       Document 0500
 DOCN  M9650500
 TI    HIV prevalence and risk behaviour among intravenous drug users attending
       HIV counselling and testing centres in Paris.
 DT    9605
 AU    Helal H; Momas I; Pretet S; Marsal L; Poinsard R; Centre d'information
       et de depistage anonyme et gratuit du VIH,; Paris, France.
 SO    Addiction. 1995 Dec;90(12):1627-33. Unique Identifier : AIDSLINE
       MED/96127656
 AB    This study was designed to analyse sexual and drug use behaviour, to
       determine whether increased awareness can lead to behaviour change, and
       to evaluate the association between HIV seropositivity and potential
       risk factors. A 4-month survey was carried out on 147 IVDUs attending
       three HIV counselling and testing centres, 98% of whom had been using
       heroin for an average of 7 years, 85% in association with other drugs.
       Two-thirds of injectors reported having used safer injecting practices
       in the previous year. Most of the IVDUs were heterosexual, and had had
       an average of three sexual partners in the previous year. More than half
       of them had had high risk partners. Condoms were used by only 25% of
       IVDUs, and were more likely to be used with seropositive partners (38%
       versus 12.7%, p = 0.02). Patients considering themselves to be well
       informed about HIV transmission shared syringes significantly less
       often, but had the same sexual behaviour patterns as other subjects. The
       HIV prevalence rate (8.2%) in our sample was not statistically related
       to any risk factor apart from drug use duration, the latter possibly
       reflecting a cumulative exposure to HIV risks. Since sexual risk appears
       to be a potential long-term hazard for IVDUs, it is important that more
       attention be paid to providing counselling to specifically address this
       issue.
 DE    Adult  AIDS Serodiagnosis/STATISTICS & NUMER DATA
       Counseling/*UTILIZATION  Female  Heroin
       Dependence/COMPLICATIONS/EPIDEMIOLOGY/REHABILITATION  Human  HIV
       Infections/EPIDEMIOLOGY/PREVENTION & CONTROL/*TRANSMISSION  HIV
       Seroprevalence/*TRENDS  Knowledge, Attitudes, Practice  Male  Needle
       Sharing/STATISTICS & NUMER DATA  Paris/EPIDEMIOLOGY  Sex Behavior
       Substance Abuse, Intravenous/COMPLICATIONS/*EPIDEMIOLOGY/
       REHABILITATION  Urban Population/*STATISTICS & NUMER DATA  JOURNAL
       ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

