Patterns of sexual and injecting risk behaviours in French intravenous drug users not reporting HIV and hepatitis C virus seropositivities
Aims. To characterize and identify determinants of risk behaviour patterns of intravenous drug users (IDUs) independently of changes due to knowledge of HIV or hepatitis C Virus (HCV) seropositivity. Design. A cross‐sectional survey using a structured questionnaire concerning sexual, injecting and H...
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| Veröffentlicht in: | Addiction (Abingdon, England) England), 1998-11, Vol.93 (11), p.1657-1668 |
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| container_title | Addiction (Abingdon, England) |
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| creator | Vidal-Trecan, Gwenaelle Coste, Joel Varescon-Pousson, Isabelle Reboul-Marty, Jeanne Christoforov, Boyan Boissonnas, Alain |
| description | Aims. To characterize and identify determinants of risk behaviour patterns of intravenous drug users (IDUs) independently of changes due to knowledge of HIV or hepatitis C Virus (HCV) seropositivity. Design. A cross‐sectional survey using a structured questionnaire concerning sexual, injecting and HIV and HCV antibody testing practices. Setting. IDUs were interviewed in the Paris region at 10 treatment or psychosocial centres. Participants. Six hundred and twelve consecutive sexually active IDUs over 18 years able to answer the questionnaire. Measurements. Five hundred and ninety‐five IDUs completed the questionnaire. The risk‐behaviour patterns of the 328 IDUs not reporting HIV or HCV seropositivity were analysed by phi correlation. Risk factors for each risk behaviour were determined by regression logistic models yielding odds ratios (OR) and their 95% confidence intervals (95%CI). Findings. Several risk behaviour patterns were suggested: (1) lending, borrowing; (2) not or inconsistently testing HIV and HCV serology and not or inconsistently using condoms; (3) having multiple partners and prostitution; and (4) not using clean equipment. Alcohol abuse was independently and specifically associated with lending (OR = 3.8; 95% CI: 2.1‐7.0) and borrowing (OR = 3.3; 95% CI: 1.8‐6.1); homelessness with injecting risk behaviours and with prostitution (OR = 2.7; 95% CI: 1.2‐6.1); low educational level and having children with not or inconsistently using condom and serology testing; and cocaine use with not or inconsistently using condoms (OR = 0.4; 95% CI: 0.3‐0.7) and serology testing and not using clean equipment (OR = 0.4; 95% CI: 0.2‐0.8). Having multiple partners and prostitution had no common risk factors. Conclusions. Identifying specific risk factors could help to target drug harm reduction programmes for each risk behaviour pattern among IDUs not reporting HIV and HCV seropositivity. |
| doi_str_mv | 10.1046/j.1360-0443.1998.931116574.x |
| format | Article |
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To characterize and identify determinants of risk behaviour patterns of intravenous drug users (IDUs) independently of changes due to knowledge of HIV or hepatitis C Virus (HCV) seropositivity. Design. A cross‐sectional survey using a structured questionnaire concerning sexual, injecting and HIV and HCV antibody testing practices. Setting. IDUs were interviewed in the Paris region at 10 treatment or psychosocial centres. Participants. Six hundred and twelve consecutive sexually active IDUs over 18 years able to answer the questionnaire. Measurements. Five hundred and ninety‐five IDUs completed the questionnaire. The risk‐behaviour patterns of the 328 IDUs not reporting HIV or HCV seropositivity were analysed by phi correlation. Risk factors for each risk behaviour were determined by regression logistic models yielding odds ratios (OR) and their 95% confidence intervals (95%CI). Findings. Several risk behaviour patterns were suggested: (1) lending, borrowing; (2) not or inconsistently testing HIV and HCV serology and not or inconsistently using condoms; (3) having multiple partners and prostitution; and (4) not using clean equipment. Alcohol abuse was independently and specifically associated with lending (OR = 3.8; 95% CI: 2.1‐7.0) and borrowing (OR = 3.3; 95% CI: 1.8‐6.1); homelessness with injecting risk behaviours and with prostitution (OR = 2.7; 95% CI: 1.2‐6.1); low educational level and having children with not or inconsistently using condom and serology testing; and cocaine use with not or inconsistently using condoms (OR = 0.4; 95% CI: 0.3‐0.7) and serology testing and not using clean equipment (OR = 0.4; 95% CI: 0.2‐0.8). Having multiple partners and prostitution had no common risk factors. Conclusions. Identifying specific risk factors could help to target drug harm reduction programmes for each risk behaviour pattern among IDUs not reporting HIV and HCV seropositivity.