Barriers and missed opportunities to HIV testing among injection drug users in two Mexico--US border cities.


INTRODUCTION AND AIMS:Despite increasing HIV prevalence in cities along the Mexico--US border, HIV testing among high-risk populations remains low. We sought to identify barriers associated with HIV testing among injection drug users (IDUs) in Tijuana and Ciudad Juarez, the two largest Mexican border cities located across from San Diego, California and El Paso, Texas, respectively. DESIGN AND METHODS:In 2005, 222 IDUs in Tijuana and 205 IDUs in Ciudad Juarez were recruited by respondent-driven sampling and administered a questionnaire to collect socio-demographic, behavioural and HIV testing history data. Blood samples were provided for serological testing of HIV, hepatitis C virus (HCV) and syphilis. RESULTS:Only 38% and 30% of respondents in Tijuana and Ciudad Juarez, respectively, had ever had an HIV test. The factors independently associated with never having been tested for HIV differed between the two sites, except for lack of knowledge on HIV transmission, which was independently associated in both locales. Importantly, 65% of those who had never been tested for HIV in both cities experienced at least one missed opportunity for voluntary testing, including medical visits, drug treatment and spending time in jail. DISCUSSION AND CONCLUSIONS:Among this high-risk IDU population we found HIV testing to be low, with voluntary testing in public and private settings utilised inadequately. These findings underscore the need to expand voluntary HIV education and testing and to integrate it into services and locales frequented by IDUs in these Mexico--US border cities.


Drug Alcohol Rev


Drug and alcohol review


Moyer LB,Brouwer KC,Brodine SK,Ramos R,Lozada R,Cruz MF,Magis-Rodriguez C,Strathdee SA




Has Abstract


2008-01-01 00:00:00














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    journal_title:Drug and alcohol review

    pub_type: 杂志文章


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    journal_title:Drug and alcohol review

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  • The toxicology of homicide offenders and victims: A review.

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    journal_title:Drug and alcohol review

    pub_type: 杂志文章,评审


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    更新日期:2010-03-01 00:00:00

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    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Jenkinson R,Jolley D,Dietze P

    更新日期:2014-07-01 00:00:00

  • The challenges of reducing tobacco use among prisoners.

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    journal_title:Drug and alcohol review

    pub_type: 杂志文章,评审


    authors: Richmond RL,Butler TG,Indig D,Wilhelm KA,Archer VA,Wodak AD

    更新日期:2012-07-01 00:00:00

  • Infant mortality among women on a methadone program during pregnancy.

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    pub_type: 临床试验,杂志文章,随机对照试验


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    更新日期:2004-09-01 00:00:00

  • Trends in methamphetamine use in young injection drug users in San Francisco from 1998 to 2004: the UFO Study.

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    更新日期:2008-05-01 00:00:00

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    更新日期:2020-07-01 00:00:00

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    更新日期:2020-11-02 00:00:00

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    pub_type: 杂志文章


    authors: Hides L,Limbong J,Vallmuur K,Barker R,Daglish M,Young RM

    更新日期:2015-03-01 00:00:00

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    journal_title:Drug and alcohol review

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    更新日期:1991-01-01 00:00:00

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    更新日期:2013-09-01 00:00:00

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    更新日期:2011-11-01 00:00:00

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    abstract:INTRODUCTION AND AIMS:Alcohol use during adolescence is associated with the onset of alcohol use disorders, mental health disorders, substance abuse as well as socially and physically damaging behaviours, the effects of which last well into adulthood. Nevertheless, alcohol use remains prevalent in this population. Unde...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章,随机对照试验


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    更新日期:2013-05-01 00:00:00

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    abstract:BACKGROUND AND AIMS:E-cigarettes are the most popular aid to quitting smoking in the UK. Although many smokers quit, relapse is common. Historically, the literature has reported strong associations between tobacco smoking lapse and relapse following a quit attempt. This article aims to explore how smoking lapse is expe...

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    pub_type: 杂志文章


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    更新日期:2019-01-01 00:00:00

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    abstract:INTRODUCTION AND AIMS:Electronic cigarettes (e-cigarettes) are becoming popular and may be a potential harm reduction and quit smoking aid for people who use other drugs. Data on e-cigarette use and perceptions among people who use drugs is limited. The current study examines tobacco smoking status, use and attitudes t...

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    pub_type: 杂志文章


    authors: Skelton E,Silberberg L,Guillaumier A,Dunlop AJ,Wilkinson RB,Bonevski B

    更新日期:2020-01-01 00:00:00

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    abstract:INTRODUCTION AND AIMS:The high prevalence of trauma exposure and post-traumatic stress disorder (PTSD) among clients of alcohol and other drug (AOD) services is well documented. Less is known, however, about the impact this has on workers who assess and treat such clients. The aim of this study was to examine the preva...

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    pub_type: 杂志文章


    authors: Ewer PL,Teesson M,Sannibale C,Roche A,Mills KL

    更新日期:2015-05-01 00:00:00

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    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Parrott DJ,Swartout KM,Eckhardt CI,Subramani OS

    更新日期:2017-01-01 00:00:00

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    journal_title:Drug and alcohol review

    pub_type: 杂志文章,评审


    authors: Indave BI,Sordo L,Bravo MJ,Sarasa-Renedo A,Fernández-Balbuena S,De la Fuente L,Sonego M,Barrio G

    更新日期:2018-01-01 00:00:00

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    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: De Los Cobos JP,Siñol N,Trujols J,Bañuls E,Batlle F,Tejero A

    更新日期:2011-07-01 00:00:00

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    pub_type: 杂志文章


    authors: Siahpush M,Borland R,Yong HH,Cummings KM,Fong GT

    更新日期:2012-07-01 00:00:00

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    journal_title:Drug and alcohol review

    pub_type: 杂志文章,评审


    authors: Berbatis CG,Sunderland VB,Dhaliwal SS

    更新日期:2009-11-01 00:00:00

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    journal_title:Drug and alcohol review

    pub_type: 杂志文章,评审


    authors: Rehm J,Taylor B,Room R

    更新日期:2006-11-01 00:00:00

  • Detoxification: the basis of current practice.

    abstract::With chronic use of a psychoactive drug the central nervous system undergoes a series of changes. These changes vary both in nature and in extent with each drug, but in general, they alter the responsiveness of the nervous system to the drug so as to reduce the perceived clinical effect, and also alter the innate resp...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Foy A

    更新日期:1991-01-01 00:00:00