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[Seropositive people infected through intravenous drug use: a persistent vulnerability]
Patrick Peretti-Watel1, Bruno Spire, France Lert
1Observatoire régional de la santé de Provence-Alpes-Côte d'Azur, Inserm U379, Marseille. peretti@marseille.inserm.fr
Abstract:
VESPA is a cross-sectional survey conducted among a national representative sample of HIV-infected outpatients attending French hospitals. Among the 2,932 respondents, 506 (17%) have been infected through intravenous drug use (IDU). These patients were younger and infected for a longer duration. Most of them have stopped injection, but are coinfected by HCV. We observed higher prevalences for indicators related to material vulnerability among those patients infected through IDU. These patients were also more prone to report experiences of AIDS-related discrimination, from relatives, friends, sexual partners but also from health professionals. Among patients infected through IDU, material vulnerability and experience of discrimination from health professionals were significantly associated with poor adherence to highly active antiretroviral therapies.
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