Needle exchange use, sexual risk behaviour, and the prevalence of HIV, hepatitis B virus, and hepatitis C virus infections among Bulgarian injection drug users

International Journal of STD and AIDS

Volumn 17, Issue 9, 2006, Pages 621-626

  Vassilev, Z P ^a,f   Hagan, H ^b   Lyubenova, A ^c   Tomov, N ^d   Vasilev, G ^d   Krasteva, D ^d   Des Jarlais, D C ^e  

^a RUTGERS NEW JERSEY MEDICAL SCHOOL   (United States)

^b NATIONAL DEVELOPMENT AND RESEARCH INSTITUTES   (United States)

^c Initiative for Health Foundation   (Bulgaria)

^d National Centre for Addictions   (Bulgaria)

^e Baron Edmond de Rothschild Chemical Dependency Institute   (United States)

^f NJPIES   (United States)

Author keywords

HBV; HCV; HIV; Needle exchange

Indexed keywords

VIRUS ANTIBODY;

ADULT; ARTICLE; BULGARIA; COMMUNITY BASED REHABILITATION; CONDOM; CONTROLLED STUDY; DRUG USE; FEMALE; HEPATITIS B; HEPATITIS C; HIGH RISK POPULATION; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INJECTION; MAJOR CLINICAL STUDY; MALE; PREVALENCE; PRIORITY JOURNAL; RISK FACTOR; SEXUAL BEHAVIOR; SEXUAL TRANSMISSION; STRUCTURED INTERVIEW;

ADULT; BULGARIA; CATCHMENT AREA (HEALTH); CROSS-SECTIONAL STUDIES; FEMALE; HEPATITIS B; HEPATITIS C; HIV INFECTIONS; HUMANS; INTERVIEWS; MALE; NEEDLE SHARING; NEEDLE-EXCHANGE PROGRAMS; PREVALENCE; RISK-TAKING; SEXUAL BEHAVIOR; SUBSTANCE ABUSE, INTRAVENOUS;

EID: 33748356092     PISSN: 09564624     EISSN: 09564624     Source Type: Journal    
DOI: 10.1258/095646206778113041     Document Type: Article

References (22)

1. Yankova T, Vassilev G, Vassilev M, Galova I, Ivanova R. Bulgarian National Report, European Commission, Phare Project on Drug Information Systems, Final Phase. Amsterdam, The Netherlands, 1998
2. Soros Foundation. Drug use in Eastern Europe and the Former Soviet Union has Grown Rapidly in the Past Decade. August 10, 2002 [www.soros.org/harm- reduction/drug.htm]
3. Nikolov Z, Raleva S, Froloshka L, Argirova R. Detection of HIV-antibodies in collected syringes/needles from intravenous drug users in the frames of exchange program in Bulgaria. In: Monduzzi, ed. Social Science and Rights, Politics, Commitment, and Action. Proceedings of the 13th International AIDS Conference, Durban, South Africa. Medimond: Englewood, NJ, 2000;107-11
4. Nikolov Z, Argirova R, Yankova E, et al. Four years of control and monitoring of HIV infection among groups with risk behaviour in Sofia, Bulgaria, 14th International AIDS conference, 2002, (abstract no. ThPeD7619). International AIDS Society [www.aegis.com/conferences/iac/2002/ThpeD7619.html].
5. Vassilev M, Nikolov Z. Injecting of Drugs - Situation, Trends, and Risks. Sofia: Initiative for Health Foundation, 1999 [in Bulgarian]
6. National Center for Addictions. Multi-city Network Treatment Demand Data Report 1994-1998. Sofia: Ministry of Health
7. Smyth BP, Barry J, Keenan E. Irish injecting drug users and hepatitis C: the importance of the social context of injecting. Int J Epidemiol 2005;34:166-72
8. Commonwealth of Australia. Return on Investment in Needle and Syringe Programs in Australia. Canberra: Commonwealth Department of Health and Ageing, Commonwealth of Australia, 2002 [www.health.gov.au/pubhlth/publicat/document/ roireport.pdf]
9. European Monitoring Centre for Drugs and Drug Addiction (EMCDDA). Expert Meeting: Surveillance of Drug-related Infectious Diseases in the European Union: Routine Data and Seroprevalence Studies. Lisbon, 29 November-1 December 2001. Final meeting report. Lisbon: EMCDDA, 2002; http://www.emcdda.eu.int/situation/ themes/infectious_diseases.shtml
10. Hurley SF, Jolley DJ, Kaldor JM. Effectiveness of needle-exchange programmes for prevention of HIV infection. Lancet 1997;349:1797-800
11. European Centre for the Epidemiological Monitoring of AIDS. HIV/AIDS Surveillance in Europe. Mid-year Report. Paris: European Centre for the Epidemiological Monitoring of AIDS, 2002
12. EMCDDA. Annual report 2003: the state of the drugs problems in the acceding and candidate countries to the European Union. 2003; http://candidates.emcdda.eu.int/en/page01-en.html
13. Hamers FF, Downs AM. HIV in central and Eastern Europe. Lancet 2003;361:1035-44
14. Kabakchieva E, Amirkhanian YA, Kelly JA, McAuliffe TL, Vassileva S. High levels of sexual HIV/STD risk behaviour among Roma (Gypsy) men in Bulgaria: patterns and predictors of risk in a representative community sample. Int J STD AIDS 2002;13:184-91
15. Dehne KL, Pokrovskiy V, Kobyshcha Y, Schwartlander B. Update on the epidemics of HIV and other sexually transmitted infections in the newly independent states of the former Soviet Union. AIDS 2000;14:S75-84
16. Dehne KL, Khodakevich L, Hamers FF, Schwartlander B. The HIV/AIDS epidemic in Eastern Europe: recent patterns and trends and their implications for policy-making. AIDS 1999;13:741-9
17. Tchoudomirova K, Domeika M, Mardh PA. Demographic data on prostitutes from Bulgaria - a recruitment country for international (migratory) prostitutes. Int J STD AIDS 1997;8:187-91
18. Stimson GV. AIDS and injecting drug use in the United Kingdom, 1987-1993: the policy response and the prevention of the epidemic. Soc Sci Med 1995;41:699-716
19. Vlahov D, Des Jarlais DC, Goosby E, et al. Needle exchange programs for the prevention of human immunodeficiency virus infection: epidemiology and policy. Am J Epidemiol 2001;154:S70-7
20. Braine N, Des Jarlais DC, Ahmad S, Purchase D, Turner C. Long-term effects of syringe exchange on risk behavior and HIV prevention. AIDS Educ Prev 2004;16:264-75
21. Des Jarlais DC, Hagan H, Friedman SR, et al. Maintaining low HIV seroprevalence in populations of injecting drug users. JAMA 1995;274:1226-31
22. Hagan H, Des Jarlais DC. HIV and HCV infection among injecting drug users. Mt Sinai J Med 2000;67:423-8