Syphilis (+)
Methods
Interview CenterScreening,
informed consent
Free coupo n for
free testing Reward & 2 coupons for
recruiting other IDUs HIV (+)
Free ARV treatment
Free Syphilis Treatment Free CD4
test & Chest X-ray
This process (respondent driven sampling) is continued until the number of IDUs recruited reach 210
Inter view
Risk Behavior among Current and Former
Injecting Drug Users in Bandung, Indonesia
IMPACT (5-year program for HIV care and drug addiction in West Java, Indonesia) is funded by the European Union
S. Iskandar1,2, D. A.E.P Basar1, T. Hidayat1, I.M.P. Siregar1, L. Pinxten2, R. van Crevel3,
A.J.A.M. Van der Ven3, C.A.J. de Jong5
1Padjajaran University/ Hasan Sadikin Hospital, Bandung, Indonesia 2Maastricht University, Maastricht, the Netherlands 3Radboud University Nijmegen Medical Centre, the Netherlands
4Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA); Nijmegen, the Netherlands
• Efforts to prevent HIV-transmission through injecting drug use
(IDU) mostly target subjects who regularly inject
• The prevalence of HIV/AIDS in the people with a history of
previous IDU (former IDUs) is high
• Former IDUs are more accepted by community
• The transmission of HIV from former IDUs to the general
community is especially through sexual contacts.
to explore and compare the characteristics and the risk behaviors among current and former IDUs a better
understanding of these risk behaviors may contribute to the design of specifically tailored prevention programs
Characteristics of IDUs (n=210)
Objective
Introduction
Free HIV, HBV, HCV, Syphilis Test
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recruiting other IDUs New respondents
Results (1)
Total group (N = 210)
fIDUs
(N = 92) (N = 118)cIDUs P-value
Age 27,8 (3,8) 28,1 (4,0) 27,5 (3,8) 0,639
Age first time use drug 14,0 (2,8) 14,2 (3,3) 13,8 (2,2) 0,314 Age first time inject 18 (3,1) 18,4 (3,1) 17,8 (3,1) 0,168 Years of injecting in life
time 7,1 (3,8) 5,5 (3,6) 8,4 (3,4) P<0,01**
Gender 0,117
Male 194 (92) 82 (89) 112 (95)
Female 16 (8) 10 (11) 6 (5)
Marital Status 0,352
Ever married 91 (43) 42 (45) 49 (41)
Never married 119 (57) 50 (55) 69 (59)
Education
Junior high school or
under 12 (6) 4(4) 8 (7)
Senior high school 164 (77) 74 (80) 90 (76)
Diploma or higher 34 (17) 14 (14) 20
Results (3)
HIV Status among IDUs
Results (2)
Former IDUs
Current IDUs
Conclusion
• High HIV prevalence among former & current IDUs
•Former & current IDUs engaged with high sexual & other
skin penetration risk behavior
•Harm reduction program should address current as well as
former IDUs to prevent the spread of HIV to non-drug users
