Abstract:
BACKGROUND:The Russian Federation is currently experiencing one of the fastest growing HIV epidemics worldwide. The objective was to identify sexual risk factors for recent heterosexually-acquired HIV infections. METHODS:A case-control study of recent HIV infection was conducted in the regions of Altaiskiy Krai, Krasnoyarskiy Krai, Saratov Oblast, and Tverskaya Oblast. Data from 166 participants who did not report recent injection drug use were analyzed (19 male cases, 22 male controls, 67 female cases, 58 female controls). Independent risk factors for HIV infection are reported as adjusted odds ratios (AOR) with 95% confidence intervals (CI). RESULTS:Risk factors were unprotected sex with an HIV-positive/status unknown regular partner (among women only: AOR 5.4, 95% CI 2.1-13); a regular sexual partner who was an injection drug user (AOR 3.6, 95% CI 1.5-8.5); 5 or more sexual partners (among men only: AOR 2.7, 95% CI 0.66-11); unprotected sex with a partner who had a diagnosed sexually transmitted infection (STI) or signs/symptoms of an STI (AOR 6.4, 95% CI 1.1-38); and undiagnosed signs/symptoms of an STI (AOR 3.4, 95% CI 1.5-7.6). CONCLUSIONS:These data provide evidence of bridging between the injecting and noninjecting populations. Concomitant STI seem to have a major role in fueling the Russian HIV epidemic.
journal_name
Sex Transm Disjournal_title
Sexually transmitted diseasesauthors
Burchell AN,Calzavara LM,Orekhovsky V,Ladnaya NN,Russian HIV Response Network.doi
10.1097/OLQ.0b013e3181728a9esubject
Has Abstractpub_date
2008-09-01 00:00:00pages
807-13issue
9eissn
0148-5717issn
1537-4521journal_volume
35pub_type
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章
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