</description><identifier>ISSN: 0965-2140</identifier><identifier>EISSN: 1360-0443</identifier><identifier>DOI: 10.1046/j.1360-0443.1998.931116574.x</identifier><identifier>PMID: 9926529</identifier><language>eng</language><publisher>Oxford, UK: Carfax Publishing Limited</publisher><subject>Adult ; Biological and medical sciences ; Condoms - utilization ; Cross-Sectional Studies ; Drug abuse ; Female ; France ; France - epidemiology ; Hepatitis ; Hepatitis C - diagnosis ; Hepatitis C virus ; HIV ; HIV Infections - diagnosis ; HIV Seropositivity ; Human immunodeficiency virus ; Human viral diseases ; Humanities and Social Sciences ; Humans ; Infectious diseases ; Intravenous drug addicts ; Male ; Medical sciences ; Morbidity ; Needle Sharing ; Risk ; Risk behaviour ; Risk Factors ; Risk-Taking ; Sexual Behavior ; Sexual behaviour ; Sexual Partners ; Substance Abuse, Intravenous - psychology ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids</subject><ispartof>Addiction (Abingdon, England), 1998-11, Vol.93 (11), p.1657-1668</ispartof><rights>1999 INIST-CNRS</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5754-cbc7e8315f90bae8ed7a0457bfa9a6e7e1c3e93b90a5779d9a8b7f3d9720219f3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1360-0443.1998.931116574.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1360-0443.1998.931116574.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,31000,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1637130$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9926529$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://u-paris.hal.science/hal-04132576$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Vidal-Trecan, Gwenaelle</creatorcontrib><creatorcontrib>Coste, Joel</creatorcontrib><creatorcontrib>Varescon-Pousson, Isabelle</creatorcontrib><creatorcontrib>Reboul-Marty, Jeanne</creatorcontrib><creatorcontrib>Christoforov, Boyan</creatorcontrib><creatorcontrib>Boissonnas, Alain</creatorcontrib><title>Patterns of sexual and injecting risk behaviours in French intravenous drug users not reporting HIV and hepatitis C virus seropositivities</title><title>Addiction (Abingdon, England)</title><addtitle>Addiction</addtitle><description>Aims. To characterize and identify determinants of risk behaviour patterns of intravenous drug users (IDUs) independently of changes due to knowledge of HIV or hepatitis C Virus (HCV) seropositivity. Design. A cross‐sectional survey using a structured questionnaire concerning sexual, injecting and HIV and HCV antibody testing practices. Setting. IDUs were interviewed in the Paris region at 10 treatment or psychosocial centres. Participants. Six hundred and twelve consecutive sexually active IDUs over 18 years able to answer the questionnaire. Measurements. Five hundred and ninety‐five IDUs completed the questionnaire. The risk‐behaviour patterns of the 328 IDUs not reporting HIV or HCV seropositivity were analysed by phi correlation. Risk factors for each risk behaviour were determined by regression logistic models yielding odds ratios (OR) and their 95% confidence intervals (95%CI). Findings. Several risk behaviour patterns were suggested: (1) lending, borrowing; (2) not or inconsistently testing HIV and HCV serology and not or inconsistently using condoms; (3) having multiple partners and prostitution; and (4) not using clean equipment. Alcohol abuse was independently and specifically associated with lending (OR = 3.8; 95% CI: 2.1‐7.0) and borrowing (OR = 3.3; 95% CI: 1.8‐6.1); homelessness with injecting risk behaviours and with prostitution (OR = 2.7; 95% CI: 1.2‐6.1); low educational level and having children with not or inconsistently using condom and serology testing; and cocaine use with not or inconsistently using condoms (OR = 0.4; 95% CI: 0.3‐0.7) and serology testing and not using clean equipment (OR = 0.4; 95% CI: 0.2‐0.8). Having multiple partners and prostitution had no common risk factors. Conclusions. Identifying specific risk factors could help to target drug harm reduction programmes for each risk behaviour pattern among IDUs not reporting HIV and HCV seropositivity.