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Prevalence and Incidence of HIV and Sexual Risk Behaviors in Crack Users in the San Salvador Metropolitan Area, El Salvador

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DOI: 10.4236/wja.2013.34046    3,316 Downloads   4,616 Views   Citations

ABSTRACT

Objective: It is in order to estimate the prevalence and incidence of HIV, the frequency of sexual risk behaviors, and perceptions of available resources to prevent and treat HIV among crack users in the San Salvador Metropolitan Area. Methods: We conducted a survey of 420 crack users by using respondent-driven sampling to measure demographic characteristics, the quantity and frequency of drug use, history of STIs, including HIV, and experiences with organizations which provide prevention and treatment of HIV. Each participant offered a free and voluntary HIV test and was asked permission to share the results of the test with the study. Bernoullian modeling was used to estimate the prevalence and incidence of HIV among heterosexual males in this population. Results: The estimated prevalence was 7% (95% CI: 2.3% -9.8%) among participants who agreed to take the test and share the results, and 4.9% (95% CI: 2.8% -7.8%) assuming that those who did not take the test or share results were seronegative. Participants reported a high frequency of sexual risk behaviors. In addition, participants were reported to have little knowledge of organizations to prevent or treat HIV/AIDS; 58% had never taken an HIV test prior to survey administration. Conclusions: Crack users in San Salvador are at high risk for HIV acquisition. HIV prevention interventions are urgently needed, especially interventions increasing access to HIV testing and prevention.

 

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J. Dickson-Gomez, J. Lechuga, L. Glasman, S. Pinkerton, G. Bodnar and P. Klein, "Prevalence and Incidence of HIV and Sexual Risk Behaviors in Crack Users in the San Salvador Metropolitan Area, El Salvador," World Journal of AIDS, Vol. 3 No. 4, 2013, pp. 357-363. doi: 10.4236/wja.2013.34046.

