Journal of Addiction Medicine
Volume 6, Issue 4, 2012, Pages 311-317

High prevalence of HIV, syphilis and HCV, and low methadone maintenance treatment in a migrant population in Beijing (Article)

Li D. , Chu P. , Yang Y. , Li S. , Ruan Y. , Liu Z. , Cao X. , Lu L. , Jia Z.*
  • a Chaoyang District Centre for Disease Control and Prevention, Beijing, China
  • b Key Laboratory of Major Diseases in Children, Beijing Children's Hospital, Capital Medical University, Beijing, China
  • c Chaoyang District Centre for Disease Control and Prevention, Beijing, China
  • d Chaoyang District Centre for Disease Control and Prevention, Beijing, China
  • e State Key Laboratory for Infectious Disease Prevention and Control, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention (China CDC), Beijing, China
  • f National Institute on Drug Dependence, Peking University, Beijing 100191, China
  • g Think Tank Research Center for Health Development, Beijing, China
  • h National Institute on Drug Dependence, Peking University, Beijing 100191, China
  • i National Institute on Drug Dependence, Peking University, Beijing 100191, China

Abstract

Objectives: To provide evidence for policy makers for human immunodeficiency virus (HIV) prevention and control, we investigated HIV, syphilis, and hepatitis C virus (HCV) infection and the availability of methadone maintenance treatment (MMT) among migrant drug users in Beijing. Methods: Atotal of 222 participants from 3main communitieswhere drug abusers reside were interviewed, completed a questionnaire, and were screened for HIV using enzyme-linked immunosorbent assay, confirmed byWestern blot. Descriptive statistics, ÷2 tests, and binary logistic regression models were used to analyze differences in HIV and sexually transmitted diseases among different subpopulations. Results: The prevalence of HIV and syphilis in the migrant populationwas much higher than in permanent residents (43.0% vs 2.1% and 13.3% vs 4.3%, respectively). The HIV-infected cases in the migrant population were 33-fold higher than in permanent residents. Compared with permanent residents, the availability of MMT was much lower in the migrant population (21.9% vs 70.2%), and they were less knowledgeable about MMT (37.0% vs 84.0%). Even for those who were knowledgeable about MMT, methadone treatment was still lower (46.8% vs 82.3%). Compared with the MMT group, higher infection rates of HIV and HCV were found in the no-MMT group (36.7% vs 10.6% and 64.8% vs 50.0%, respectively). Education and employment status contributed to the different distributions between permanent residents and the migrant population and the MMT and no-MMT groups. Conclusions: The prevalence of HIV, syphilis, and HCV infection was higher, and the use of MMT was lower in the migrant population. The migrant population is a noticeable challenge for HIV prevention and control in Beijing. Copyright © 2012 American Society of Addiction Medicine.

Author Keywords

Human immunodeficiency virus Hepatitis C Syphilis Methadone maintenance treatment Migrant population

Index Keywords

China educational status HIV Infections Human immunodeficiency virus infection human immigration heroin dependence controlled study priority journal Dose-Response Relationship, Drug screening test opiate substitution treatment maintenance therapy sexually transmitted disease Cross-Sectional Studies interview Humans male female Socioeconomic Factors enzyme linked immunosorbent assay questionnaire Syphilis prevalence Article major clinical study adult methadone Narcotics Transients and Migrants employment Western blotting Health Services Accessibility hepatitis C
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84871198854&doi=10.1097%2fADM.0b013e31826c1135&partnerID=40&md5=a90de82da00376d85120ef026ef0b6ca
DOI: 10.1097/ADM.0b013e31826c1135
ISSN: 19320620
Cited by: 5
Original Language: English