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Condoms - utilization</subject><subject>Cross-Sectional Studies</subject><subject>Drug abuse</subject><subject>Female</subject><subject>France</subject><subject>France - epidemiology</subject><subject>Hepatitis</subject><subject>Hepatitis C - diagnosis</subject><subject>Hepatitis C virus</subject><subject>HIV</subject><subject>HIV Infections - diagnosis</subject><subject>HIV Seropositivity</subject><subject>Human immunodeficiency virus</subject><subject>Human viral diseases</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Intravenous drug addicts</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Morbidity</subject><subject>Needle Sharing</subject><subject>Risk</subject><subject>Risk behaviour</subject><subject>Risk Factors</subject><subject>Risk-Taking</subject><subject>Sexual Behavior</subject><subject>Sexual behaviour</subject><subject>Sexual Partners</subject><subject>Substance Abuse, Intravenous - psychology</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><issn>0965-2140</issn><issn>1360-0443</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqVkstu2zAQRYWiReqm_YQCXAQFupBLii8R6Maw6ziF0aZAH0uCkkYxHVlySMl1fiFfHSoy1GXQBcHHnHtniJkouiB4SjATn7ZTQgWOMWN0SpRKp4oSQgSXbHp8EU3G4MtogpXgcUIYfh298X6LMZapYmfRmVKJ4ImaRA_Xpm3B1R41JfJw7EyFTF0gW28hb219g5z1tyiDjTnYpnM-RNDSQZ1vwql15gB103lUuO4GdR4CUDctcrBv3JN8dfX7yXADe9Pa1no0RwfrgiTAzb7x4e0QFvi30avSVB7enfbz6Nfyy8_5Kl5_v7yaz9ZxziVncZ7lElJKeKlwZiCFQhrMuMxKo4wACSSnoGimsOFSqkKZNJMlLZRMcEJUSc-jj4PvxlR67-zOuHvdGKtXs7Xu3zAjNOFSHEhgPwzs3jV3HfhW76zPoapMDeHbmsuUpownz4I0FZTxlD0LEklpwljv-HkAc9d476AcayVY94Ogt7rvte57rftB0OMg6GOQvz_l6bIdFKP41PkQvzjFjc9NVTpT59b_yyGoJBQHbDlgf20F9_9Vgp4tFuM1GMWDkfUtHEcj4261kFRy_efbpVZfrwX5QRY6pY8J5-FG</recordid><startdate>199811</startdate><enddate>199811</enddate><creator>Vidal-Trecan, Gwenaelle</creator><creator>Coste, Joel</creator><creator>Varescon-Pousson, Isabelle</creator><creator>Reboul-Marty, Jeanne</creator><creator>Christoforov, Boyan</creator><creator>Boissonnas, Alain</creator><general>Carfax Publishing Limited</general><general>Blackwell</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U1</scope><scope>7U2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7QJ</scope><scope>1XC</scope><scope>BXJBU</scope></search><sort><creationdate>199811</creationdate><title>Patterns of sexual and injecting risk behaviours in French intravenous drug users not reporting HIV and hepatitis C virus seropositivities</title><author>Vidal-Trecan, Gwenaelle ; Coste, Joel ; Varescon-Pousson, Isabelle ; Reboul-Marty, Jeanne ; Christoforov, Boyan ; Boissonnas, Alain</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5754-cbc7e8315f90bae8ed7a0457bfa9a6e7e1c3e93b90a5779d9a8b7f3d9720219f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Condoms - utilization</topic><topic>Cross-Sectional Studies</topic><topic>Drug abuse</topic><topic>Female</topic><topic>France</topic><topic>France - epidemiology</topic><topic>Hepatitis</topic><topic>Hepatitis C - diagnosis</topic><topic>Hepatitis C virus</topic><topic>HIV</topic><topic>HIV Infections - diagnosis</topic><topic>HIV Seropositivity</topic><topic>Human immunodeficiency virus</topic><topic>Human viral diseases</topic><topic>Humanities and Social Sciences</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Intravenous drug addicts</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Morbidity</topic><topic>Needle Sharing</topic><topic>Risk</topic><topic>Risk behaviour</topic><topic>Risk Factors</topic><topic>Risk-Taking</topic><topic>Sexual Behavior</topic><topic>Sexual behaviour</topic><topic>Sexual Partners</topic><topic>Substance Abuse, Intravenous - psychology</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vidal-Trecan, Gwenaelle</creatorcontrib><creatorcontrib>Coste, Joel</creatorcontrib><creatorcontrib>Varescon-Pousson, Isabelle</creatorcontrib><creatorcontrib>Reboul-Marty, Jeanne</creatorcontrib><creatorcontrib>Christoforov, Boyan</creatorcontrib><creatorcontrib>Boissonnas, Alain</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>HAL-SHS: Archive ouverte en Sciences de l'Homme et de la Société</collection><jtitle>Addiction (Abingdon, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vidal-Trecan, Gwenaelle</au><au>Coste, Joel</au><au>Varescon-Pousson, Isabelle</au><au>Reboul-Marty, Jeanne</au><au>Christoforov, Boyan</au><au>Boissonnas, Alain</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patterns of sexual and injecting risk behaviours in French intravenous drug users not reporting HIV and hepatitis C virus seropositivities</atitle><jtitle>Addiction (Abingdon, England)</jtitle><addtitle>Addiction</addtitle><date>1998-11</date><risdate>1998</risdate><volume>93</volume><issue>11</issue><spage>1657</spage><epage>1668</epage><pages>1657-1668</pages><issn>0965-2140</issn><eissn>1360-0443</eissn><abstract>Aims. To characterize and identify determinants of risk behaviour patterns of intravenous drug users (IDUs) independently of changes due to knowledge of HIV or hepatitis C Virus (HCV) seropositivity. Design. A cross‐sectional survey using a structured questionnaire concerning sexual, injecting and HIV and HCV antibody testing practices. Setting. IDUs were interviewed in the Paris region at 10 treatment or psychosocial centres. Participants. Six hundred and twelve consecutive sexually active IDUs over 18 years able to answer the questionnaire. Measurements. Five hundred and ninety‐five IDUs completed the questionnaire. The risk‐behaviour patterns of the 328 IDUs not reporting HIV or HCV seropositivity were analysed by phi correlation. Risk factors for each risk behaviour were determined by regression logistic models yielding odds ratios (OR) and their 95% confidence intervals (95%CI). Findings. Several risk behaviour patterns were suggested: (1) lending, borrowing; (2) not or inconsistently testing HIV and HCV serology and not or inconsistently using condoms; (3) having multiple partners and prostitution; and (4) not using clean equipment. Alcohol abuse was independently and specifically associated with lending (OR = 3.8; 95% CI: 2.1‐7.0) and borrowing (OR = 3.3; 95% CI: 1.8‐6.1); homelessness with injecting risk behaviours and with prostitution (OR = 2.7; 95% CI: 1.2‐6.1); low educational level and having children with not or inconsistently using condom and serology testing; and cocaine use with not or inconsistently using condoms (OR = 0.4; 95% CI: 0.3‐0.7) and serology testing and not using clean equipment (OR = 0.4; 95% CI: 0.2‐0.8). Having multiple partners and prostitution had no common risk factors. Conclusions. Identifying specific risk factors could help to target drug harm reduction programmes for each risk behaviour pattern among IDUs not reporting HIV and HCV seropositivity.</abstract><cop>Oxford, UK</cop><pub>Carfax Publishing Limited</pub><pmid>9926529</pmid><doi>10.1046/j.1360-0443.1998.931116574.x</doi><tpages>12</tpages></addata></record> |
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| identifier | ISSN: 0965-2140 |
| ispartof | Addiction (Abingdon, England), 1998-11, Vol.93 (11), p.1657-1668 |
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| language | eng |
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| source | MEDLINE; Access via Wiley Online Library; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adult Biological and medical sciences Condoms - utilization Cross-Sectional Studies Drug abuse Female France France - epidemiology Hepatitis Hepatitis C - diagnosis Hepatitis C virus HIV HIV Infections - diagnosis HIV Seropositivity Human immunodeficiency virus Human viral diseases Humanities and Social Sciences Humans Infectious diseases Intravenous drug addicts Male Medical sciences Morbidity Needle Sharing Risk Risk behaviour Risk Factors Risk-Taking Sexual Behavior Sexual behaviour Sexual Partners Substance Abuse, Intravenous - psychology Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids |
| title | Patterns of sexual and injecting risk behaviours in French intravenous drug users not reporting HIV and hepatitis C virus seropositivities |
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