Andrea H Kline-Simon; Derek D Satre Journal: Subst Abus Date: 2019-03-25 Impact factor: 3.716
Authors: Mary Ellen Mackesy-Amiti; Lawrence J Ouellet; Lorna Finnegan; Holly Hagan; Elizabeth Golub; Mary Latka; Karla Wagner; Richard S Garfein Journal: AIDS Behav Date: 2014-03
Authors: Valentine Budambula; Charles Matoka; James Ouma; Aabid A Ahmed; Michael F Otieno; Tom Were Journal: BMC Public Health Date: 2018-01-30 Impact factor: 3.295