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AIDS Behav. 2019 Apr 11. doi: 10.1007/s10461-019-02489-6. [Epub ahead of print]

A New Generation of Drug Users in St. Petersburg, Russia? HIV, HCV, and Overdose Risks in a Mixed-Methods Pilot Study of Young Hard Drug Users.

Author information

1
Centre for Health Economics, Management and Policy, National Research University Higher School of Economics, Kantemirovskaya St. 3a, St. Petersburg, Russia, 194100. peter.meylakhs@gmail.com.
2
National Development and Research Institutes, Inc., New York, USA.
3
Centre for Health Economics, Management and Policy, National Research University Higher School of Economics, Kantemirovskaya St. 3a, St. Petersburg, Russia, 194100.
4
College of Global Public Health, New York University, New York, USA.
5
Center for Drug Use and HIV Research, New York University, New York, NY, USA.
6
Support, Research and Development Center, Kyiv, Ukraine.

Abstract

Russia has a widespread injection drug use epidemic with high prevalence of HIV and HCV among people who inject drugs (PWID). We conducted a mixed methods study of young (age 18-26) hard drug users in St. Petersburg. Thirty-nine structured and 10 semi-structured interviews were conducted. No HIV cases and two HCV cases were detected among the PWID subsample (nā€‰=ā€‰29). Amphetamine and other stimulants were common (70%), opioid use was rare and episodic. Consistent condom use was 10%. No PWID reported syringe-sharing, 51% reported other drug paraphernalia sharing. Most (89%) never or rarely communicated with older (30ā€‰+) opiate users. A new cohort of drug users in St. Petersburg may have emerged, which is much safer in its injection practices compared to previous cohorts. However, risky sexual practices among this new cohort may expose them to the possibility of sexual transmission of HIV and widespread drug paraphernalia sharing to the HCV epidemic.

KEYWORDS:

HIV; Mixed-methods study; People who inject drugs (PWID); Russia; Young drug users

PMID:
30989555
DOI:
10.1007/s10461-019-02489-6

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