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[Injecting drug users from Eastern Europe in Barcelona, Spain].

M González¹, S Cebrián, C Nadal

¹SAPS Creu Roja. Ex AEquo. Departamento de Medicina. Universidad de Barcelona. Barcelona. España.

Gaceta Sanitaria

|July 5, 2003

Summary

Injecting drug users from Eastern Europe visiting Spain had high rates of Hepatitis C, B, and HIV. Successful treatment requires addressing drug use and ensuring continuity of care upon return home.

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Area of Science:

Public Health
Infectious Diseases
Substance Abuse

Context:

Study conducted in Barcelona, Spain, between May 1999 and May 2001.
Involved injecting drug users (IDUs) from Eastern Europe seeking healthcare.
Participants attended free therapeutic centers but incurred travel costs, indicating a specific population subgroup.

Purpose:

To assess the health status and treatment challenges of Eastern European injecting drug users in Spain.
To identify key factors influencing treatment success and relapse.
To inform healthcare strategies for vulnerable migrant populations.

Summary:

High prevalence of infectious diseases including Hepatitis C (92%), Hepatitis B (62%), and HIV (19%) among the studied IDUs.
Despite awareness of transmission risks, needle sharing was common.

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Challenges included difficulties in adhering to methadone and antiretroviral treatments upon return to their home countries if drug use persisted.

Impact:

Highlights the need for culturally sensitive healthcare and information tailored to users' countries of origin.
Recommends supervision for centers hosting international patients and developing alternatives for treatment abandonment.
Emphasizes the importance of international cooperation and harm reduction programs, advocating against the commercialization of treatment.