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HIV Risk Factors and HIV Prevalence Among Street Youth in Russia , 2006-2012

HIV Risk Factors and HIV Prevalence Among Street Youth in Russia , 2006-2012. Yulia Batluk, HealthRight International. Street Youth in 2006. 1 - 5 million in Russia Homelessness Begging Alcohol and drug use, including IDU Poor health status – lice, STDs

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HIV Risk Factors and HIV Prevalence Among Street Youth in Russia , 2006-2012

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  1. HIV Risk Factors and HIV Prevalence Among Street Youth in Russia, 2006-2012 Yulia Batluk, HealthRight International

  2. Street Youth in 2006 • 1 - 5 million in Russia • Homelessness • Begging • Alcohol and drug use, including IDU • Poor health status – lice, STDs • Inhalant use  poor mental health

  3. HIV Prevalence Survey - 2006 • Cross-sectional assessment • Street youth 15-19 years old • 41 locations mapped, 22 randomly selected • 313 participants, 37.4% HIV-positive (Kissin, D., et. al.HIV seroprevalence in street youth, St. Petersburg, Russia. AIDS 2007, Vol 21 No 17, 2333–2340)

  4. HIV Risk Factors - 2006 • Double orphans • Have not attended school for > 3 years • Ever lived in an institution • No place to live • Previously diagnosed STI • Needle sharing • Use of stadol, heroin or inhalants

  5. HIV Risk Behavior Survey Among Street Youth - 2011 • Eight regions of Russia • Design similar to the 2006 survey, but no HIV testing • ~100 youth per region • Total sample 794

  6. SURVEY MAP

  7. 2011 Survey Method • Interviewers trained • Mapping of street youth locations in each city • Random selection of sites • Recruit participants and assess eligibility • Secure informed consent • Interview participants - 60 questions on demographics, behavior and HIV knowledge • Psychosocial counseling and referral

  8. Survey Results

  9. Didn’t use condom at last sex

  10. Pregnancy

  11. Previously diagnosed STI

  12. No access to medical care

  13. Multiple Sex Partners & No Condom Used at Last Intercourse

  14. Sex Risks & Drug Use

  15. Risky group characteristics

  16. Risky group characteristics

  17. Lifetime Experience of Drug Use, St. Petersburg, 2006-2011

  18. Current Drug UseSt. Petersburg, 2006-2011

  19. Experience of Institutionalization, 2006-2011

  20. Sex Risks and IDUSt. Petersburg, 2006-2011

  21. Ever Tested for HIV, 2006-2011

  22. HIV Risks, St. Petersburg, 2006-2011

  23. HIV Knowledge In 2011, more likely to know that: • HIV cannot be transmitted through mosquito bite • Condoms can protect against HIV Same likelihood to know that: • One can be infected with HIV through syringe or needle sharing • One cannot be infected through sharing a meal Less likely to know that: • A healthy-looking person may be infected with HIV

  24. Conclusions • All HIV risk factors defined in 2006 significantly reduced by 2011 • Drug use in street youth population is significantly reduced except marijuana • Sexual risk level remains almost the same as well as alcohol consumption (often associated with risky sexual behavior)

  25. Why?(Educated Guesses) • No sexual education in schools • Street youth know that HIV is related to injecting drug use • Govt and NGO social service spheres are stronger preventing family breakdown

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