Impact of Gender and Sex Work on Sexual and Injecting Risk Behaviors and Their Association With HIV Positivity Among Injecting Drug Users in an HIV Epidemic in Togliatti City, Russian Federation
November 11, 2005
Togliatti City has a large HIV epidemic associated with injecting drug use. The authors conducted the current study to examine whether risk behaviors and risk factors associated with HIV differed across a sample of injecting drug users (IDUs) by gender and sex work. Field workers recruited a sample of IDUs (n=423) comprising female sex workers (SWs; n=66), non-sex workers (nonSWs; n=89) and men (n=268) in community settings and collected behavioral and HIV prevalence data.
The researchers found HIV prevalence did not differ across the groups (~56 percent) but gender adversely affected some risk factors. A comparison of risk behaviors indicated that SWs were more likely to engage in risky injecting behaviors than either men or nonSWs. SWs were also more likely to report a history of sexually transmitted infections.
"IDUs involved in sex work and IDU nonSWs require specific and targeted interventions to facilitate safer injecting and sexual behaviors," the investigators concluded.
Sexually Transmitted Diseases
10.05.2005; Vol. 32; No. 10: P. 605-612; Lucy Platt, M.Sc.; Tim Rhodes, Ph.D.; Catherine M. Lowndes, Ph.D.; Peter Madden, M.Sc.; Anya Sarang; Larissa Mikhailova, M.D.; Adrian Renton, Ph.D.; Yury Pevzner, Ph.D.; Kathleen Sullivan, B.A.; Mikhail Khutorskoy, Ph.D.
This article was provided by CDC National Prevention Information Network. It is a part of the publication CDC HIV/Hepatitis/STD/TB Prevention News Update.