Portal de investigação
Incarceration history is associated with HIV infection among community-recruited people who inject drugs in Europe: A propensity-score matched analysis of cross-sectional studies
Data de publicação:
Data Ahead of Print:
Autores da FMUP
Participantes de fora da FMUP
- Uusküla, A
- Rannap, J
- Weijler, L
- Abagiu, A
- Arendt, V
- Barrio, G
- Brummer-Korvenkontio, H
- Casabona, J
- Croes, E
- Des Jarlais, D
- Seguin-Devaux, C
- Dudás, M
- Eritsyan, K
- Folch, C
- Hatzakis, A
- Heimer, R
- Heinsbroek, E
- Hope, V
- Jipa, R
- Kivite-Urtane, A
- Levina, O
- Lyubimova, A
- Malczewski, A
- Matser, A
- McAuley, A
- Meireles, P
- Mravcík, V
- Op de Coul, E
- Ojavee, SE
- Parés-Badell, O
- Prins, M
- Pulido, J
- Romanyak, E
- Rosinska, M
- Seyler, T
- Stone, J
- Sypsa, V
- Talu, A
- Tarján, A
- Taylor, A
- Vickerman, P
- Vorobjov, S
- Dolan, K
- Wiessing, L
- EMCDDA Study Grp
Unidades de investigação
Abstract
AimsWe measured the association between a history of incarceration and HIV positivity among people who inject drugs (PWID) across Europe. Design, Setting and ParticipantsThis was a cross-sectional, multi-site, multi-year propensity-score matched analysis conducted in Europe. Participants comprised community-recruited PWID who reported a recent injection (within the last 12 months). MeasurementsData on incarceration history, demographics, substance use, sexual behavior and harm reduction service use originated from cross-sectional studies among PWID in Europe. Our primary outcome was HIV status. Generalized linear mixed models and propensity-score matching were used to compare HIV status between ever- and never-incarcerated PWID. FindingsAmong 43 807 PWID from 82 studies surveyed (in 22 sites and 13 countries), 58.7% reported having ever been in prison and 7.16% (n = 3099) tested HIV-positive. Incarceration was associated with 30% higher odds of HIV infection [adjusted odds ratio (aOR) = 1.32, 95% confidence interval (CI) = 1.09-1.59]; the association between a history of incarceration and HIV infection was strongest among PWID, with the lowest estimated propensity-score for having a history of incarceration (aOR = 1.78, 95% CI = 1.47-2.16). Additionally, mainly injecting cocaine and/or opioids (aOR = 2.16, 95% CI = 1.33-3.53), increased duration of injecting drugs (per 8 years aOR = 1.31, 95% CI = 1.16-1.48), ever sharing needles/syringes (aOR = 1.91, 95% CI = 1.59-2.28) and increased income inequality among the general population (measured by the Gini index, aOR = 1.34, 95% CI = 1.18-1.51) were associated with a higher odds of HIV infection. Older age (per 8 years aOR = 0.84, 95% CI = 0.76-0.94), male sex (aOR = 0.77, 95% CI = 0.65-0.91) and reporting pharmacies as the main source of clean syringes (aOR = 0.72, 95% CI = 0.59-0.88) were associated with lower odds of HIV positivity. ConclusionsA history of incarceration appears to be independently associated with HIV infection among people who inject drugs (PWID) in Europe, with a stronger effect among PWID with lower probability of incarceration.
Dados da publicação
- ISSN/ISSNe:
- 1360-0443, 0965-2140
- Tipo:
- Article
- Páginas:
- 2177-2192
- DOI:
- 10.1111/add.16283
- PubMed:
- 37991429
Addiction Wiley-Blackwell Publishing Ltd
Documentos
- Não há documentos
Filiações
Keywords
- Europe; HIV; incarceration; injection drug use; prison; PWID
Financiamento
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