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Detoxification center-based sampling missed a subgroup of higher risk drug users, a case from Guangdong, China

Lin, P.; Wang, M.; Li, Y.; Zhang, Q.; Yang, F.; Zhao, J.

PLOS one 7(4): E35189

2012

ISSN/ISBN: 1932-6203
PMID: 22529988
DOI: 10.1371/journal.pone.0035189
Document Number: 573957
Injection drug use remains among the most important HIV transmission risk in China. Representativeness of drug users sampled from detoxification centers is questionable. A respondent driven sampling survey was conducted to compare the results with those from the detoxification center in the same city. In 2008, two independent surveys were conducted in Dongguan, China, one for community-based drug users using respondent driven sampling and the other for drug users in a compulsory detoxification center as routine sentinel surveillance. Demographic and behavioral information were collected using the same structured questionnaire. Intravenous blood samples were collected to measure antibodies to HIV-1, and syphilis. Compared to those 400 drug users recruited from the detoxification center, the 303 community-based drug users had higher HIV prevalence (14.7% versus 4.0%, P = 0.04), lower syphilis prevalence (4.7% versus 10.8%, P = 0.07), higher proportion of injection drug use (83.9% versus 60.2%, P = 0.01) and syringe sharing (47.8% versus 36.3%, P = 0.10), more likely to be separated (12.4% versus 3.8%, P = 0.01) and being migrants from Guangxi province (31.4% versus 18.0%, P = 0.09), more engaging in commercial sex (64.4% versus 52.5%, P = 0.04). HIV prevalence and rate of syringe sharing were consistently higher among drug users from Guangxi. Detoxification center-based sampling missed a subgroup with higher HIV prevalence and higher rate of injection drug use. While detoxification center-based sampled can be used to monitor the trend of HIV prevalence and risk behaviors over time, periodic community-based sampling is still necessary to avoid possible systematic error in detoxification center-based samples.

