Unsafe Injection and Sexual Risk Behavior among Injecting Drug Users in Georgia |
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Authors: | Ivdity Chikovani Ivana Bozicevic Ketevan Goguadze Natia Rukhadze George Gotsadze |
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Institution: | (1) Curatio International Foundation, 37d I. Chavchavadze Avenue, Tbilisi, 0162, Georgia;(2) WHO Collaborating Centre for Capacity Development in HIV Surveillance, School of Medicine, Zagreb, Croatia |
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Abstract: | Injection drug users (IDUs) are at risk for acquiring human immunodeficiency virus (HIV) through parenteral and sexual transmission.
In this paper, we describe the prevalence and correlates of unsafe drug injecting and sexual behaviors among IDUs recruited
across five cities in Georgia in 2009. IDUs were administered a questionnaire collecting information on demographics, drug
use, sexual behaviors, and HIV testing behaviors. Correlates of risky injecting and sexual behaviors were determined using
logistic regression. Of 1,127 IDUs, the majority (98.7%) were men, and the median duration of injecting drugs was 7 years.
Unsafe injecting behavior at last injection was reported by 51.9% of IDUs, while 16.8% reported both unsafe injecting behavior
and not using condoms with last occasional and/or commercial partner. In the multivariate analysis, independent correlates
of unsafe injecting behavior at last injection were types of drugs injected p = 0.0096; (for ephedrine, adjusted odds ratio (aOR) = 7.38; 95% CI, 1.50–36.26)] and not using condoms at last commercial
sex (aOR = 2.29, 1.22–4.32). The following variables were significantly associated with unsafe injecting behavior at last
injection and not using condoms at last sex with commercial and/or occasional partners in the multivariate analysis: marital
status p = 0.0002; (for divorced, widowed, and separated aOR = 2.62, 1.62–4.25; for single aOR = 1.61, 1.08–2.39)], being a member
of a regular injecting group (aOR = 0.62, 0.44–0.88), types of drugs injected in the past month p = 0.0024; (for buprenorphine aOR = 0.34, 0.18–0.63)], city of residence (p = 0.0083), and not receiving information on HIV (aOR = 1.82, 1.07–3.09). Though only ephedrine was injected by a smaller
number of IDUs (9.1%), the vast majority of these (81.4%) reported unsafe injecting practices at last injection. High prevalence
of unsafe injecting behaviors and diverse and at-risk sexual partnerships highlight the need to implement complex and targeted
HIV interventions among IDUs in Georgia. |
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Keywords: | Injecting drug users HIV Sexual behavior Georgia |
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