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Published on: March 30, 2014
Prevalence of HIV and associated risk behaviour in attendees at a Dublin needle exchange
Z Johnson1, M O'Connor, L Pomeroy
1Eastern Health Board, AIDS Resource Centre, Baggot Street Hospital, Dublin, Eire.
Insights
This study found that 14.8% of Dublin needle exchange attendees had HIV. Many reported unsafe injecting and sexual practices, highlighting the need for improved health promotion for drug users.
Area of Science:
- Public Health
- Infectious Disease Epidemiology
- Addiction Research
Background:
- Needle exchange programs are crucial for harm reduction among people who inject drugs.
- Understanding HIV prevalence and associated risk behaviors is vital for targeted interventions.
Purpose of the Study:
- To determine the prevalence of Human Immunodeficiency Virus (HIV) infection.
- To assess the extent of equipment sharing and unsafe sexual activity among attendees at a Dublin needle exchange.
Main Methods:
- Anonymous, unlinked approach utilizing questionnaires and saliva samples for HIV testing.
- Data collected from 106 attendees, with 81 providing usable saliva samples.
Main Results:
- HIV prevalence was 14.8% among participants.
- One-third of respondents reported sharing injecting equipment with multiple partners.
- Only 25% of participants consistently used condoms with multiple sexual partners.
Conclusions:
- HIV prevalence is comparable to other Irish drug user populations.
- High rates of unsafe injecting and sexual behaviors underscore the urgent need for enhanced health promotion strategies.
- Targeted interventions are necessary to reduce HIV transmission risks within this population.
Abstract:
The aim of this study was to measure the prevalence of HIV infection and assess the level of equipment-sharing and unsafe sexual activity among attendees at a Dublin needle exchange. Using an anonymous unlinked approach, attendees were asked to complete a brief questionnaire and provide a sample of saliva for HIV testing. Of the 144 attendees eligible for inclusion during the study period, 106 agreed to participate and complete a questionnaire, a response rate of 74%. Of the 81 respondents who submitted a usable saliva sample, 14.8% were HIV positive. Half of the respondents claimed that they had not shared equipment during the preceding 28 days, but a third had shared with multiple partners. Half of the respondents claimed that they had multiple sexual partners during the preceding year, but only a quarter said that they always used condoms. The prevalence of HIV infection is similar to that found in routine linked testing of drug users in Ireland. The high level of unsafe injecting and sexual activity makes clear the need for more effective health promotion among drug users in Dublin.
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