Estimation of the number of injecting drug users attending an outreach syringe-exchange program and infection with human immunodeficiency virus (HIV) and hepatitis C virus: the AjUDE-Brasil project

This study estimated the number of street injecting drug user (IDU) clients of a syringe-exchange program (SEP) who were infected with human immunodeficiency virus (HIV) and hepatitis C virus (HCV). A two-sample capture-recapture method was carried out. The first capture listed all interviewed IDUs...

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Veröffentlicht in:Journal of urban health 2003-03, Vol.80 (1), p.106-114
Hauptverfasser: Caiaffa, Waleska Teixeira, Mingoti, Sueli Aparecida, Proietti, Fernando A, Carneiro-Proietti, Anna Bárbara, Silva, Rodrigo Carazolli, Lopes, Aline Cristine Souza, Doneda, Denise
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container_end_page 114
container_issue 1
container_start_page 106
container_title Journal of urban health
container_volume 80
creator Caiaffa, Waleska Teixeira
Mingoti, Sueli Aparecida
Proietti, Fernando A
Carneiro-Proietti, Anna Bárbara
Silva, Rodrigo Carazolli
Lopes, Aline Cristine Souza
Doneda, Denise
description This study estimated the number of street injecting drug user (IDU) clients of a syringe-exchange program (SEP) who were infected with human immunodeficiency virus (HIV) and hepatitis C virus (HCV). A two-sample capture-recapture method was carried out. The first capture listed all interviewed IDUs outreached for syringe exchange from April 1 to May 1, 1998; the second capture involved those outreached from May 2 to June 6, 1998. Blood spots were collected for HIV and HCV serologies. Analysis used captured probability model varying with time. We interviewed 55 IDUs in the first capture and 99 in the second; 17 participated in both samples. An estimate of 317 IDUs attending the SEP was obtained (95% confidence interval [CI] 235-467). Based on the overall seroprevalence rates for HIV (47.7%) and HCV (53.1%), it was estimated that 151 IDUs were HIV infected (95% CI 112-223) and 168 (95% CI 125-248) were HCV infected. Enumeration of IDUs associated with estimates of the total number of HIV and HCV seropositives provide a powerful tool for SEPs to help monitor the number of IDUs, to plan for provisions, and to organize the new demands on existing health facilities for HIV and HCV care.
doi_str_mv 10.1093/jurban/jtg106
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subjects Adult
Blood-Borne Pathogens
Brazil - epidemiology
Confidence intervals
Cross-Sectional Studies
Enzyme-Linked Immunosorbent Assay
Health Knowledge, Attitudes, Practice
Hepatitis
Hepatitis C - epidemiology
Hepatitis C - immunology
Hepatitis C - prevention & control
Hepatitis C Antibodies - analysis
HIV
HIV Antibodies - analysis
HIV Infections - epidemiology
HIV Infections - immunology
HIV Infections - prevention & control
Human immunodeficiency virus
Humans
Male
Middle Aged
Needle Sharing - adverse effects
Needle-Exchange Programs - utilization
Risk-Taking
Seroepidemiologic Studies
Substance Abuse, Intravenous - epidemiology
Substance Abuse, Intravenous - virology
Substance-Related Disorders - epidemiology
Substance-Related Disorders - virology
Surveys and Questionnaires
Urban Health
title Estimation of the number of injecting drug users attending an outreach syringe-exchange program and infection with human immunodeficiency virus (HIV) and hepatitis C virus: the AjUDE-Brasil project
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