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Prevalence of HIV and other infections and injection behaviours among people who inject drugs in Addis Ababa, Ethiopia

Demissie, Minilik LU ; Johnston, Lisa G ; Muleta, Mekonnen ; Desyebelew, Dires ; Belete, Wudinesh ; G/Egxiabehre, Atsbeha ; Gezahegn, Nigussie ; Kassa, Desta and Aseffa, Yibeltal (2018) In African Journal of AIDS Research 17(3). p.259-264
Abstract

BACKGROUND: Ethiopia is one of the sub-Saharan African countries most affected by HIV/AIDS. However, the country lacks data describing the extent of the epidemic among people who inject drugs (PWID). Thus, a bio-behavioural study was conducted in 2015 to generate strategic information on the magnitude of HIV, hepatitis B virus (HBV), hepatitis C virus (HCV), syphilis and related risk behaviours among PWID in Addis Ababa.

METHODS: A cross-sectional study using respondent-driven sampling was conducted among people reported to have injected illicit drugs within 6 months before the study. Males and females aged 15 years or above and who were resident in Addis Ababa were included in the study between 26 March and 22 May 2015. Data was... (More)

BACKGROUND: Ethiopia is one of the sub-Saharan African countries most affected by HIV/AIDS. However, the country lacks data describing the extent of the epidemic among people who inject drugs (PWID). Thus, a bio-behavioural study was conducted in 2015 to generate strategic information on the magnitude of HIV, hepatitis B virus (HBV), hepatitis C virus (HCV), syphilis and related risk behaviours among PWID in Addis Ababa.

METHODS: A cross-sectional study using respondent-driven sampling was conducted among people reported to have injected illicit drugs within 6 months before the study. Males and females aged 15 years or above and who were resident in Addis Ababa were included in the study between 26 March and 22 May 2015. Data was analysed using respondent-driven (RDS) Analyst software.

RESULTS: A total of 237 participants, including 6 seeds, enrolled in the study; most of the PWID were males (96%) with a mean age of 26 years. Most (79%) of the PWID reported injecting heroin but also reported using non-injecting drugs, including marijuana or ganja (47%) and/or khat (31%). Forty per cent of PWID reported ever sharing needles and 56% reported sharing other injecting equipment. However, only 14% reported injecting daily, and 49% reported injecting only 1 to 3 times a month. HIV prevalence was 6%, HBV was 5.1%, HCV was 2.9% and syphilis 5.1% among PWID. Among HIV-positive PWID, 60% reported sharing a needle the last time they injected.

CONCLUSION: Even though the prevalence of HIV among drug users is not much higher than in the general population in Addis Ababa, the needle sharing prevalence was high. Thus, this baseline study shows the need to establish harm reduction programmes and prevention strategies for the PWID in Addis Ababa.

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author
publishing date
type
Contribution to journal
publication status
published
keywords
Adolescent, Adult, Africa, Northern, Cross-Sectional Studies, Epidemics, Ethiopia/epidemiology, Female, HIV, HIV Infections/epidemiology, Hepatitis B/epidemiology, Hepatitis C/epidemiology, Humans, Male, Middle Aged, Needle Sharing/statistics & numerical data, Prevalence, Risk, Risk-Taking, Substance Abuse, Intravenous/epidemiology, Surveys and Questionnaires, Syphilis/epidemiology, Young Adult
in
African Journal of AIDS Research
volume
17
issue
3
pages
259 - 264
publisher
Taylor & Francis
external identifiers
  • pmid:30319040
  • scopus:85055099904
ISSN
1608-5906
DOI
10.2989/16085906.2018.1511604
language
English
LU publication?
no
id
b49baee4-78c1-4140-bf77-297bb9d8ec9c
date added to LUP
2019-09-12 09:53:20
date last changed
2020-02-12 10:14:27
@article{b49baee4-78c1-4140-bf77-297bb9d8ec9c,
  abstract     = {<p>BACKGROUND: Ethiopia is one of the sub-Saharan African countries most affected by HIV/AIDS. However, the country lacks data describing the extent of the epidemic among people who inject drugs (PWID). Thus, a bio-behavioural study was conducted in 2015 to generate strategic information on the magnitude of HIV, hepatitis B virus (HBV), hepatitis C virus (HCV), syphilis and related risk behaviours among PWID in Addis Ababa.</p><p>METHODS: A cross-sectional study using respondent-driven sampling was conducted among people reported to have injected illicit drugs within 6 months before the study. Males and females aged 15 years or above and who were resident in Addis Ababa were included in the study between 26 March and 22 May 2015. Data was analysed using respondent-driven (RDS) Analyst software.</p><p>RESULTS: A total of 237 participants, including 6 seeds, enrolled in the study; most of the PWID were males (96%) with a mean age of 26 years. Most (79%) of the PWID reported injecting heroin but also reported using non-injecting drugs, including marijuana or ganja (47%) and/or khat (31%). Forty per cent of PWID reported ever sharing needles and 56% reported sharing other injecting equipment. However, only 14% reported injecting daily, and 49% reported injecting only 1 to 3 times a month. HIV prevalence was 6%, HBV was 5.1%, HCV was 2.9% and syphilis 5.1% among PWID. Among HIV-positive PWID, 60% reported sharing a needle the last time they injected.</p><p>CONCLUSION: Even though the prevalence of HIV among drug users is not much higher than in the general population in Addis Ababa, the needle sharing prevalence was high. Thus, this baseline study shows the need to establish harm reduction programmes and prevention strategies for the PWID in Addis Ababa.</p>},
  author       = {Demissie, Minilik and Johnston, Lisa G and Muleta, Mekonnen and Desyebelew, Dires and Belete, Wudinesh and G/Egxiabehre, Atsbeha and Gezahegn, Nigussie and Kassa, Desta and Aseffa, Yibeltal},
  issn         = {1608-5906},
  language     = {eng},
  number       = {3},
  pages        = {259--264},
  publisher    = {Taylor & Francis},
  series       = {African Journal of AIDS Research},
  title        = {Prevalence of HIV and other infections and injection behaviours among people who inject drugs in Addis Ababa, Ethiopia},
  url          = {http://dx.doi.org/10.2989/16085906.2018.1511604},
  doi          = {10.2989/16085906.2018.1511604},
  volume       = {17},
  year         = {2018},
}