References

[1] S. Strathdee and J. K. Stockman, “Epidemiology of HIV among Injecting and Non-Injecting Drug Users: Current Trends and Implications for Interventions,” Current HIV/ AIDS Reports, Vol. 7, No. 2, 2010, pp. 99-106.
http://dx.doi.org/10.1007/s11904-010-0043-7
[2] J. A. Inciardi, “Crack, Crack House Sex, and HIV Risk,” Archives of Sexual Behavior, Vol. 24, No. 3, 1995, pp. 249-269.
http://dx.doi.org/10.1007/BF01541599
[3] M. Ratner, “Sex, Drugs, and Public Policy: Studying and Understanding the Sex-For-Crack Phenomenon,” In: M. Ratner, Ed., Crack Pipe as Pimp: An Ethnographic Investigation of Sex-for-Crack Exchanges, Lexington Books, New York, 1993.
[4] R. Falck, et al., “The Epidemiology of Physical Attack and Rape among Crack-Using Women,” Violence and Victims, Vol. 16, No. 1, 2001, pp. 79-89.
[5] D. Jones, et al., “The High-Risk Sexual Practices of CrackSmoking Sex Workers Recruited from the Streets of Three American Cities,” Sexually Transmitted Diseases, Vol. 25, No. 4, 1998, pp. 187-193.
http://dx.doi.org/10.1097/00007435-199804000-00002
[6] J. A. Inciardi, “Kingrats, Chicken Heads, Slow Necks, Freaks, and Blood Suckers: A Glimpse at the Miami SexFor-Crack Market,” In: M. Ratner, Ed., Crack Pipe as Pimp: An Ethnographic Investigation of Sex-for-Crack Exchanges, Lexington Books, New York, 1993.
[7] J. A. Inciardi, “Trading Sex for Crack among Juvenile Crack Users: A Research Note,” Contemporary Drug Problems, Vol. 16, No. 4, 1989, pp. 689-700.
[8] L. Maher, “Sexed Work: Gender, Race, and Resistance in a Brooklyn Drug Market,” Clarendon Press, Oxford, 1997.
[9] P. Bourgois and E. Dunlap, “Exorcising Sex-For-Crack: An Ethnographic Perspective from Harlem,” In: M. Ratner, Ed., Crack Pipe as Pimp: An Ethnographic Investigation of Sex-fro-Crack Exchanges, Lexington Books, New York, 1993.
[10] Organization of American States, “Informe Preliminario PACARDO El Salvador,” 2002.
[11] M. Santacruz Giralt and A. Concha-Eastman, “Barrio Adentro: La Solidaridad Violenta de las Pandillas,” OAS, Istituto Universitario de Opinión Pública, San Salvador, 2001.
[12] J. Dickson-Gomez, “Structural Factors Influencing Patterns of Drug Selling and Use in the San Salvador Metropolitan Area,” Medical Anthropology Quarterly, Vol. 24, No. 2, 2010, pp. 157-181.
http://dx.doi.org/10.1111/j.1548-1387.2010.01095.x
[13] J. Dickson-Gomez, “Substance Abuse Disorders Treatment in El Salvador: Analysis of Policy Making Related Failure,” Substance Use and Misuse, in Press.
[14] J. Dickson-Gomez, et al., “With God’s Help I Can Do It: Crack Users’ Formal and Informal Recovery Experiences in El Salvador,” Substance Use and Misuse, Vol. 46, No. 4, 2010, pp. 426-439.
http://dx.doi.org/10.3109/10826084.2010.495762
[15] J. Dickson-Gomez, et al., “The Relationship between Community Structural Characteristics, the Context of Drug Use, and HIV Risk Behaviors in San Salvador, El Salvador,” Substance Use and Misuse, Vol. 47, No. 3, 2012, pp. 265-277.
http://dx.doi.org/10.3109/10826084.2011.635325
[16] UNAIDS, “Global Report: UNAIDS Report on the Global Epidemic,” 2010.
[17] CARE Working Group and Department for International Health/SNHS, “Central American Regional Report,” 2010.
[18] Ministerio de Salud Publica y Asistencia Social, “Plan Estratégico Nacional Multisectorial de la Respeusta al VIH/SIDA e ITS 2011-2015,” CONASIDA, MSPAS, San Salvador, 2011.
[19] D. D. Heckathorn and R. Magnani, “Snowball and Respondent-Driven Sampling,” In: Behavioral Surveillance Surveys: Guidelines for Repeated Behavioral Surveys in Populations at Risk of HIV, in Press.
[20] D. D. Heckathorn, et al., “Extensions of Respondent Driven Sampling: A New Approach to the Study of Injection Drug Users Aged 18-25,” AIDS and Behavior, Vol. 6, No. 1, 2002, pp. 55-67.
http://dx.doi.org/10.1023/A:1014528612685
[21] M. Castells and A. Portes, “World Underneath: The Origins, Dynamics, and Effects of the Informal Economy,” In: A. Portes, M. Castells and L. Benton, Eds., The Informal Economy: Studies in Advanced and Less Developed Countries, Johns Hopkins University Press, Baltimore, 1989.
[22] J. Dickson-Gomez, et al., “Hustling and Housing: Drug Users’ Strategies to Obtain Shelter and Income in Hartford, CT,” Human Organization, Vol. 68, No. 3, 2009, pp. 269-279.
[23] D. D. Heckathorn and E. Volz, “Respondent-Driven Sampling Analysis Tool (RDSAT) 5.6.0,” Department of Sociology, Cornell University, Ithaca, 2006.
[24] S. D. Pinkerton and P. R. Abramson, “Effectiveness of Condoms in Preventing HIV Transmission,” Social Science and Medicine, Vol. 44, No. 19, 1997, pp. 13031312. http://dx.doi.org/10.1016/S0277-9536(96)00258-4
[25] J. Dickson-Gomez, et al., “Crack Use Sites and HIV in El Salvador,” Journal of Drug Issues, Vol. 37, No. 2, 2007, pp. 445-476.
http://dx.doi.org/10.1177/002204260703700211
[26] J. Dickson-Gomez, et al., “Resources and Obstacles to Developing and Implementing a Structural Intervention to Prevent HIV in San Salvador, El Salvador,” Social Science and Medicine, Vol. 70, No. 3, 2010, pp. 351-359.
http://dx.doi.org/10.1016/j.socscimed.2009.10.029
[27] B. Van Der Pol, et al., “Trichomonosas Vaginalis Infection and Human Immunodeficiency Virus Acquisition in African Women,” Journal of Infectious Diseases, Vol. 197, No. 4, 2008, pp. 548-554.
http://dx.doi.org/10.1086/526496
[28] H. Burris, et al., “Getting Research into Policy—Herpes Simplex Virus Type-2 (HSV-2) Treatment and HIV Infection: International Guidelines Formulation and the Case of Ghana,” Health Research Policy Systems, Vol. 9, Suppl. 1, 2011, p. S5.
http://dx.doi.org/10.1186/1478-4505-9-S1-S5
[29] N. Chkarishivili, et al., “High Seroprevalence of Chlamydia Trachomatis in Newly Diagnosed Human Immunodeficienty Virus Patients in Georgia,” Georgian Medical News, Vol. 189, 2010, pp. 12-16.

  
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