Pealkiri: 

HIV infection and risk behaviour of primary fentanyl and amphetamine injectors in Tallinn, Estonia: Implications for intervention

Autorid: Talu A , Rajaleid K , Abel-Ollo K , Rüütel K , Rahu M , Rhodes T , Platt L , Bobrova N , Uusküla A
Väljaandja/tellija: International Journal of Drug Policy
Märksõnad: riskikäitumine, narkomaania, HIV, AIDS, narkootikumid
Välja antud: 2010
Tüüp: Teaduslik artikkel/kogumik
Viide: Talu A, Rajaleid K, Abel-Ollo K, et al. HIV infection and risk behaviour of primary fentanyl and amphetamine injectors in Tallinn, Estonia: Implications for intervention. International Journal of Drug Policy 2010;21(1):56-63.
Link: http://www.ijdp.org/article/S0955-3959%2809%2900055-3/abstract
Alamvaldkonnad:Nakkushaigused
Sõltuvusainete tarvitamine
Kirjeldus: Background: Following a heroin shortage, fentanyl and 3-methylfentanyl, known as "China White" and
"White Persian", have become the most widely used drugs, along with amphetamine, among injecting
drug users (IDUs) in Tallinn, Estonia.
Methods: In order to assess the relationships between the injection of fentanyl and amphetamine, and
levels of HIV prevalence and risk behaviour, 350 current IDUs were recruited using respondent-driven
sampling for an interviewer-administered unlinked cross-sectional survey and HIV testing. IDUs were
categorised into groups based on self-report of the main drug used within the last 28 days.
Results: 77% (256/331) of participants reported fentanyl and 23% (75/331) amphetamine as their main
drug of injection. HIV prevalence was 27% (95% confidence interval [CI]: 18.45-35.51) and 62% (95% CI:
56.97-67.03) among amphetamine and fentanyl injectors, respectively. After adjustment, fentanyl injectors
had three times the odds of being HIV positive (adjusted odds ratio [AOR] = 2.89; 95% CI: 1.55-5.39).
They also had higher odds for injecting in the street with a previously used needle/syringe (AOR = 2.39;
95% CI: 1.14-5.04) and sharing a needle/syringe with somebody known to have HIV (AOR= 3.00, 95% CI:
1.33-6.79). Fentanyl injectors also had higher odds for lifetime overdose (AOR= 3.02, 95% CI: 1.65¿5.54).
Conclusion: The injection of fentanyl is associated with elevated injecting risk behaviour derived from
injection practice and situational risk factors, and needs urgently targeted interventions.