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Wu, J.; Huang, J.; Xu, D.; Lu, C.; Deng, X.; Zhou, X. 2010: Infection status and risk factors of HIV, HBV, HCV, and syphilis among drug users in Guangdong, China--a cross-sectional study Bmc Public Health 10: 657
Fu, X.; Wang, Y.; Lin, P.; Liu, Y.; He, Q.; Li, Y.; Yang, F.; Li, J.; Diao, L.; Yan, X.; Lin, P.; Zhao, J.; Chen, S.; McFarland, W. 2008: Increasing HIV prevalence among drug users in western Guangdong province, China, 1995-2005 AIDS and behavior 12(4 Suppl): S13-S16
Li, L.; Assanangkornchai, S.; Duo, L.; McNeil, E.; Li, J. 2014: Risk behaviors, prevalence of HIV and hepatitis C virus infection and population size of current injection drug users in a China-Myanmar border city: results from a Respondent-Driven Sampling Survey in 2012 Plos one 9(9): E106899
Wang, C.; Li, Y.; Li, H.; Sun, T.; Jin, G.; Sun, Z.; Zhou, J.; Ba, L.; Huang, Z.; Bai, J. 2012: Increased risk of stroke in oral contraceptive users carried replicated genetic variants: a population-based case-control study in China Human Genetics 131(8): 1337-1344
Chen, H.T.; Tuner, N.; Chen, C.J.; Lin, H.-y.; Liang, S.; Wang, S. 2013: Correlations between compulsory drug abstinence treatments and HIV risk behaviors among injection drug users in a border city of South China Aids Education and Prevention: Official Publication of the International Society for Aids Education 25(4): 336-348
Yu, G.; Li, Y.; Li, J.; Diao, L.; Yan, X.; Lin, P.; He, Q.; Wang, Y.; Fu, X.; Yang, F.; Long, Q.; Lin, P. 2009: Genetic diversity and drug resistance of HIV type 1 circulating recombinant Form_BC among drug users in Guangdong Province Aids Research and Human Retroviruses 25(9): 869-875
Chen, H-Tsyh.; Liao, Q. 2006: A pilot study of the NGO-based relational intervention model for HIV prevention among drug users in China Aids Education and Prevention: Official Publication of the International Society for Aids Education 17(6): 503-514
Ruan, Y.; Chen, K.; Hong, K.; He, Y.; Liu, S.; Zhou, F.; Qin, G.; Chen, J.; Xing, H.; Shao, Y. 2004: Community-based survey of HIV transmission modes among intravenous drug users in Sichuan, China Sexually Transmitted Diseases 31(10): 623-627
Bao, Y.-p.; Du, C.; Lu, H.-y.; Lian, Z.; Qiu, Y.; Mu, Y.; Yan, S.-y.; Liu, Z.-m. 2012: The investigation of HIV and HCV infection and risk factors among opiate drug users in Beijing, China American Journal of Drug and Alcohol Abuse 38(2): 140-145
Ding, Y.; He, N.; Zhu, W.; Detels, R. 2013: Sexual risk behaviors among club drug users in Shanghai, China: prevalence and correlates Aids and Behavior 17(7): 2439-2449
Zhou, Y.-H.; Yao, Z.-H.; Liu, F.-L.; Li, H.; Jiang, L.; Zhu, J.-W.; Zheng, Y.-T. 2012: High prevalence of HIV, HCV, HBV and co-infection and associated risk factors among injecting drug users in Yunnan province, China Plos one 7(8): E42937
Jin, X.; Smith, K.; Sun, Y.; Ding, G.; Yao, Y.; Xu, J.; Chang, D.; Wang, G.; Zhu, Y.; Wang, N. 2009: Association between testing for human immunodeficiency virus and changes in risk behaviors among injecting drug users in southern China Sexually Transmitted Diseases 36(8): 473-477
Chen, W.; Xia, Y.; Hong, Y.; Hall, B.J.; Ling, L. 2013: Predictors of continued HIV-risk behaviors among drug users in methadone maintenance therapy program in China--a prospective study Harm Reduction Journal 10: 23
Gu, J.; Lau, J.T.F.; Chen, H.; Chen, X.; Liu, C.; Liu, J. 2010: Mental health and interpersonal factors associated with HIV-related risk behaviors among non-institutionalized female injection drug users who are also sex workers in China Women and Health 50(1): 20-36
Chen, B.; Zhu, Y.; Guo, R.; Ding, S.; Zhang, Z.; Cai, H.; Zhu, H.; Wen, Y. 2016: HIV/AIDS-related knowledge awareness and risk behaviors among injection drug users in Maanshan, China: a cross-sectional study Bmc Public Health 16: 97
Watters, J.K.; Downing, M.; Case, P.; Lorvick, J.; Cheng, Y.T.; Fergusson, B. 1990: AIDS prevention for intravenous drug users in the community: street-based education and risk behavior American Journal of Community Psychology 18(4): 587-596
Graw, F.; Leitner, T.; Ribeiro, R.M. 2012: Agent-based and phylogenetic analyses reveal how HIV-1 moves between risk groups: injecting drug users sustain the heterosexual epidemic in Latvia Epidemics 4(2): 104-116
Garfein, R.S.; Swartzendruber, A.; Ouellet, L.J.; Kapadia, F.; Hudson, S.M.; Thiede, H.; Strathdee, S.A.; Williams, I.T.; Bailey, S.L.; Hagan, H.; Golub, E.T.; Kerndt, P.; Hanson, D.L.; Latka, M.H. 2007: Methods to recruit and retain a cohort of young-adult injection drug users for the Third Collaborative Injection Drug Users Study/Drug Users Intervention Trial (CIDUS III/DUIT) Drug and Alcohol Dependence 91(Suppl 1): S4-17
Qasim, A.; Bashir, A.; Sajid, S.; Riaz, M.M.; Almas, A. 2016: Women with pregnancy induced hypertension have a higher risk of developing essential hypertension - a case control study from a tertiary care center in Pakistan JPMA. Journal of the Pakistan Medical Association 66(2): 179-183
Malekinejad, M.; Mohraz, M.; Razani, N.; Akbari, G.; McFarland, W.; Khairandish, P.; Malekafzali, H.; Gouya, M.M.; Zarghami, A.; Rutherford, G.W. 2015: High HIV prevalence in a respondent-driven sampling survey of injection drug users in Tehran, Iran Aids and Behavior 19(3): 440-449