Gender Differences in HIV, HCV risk and Prevention Needs Among People who Inject drug in Vietnam

Author:

Giang Hoang ThiORCID,Duc Nguyen Quang,Khue Pham Minh,Quillet Catherine,Oanh Khuat Thi Hai,Thanh Nham Thi Tuyet,Vallo Roselyne,Feelemyer Jonathan,Vinh Vu Hai,Rapoud Delphine,Michel Laurent,Laureillard Didier,Moles Jean Pierre,Jarlais Don Des,Nagot Nicolas,Huong Duong Thi

Abstract

AbstractWe examined gender differences among people who inject drug (PWID) in Hai Phong, Vietnam in term of blood-borne infections, risk behaviors, and access to care. Using respondent-driven-sampling surveys, we recruited 3146 PWID from 2016 to 2018. Inclusion criteria included a positive urine test for heroin and recent injection marks. There were 155 female PWID (4,9%), including 82 at RDS-2016, 32 at RDS-2017 and 38 at RDS-2018. The age mean was 36.3 ± 7.2 years. The majority of female PWID had less than high school education (90.9%) and were unemployed (51.3%). There was no difference in the proportion of HIV and HCV positive by gender. However, women had several significant differences in risk behaviors than men in multivariable logistic regression. Being a woman was independently associated with being unemployed, being a sex worker, having unstable housing, having uses drugs for less than 5 years, more use of methamphetamine, having a partner who ever injected drugs, and less access to methadone treatment. Interventions targeting female PWID are needed, possibly through community organizations and peer educators.

Funder

National Institute on Drug Abuse

Agence Nationale de Recherches sur le Sida et les Hépatites Virales

Publisher

Springer Science and Business Media LLC

Subject

Infectious Diseases,Public Health, Environmental and Occupational Health,Social Psychology

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