| Titre : | Effects of sex work on the prevalence of syphilis among injection drug users in 3 Russian cities. (2007) |
| Auteurs : | Lucy PLATT ; All JUDD ; KOSHKINA (Evgeniya) : RUS. Department of Epidemiology. National Centre for Research on Addictions. Moscow. ; LATISHEVSKAYA (Natalia) : RUS. Department of General Hygiene and Safeguard of Health. Volgograd Medical Academy. Volgograd. ; MAKSIMOVA (Svetlana) : RUS. Sociology Faculty. Altai State University. ; Tamara MCDONALD ; John-V PARRY ; RENTON (Adrian) : GBR. Unit for International Public Health and Development. Imperial College. London. ; Tim RHODES ; Health Protection Agency. Sexually Transmitted and Blood Borne Virus Laboratory. London. GBR ; Imperial College. Centre for Research on Drugs and Health Behavior. London. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 97, n° 3, 2007) |
| Pagination : | 478-485 |
| Langues: | Anglais |
| Mots-clés : | Toxicomanie ; Prostitution ; Prévalence ; Syphilis ; Bactériose ; Infection ; Voie intraveineuse ; Milieu urbain ; Toxicomane ; Homme ; Epidémiologie ; Maladie sexuellement transmissible |
| Résumé : | [BDSP. Notice produite par INIST-CNRS CsE1aR0x. Diffusion soumise à autorisation]. Objectives. We examined risk factors for syphilis infection among injection drug users in 3 Russian Federation cities, focusing particular attention on the potential roles of gender and sex work. Methods. We conducted a cross-sectional survey of injection drug users in Moscow, Volgograd, and Barnaul, collecting behavioral data and testing for antibodies to Treponema pallidum. Associations between presence of antibodies to Treponema pallidum and covariates were explored. Results. Overall, the prevalence of antibodies to Treponema pallidum was 11% (95% confidence interval=9.7%, 13.1%). Syphilis was associated with involvement in sex work and with gender in Moscow and Barnaul but not in Volgograd. Female injection drug users not involved in sex work were more likely than men to be younger and to have recently begun to inject ; female injection drug users involved in sex work were more likely than those not involved in sex work to inject daily. Conclusions. Syphilis transmission dynamics varied by region. Sex work can increase syphilis risk among injection drug users, potentially feeding the momentum of sexually transmitted HIV and syphilis among non injectors. Targeted interventions are needed to reduce both sexual and injection risk behaviors among injection drug users. |
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