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HIV-infection among injecting drug users: analysis of risk factors in Rio de Janeiro City, Brazil

The objective of the present paper is to identify risk factors for HIV infection among injecting drug users in the City of Rio de Janeiro. A survey was carried out with volunteers selected from (drug use) treatment centers and from street based drug users of the city. Three questionnaires were used: the first one addressed information on general aspects of the population of injecting drug users; the second one asked for additional information on HIV-related knowledge and behavior; and a third one was designed to assess psychological dysfunction. The sample consisted of 110 respondents, who volunteered for HIV-infection and other blood-borne pathogens (HBV, HCV, HDV, HGV/GBV-C, HTLV-I/II) laboratory testing. In the sample, HIV-1 point seroprevalence was 28.7%. A logistic regression model (Hosmer-Lemeshow statistics, c² = 1.89; p=0.98) identified the following variables as risk factors for HIV infection: "low-income residence" (OR=5.57; 95% CI: [1.39 - 22.27]), "uncertain income sources" (OR=3.26; 95% CI: [1.01 - 10.51]), "early onset of drug consumption" (OR=2.50; 90% CI: [0.99 - 6.28]), "recruitment from street based drug users" (OR=7.91; 95% CI: [2.03 - 30.87]), and "high frequency of needle-sharing during the prior 6 months" (OR=4.41; 95% CI: [1.33 - 14.64]).

HIV-infections; Risk factors; Substance abuse, intravenous; Acquired Immunodeficiency Syndrome


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