Journal article
HIV seroprevalence in street youth, St. Petersburg, Russia
AIDS (London), Vol.21(17), pp.2333-2340
11/12/2007
DOI: 10.1097/QAD.0b013e3282f125b3
PMID: 18090282
Abstract
BACKGROUNDReliable data on HIV infection among Russian street youth are unavailable. The purpose of this study was to assess HIV seroprevalence among street youth in St Petersburg and to describe social, sexual, and behavioral characteristics associated with HIV infection.METHODSA cross-sectional assessment conducted during January-May 2006 included city-wide mapping of 41 street youth locations, random selection of 22 sites, rapid HIV testing for all consenting 15-19-year-old male and female street youth at these sites, and an interviewer-administered survey. Adjusted odds ratios (AOR) were calculated using logistic regression, accounting for intracluster homogeneity.RESULTSOf 313 participants, 117 (37.4%, 95% confidence interval 26.1-50.2%) were HIV infected. Subgroups with the highest seroprevalences included double orphans (64.3%), those with no place to live (68.1%), those previously diagnosed with a sexually transmitted infection (STI; 70.5%), those currently sharing needles (86.4%), and those currently using inhalants (60.5%) or injection drugs (78.6%), including Stadol (82.3%) or heroin (78.1%). Characteristics independently associated with HIV infection included injecting drugs (AOR 23.0), sharing needles (AOR 13.3), being a double or single orphan (AOR 3.3 and 1.8), having no place to live (AOR 2.4), and being diagnosed with a STI (AOR 2.1). Most HIV-infected street youth were sexually active (96.6%), had multiple partners (65.0%), and used condoms inconsistently (80.3%).DISCUSSIONStreet youth aged 15-19 years in St Petersburg, Russia, have an extraordinarily high HIV seroprevalence. In street youth who are injection drug users, HIV seroprevalence is the highest ever reported for eastern Europe and is among the highest in the world.
Details
- Title: Subtitle
- HIV seroprevalence in street youth, St. Petersburg, Russia
- Creators
- Dmitry M Kissin - Centers for Disease Control and PreventionLauren Zapata - Centers for Disease Control and PreventionRoman Yorick - Doctors of the WorldElena N Vinogradova - City Clinical Oncology CenterGalina V Volkova - City Clinical Oncology CenterElena Cherkassova - Doctors of the WorldAllison Lynch - Doctors of the WorldJennifer Leigh - Doctors of the WorldDenise J Jamieson - Centers for Disease Control and PreventionPolly A Marchbanks - Centers for Disease Control and PreventionSusan Hillis - Centers for Disease Control and Prevention
- Resource Type
- Journal article
- Publication Details
- AIDS (London), Vol.21(17), pp.2333-2340
- DOI
- 10.1097/QAD.0b013e3282f125b3
- PMID
- 18090282
- ISSN
- 0269-9370
- eISSN
- 1473-5571
- Language
- English
- Date published
- 11/12/2007
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984446066302771
Metrics
4 Record Views