Risk Behavior among Current and Former Injecting Drug Users in Bandung, Indonesia.
Risk Behavior among Current and Former
Injecting Drug Users in Bandung, Indonesia
S. Iskandar1,2, D. A.E.P Basar1, T. Hidayat1, I.M.P. Siregar1, L. Pinxten2, R. van Crevel3,
A.J.A.M. Van der Ven3, C.A.J. de Jong5
1Padjajaran University/ Hasan Sadikin Hospital, Bandung, Indonesia 2Maastricht University, Maastricht, the Netherlands
Radboud University Nijmegen Medical Centre, the Netherlands
3
Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA); Nijmegen, the Netherlands
4
Introduction
• Efforts to prevent HIV-transmission through injecting drug use
(IDU) mostly target subjects who regularly inject
• The prevalence of HIV/AIDS in the people with a history of
previous IDU (former IDUs) is high
• Former IDUs are more accepted by community
• The transmission of HIV from former IDUs to the general
community is especially through sexual contacts.
Results (2)
HIV Status among IDUs
Former
IDUs
Objective
to explore and compare the characteristics and the risk
behaviors among current and former IDUs a better
understanding of these risk behaviors may contribute to the
design of specifically tailored prevention programs
Current
IDUs
Interview Center
Methods
Results (3)
Screening,
informed consent
Get a coupon
Free HIV, HBV, HCV,
Syphilis Test
HIV (+)
Syphilis (+)
Free CD4
test &
FreeChest
ARV X-ray
treatment
Inter
view
Free
coupo
n for
free
Reward & 2 coupons
for
testing
recruiting other IDUs
New respondents
Payment for
recruiting other IDUs
Free Syphilis
Treatment
This process (respondent driven sampling) is continued
until the number of IDUs recruited reach 210
Results (1)
Characteristics of IDUs (n=210)
Age
Total
fIDUs
cIDUs P-value
group
(N = 92) (N = 118)
(N = 210)
27,8 (3,8) 28,1 (4,0) 27,5 (3,8) 0,639
Age first time use drug
14,0 (2,8) 14,2 (3,3) 13,8 (2,2)
Age first time inject
18 (3,1)
18,4 (3,1) 17,8 (3,1)
Years of injecting in life
time
Gender
Male
Female
Marital Status
Ever married
Never married
Education
Junior high school or
under
Senior high school
Diploma or higher
7,1 (3,8)
5,5 (3,6)
0,314
0,168
8,4 (3,4) P
Injecting Drug Users in Bandung, Indonesia
S. Iskandar1,2, D. A.E.P Basar1, T. Hidayat1, I.M.P. Siregar1, L. Pinxten2, R. van Crevel3,
A.J.A.M. Van der Ven3, C.A.J. de Jong5
1Padjajaran University/ Hasan Sadikin Hospital, Bandung, Indonesia 2Maastricht University, Maastricht, the Netherlands
Radboud University Nijmegen Medical Centre, the Netherlands
3
Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA); Nijmegen, the Netherlands
4
Introduction
• Efforts to prevent HIV-transmission through injecting drug use
(IDU) mostly target subjects who regularly inject
• The prevalence of HIV/AIDS in the people with a history of
previous IDU (former IDUs) is high
• Former IDUs are more accepted by community
• The transmission of HIV from former IDUs to the general
community is especially through sexual contacts.
Results (2)
HIV Status among IDUs
Former
IDUs
Objective
to explore and compare the characteristics and the risk
behaviors among current and former IDUs a better
understanding of these risk behaviors may contribute to the
design of specifically tailored prevention programs
Current
IDUs
Interview Center
Methods
Results (3)
Screening,
informed consent
Get a coupon
Free HIV, HBV, HCV,
Syphilis Test
HIV (+)
Syphilis (+)
Free CD4
test &
FreeChest
ARV X-ray
treatment
Inter
view
Free
coupo
n for
free
Reward & 2 coupons
for
testing
recruiting other IDUs
New respondents
Payment for
recruiting other IDUs
Free Syphilis
Treatment
This process (respondent driven sampling) is continued
until the number of IDUs recruited reach 210
Results (1)
Characteristics of IDUs (n=210)
Age
Total
fIDUs
cIDUs P-value
group
(N = 92) (N = 118)
(N = 210)
27,8 (3,8) 28,1 (4,0) 27,5 (3,8) 0,639
Age first time use drug
14,0 (2,8) 14,2 (3,3) 13,8 (2,2)
Age first time inject
18 (3,1)
18,4 (3,1) 17,8 (3,1)
Years of injecting in life
time
Gender
Male
Female
Marital Status
Ever married
Never married
Education
Junior high school or
under
Senior high school
Diploma or higher
7,1 (3,8)
5,5 (3,6)
0,314
0,168
8,4 (3,4) P