1 / 12

XVIII International AIDS Conference July 18-23, Vienna

XVIII International AIDS Conference July 18-23, Vienna. Seroepidemiological research of HIV, hepatitis B, C, syphilis and behavioural risk factors among most-at-risk groups in Azerbaijan AIDS 2010. Background. 2003-2004 “HIV sentinel surveillance in

myrrh
Download Presentation

XVIII International AIDS Conference July 18-23, Vienna

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. XVIII International AIDS ConferenceJuly 18-23, Vienna Seroepidemiological research of HIV, hepatitis B, C, syphilis and behavioural risk factors among most-at-risk groups in Azerbaijan AIDS 2010

  2. Background 2003-2004 “HIV sentinel surveillance in high-risk groups in Azerbaijan” 2007-2008 “Prevalence of HIV, Hepatitis B, C, Syphilis and Behavioural Risk Factors among most-at-risk groups in the Republic of Azerbaijan”

  3. Aims of the bio-behavioural surveys were to: To obtain the information about thefeasibility of carrying out the surveillance studies To determine the prevalence of HIV, HBV, HCV and syphilis in various groups and regionsof the Republic of Azerbaijan. Determine the behavioural risk factors associated with prevalence of infections Determine the extent to which IDUs, MSM, SWs and street children were reached byprevention programmes

  4. Sample size by target group and area

  5. Methods Methods: Snowball (street children, MSM, CSW) time-place (MSM, CSW, street children, IDUs) simple random sampling (prison)

  6. Ethical issues Respondents participated in the research knowingly and voluntarily; ensured anonymity inparticipation İnformed consent to participate Minors (street children) were participate with thepermission and in the presence of the child'sofficial guardian

  7. ResultsIDUs IDUs: Prevalence of HIV infection: Baku (7.5%), Gandja (1.3%), Hajikabul (33.0%), Lenkoran (9.3%), Massali (5.3%), Shirvan (21.0%) and Sumgait (6.7%). Highest prevalence of hepatitis C virus (HCV) was in Hajikabul, Lenkoran and Baku. One half of the IDU participating in research in Hajikabul and Sumgait had served a sentence in a penal institution in the past. The main drugs used were heroin and home-produced opiates. Regional variations, the prevalence of HIV infection ranged from 1.3% (Gandja) to 21.0% (Shirvan) and as high as 33.0% (Hajikabul).

  8. Prisoners Of 1000 blood samples obtained fromprisoners, infection prevalence was: HIV,2.9%, HCV, 57.6%; syphilis, 8.4%; HBsAg,5.8%. The infection prevalence indicatesthat prisoners are most likely IDUs and hadalso risky sexual behaviours due to highsyphilis prevalence.

  9. SW HIV only in Baku (2.5%). Prevalence of syphilis: Gandja (22.0%) Sumgait 14.0% Baku 3.5% Hepatitis C Sumgait had the highest prevalence – 14.0% Gandja – 10.0%, Baku – 8.0% Hepatitis B highest in Gandja (8.0%), Baku 2.5% Sumgait 2.0% The main risk factors for the spread of HIV lay in the patterns of sexual behaviour of the SW. Condoms with commercial partners were not used by 22.5% of SW in Baku, 44.0% in Sumgait and 18.0% in Gandja

  10. MSM Prevalence of HIV in Baku was 1.0%; 14.0% for HCV; 4.0% for HBsAg; 8.0% for syphilis. 12% of the MSM useddrugs by a non-injection or injectionmethod. 42.6% did not use acondom during their last anal sexual contact A total of41.0% of respondents reported havingfemales as partners. This high-risk sexual behaviour, injectingdrug use and sexual violence mean thatMSM and their sexual partners should beconsidered a highly vulnerable group forHIV infection.

  11. Street Children HIV 0%; 0.5% had markers for hepatitis B; 3.5% had antibodies to HCV syphilis was prevalent in 4.0%. (45.0%), drug use, including injecting drugs(2.5%). Sexually experienced were 84.7% ofchildren. Condoms were practically neverused. The children's level of awarenessabout STI/HIV/AIDS stood at 71.0-84.0% The level of awareness of street childrenabout HIV/AIDS prevention programmeswas only 2.0%. Overall, the lifestyle and behaviour of thestreet children made them a highlyvulnerable group for HIV infection andinfections with similar routes oftransmission.

  12. Conclusions The project results will help to drawattention to the existing preventionprogrammesand assist the planning of new programmes. All data obtained from the research will be used for further monitoring of HIV epidemic among vulnerable groupsand evaluation of the effectiveness ofpreventive measures.

More Related