Multicity HIV seroprevalence in street youth, Ukraine

C L Robbins; L Zapata; D M Kissin; N Shevchenko; R Yorick; H Skipalska; E Finnerty; T Ornstein; P A Marchbanks; D J Jamieson; S D Hillis

doi:10.1258/ijsa.2010.010097

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Multicity HIV seroprevalence in street youth, Ukraine

Journal article

Peer reviewed

Multicity HIV seroprevalence in street youth, Ukraine

C L Robbins, L Zapata, D M Kissin, N Shevchenko, R Yorick, H Skipalska, E Finnerty, T Ornstein, P A Marchbanks, D J Jamieson, …

International journal of STD & AIDS, Vol.21(7), pp.489-496

07/01/2010

DOI: 10.1258/ijsa.2010.010097

PMID: 20852199

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Abstract

We conducted the first systematic, community-based, multicity assessment outside the USA of HIV seroprevalence, risk factors and linkage into clinical services among 929 street youth. After city-wide mapping, we used time-location sampling and randomly selected 74 venues in Odesa, Kyiv and Donetsk, Ukraine. Rapid HIV testing with post-test counselling was offered to all eligible youths aged 15-24 years. Overall, 18.4% (95% confidence interval 16.2-20.2) were HIV positive and 85% had previously unknown status. Rates were identical by sex. Subgroups with highest rates included orphans (26%), youths with histories of exchanging sex (35%), sexually transmitted infections (STIs) (37%), injection drug use (IDU) (42%) and needle sharing (49%). Independent predictors, similar across age groups and city, included being orphaned, time on the street, history of anal sex, STIs, exchanging sex, any drug use, IDU and needle sharing. Two-thirds (68%) of HIV-positive youths were linked to services. This high-risk population has many immediate needs.

Adolescent

Female

HIV Infections - epidemiology

HIV Seroprevalence

Homeless Youth

Humans

Male

Risk Factors

Sexual Behavior - statistics & numerical data

Substance-Related Disorders - complications

Ukraine - epidemiology

Young Adult

Details

Title: Subtitle: Multicity HIV seroprevalence in street youth, Ukraine
Creators: C L Robbins - Epidemic Intelligence Service
L Zapata - Centers for Disease Control and Prevention
D M Kissin - Centers for Disease Control and Prevention
N Shevchenko
R Yorick - HealthRight International
H Skipalska
E Finnerty - HealthRight International
T Ornstein - HealthRight International
P A Marchbanks - Centers for Disease Control and Prevention
D J Jamieson - Centers for Disease Control and Prevention
S D Hillis - Centers for Disease Control and Prevention
Resource Type: Journal article
Publication Details: International journal of STD & AIDS, Vol.21(7), pp.489-496
DOI: 10.1258/ijsa.2010.010097
PMID: 20852199
ISSN: 0956-4624
eISSN: 1758-1052
Language: English
Date published: 07/01/2010
Academic Unit: Obstetrics and Gynecology; VPMA - Administration
Record Identifier: 9984446452702771

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