Assessment of HIV testing among young methamphetamine users in Muse, Northern Shan State, Myanmar

BMC Public Health

Thu Nandar Saw⁵  Soe Tun⁴  Kyi Mar Wai⁵  Jessica E Cope⁵  Nyein Chan²  Nang Pann Ei Kham³  Krishna C Poudel¹  Yu Mon Saw⁵ 

[1] Department of Public Health, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA, USA;Department of Social Research, Defence Services Medical Research Centre, Tatkone Township, Nay Pyi Taw, Myanmar;Institute for Drug and Alcohol Studies, Virginia Commonwealth University, Richmond, Virginia, USA;Department of Preventive and Social Medicine, the University of Medicine 2, Yangon, Myanmar;Department of Community and Global Health, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan

关键词: Myanmar;    Youth;    Methamphetamine;    HIV testing;   

Others  :  864969
DOI  :  10.1186/1471-2458-14-735

 received in 2013-10-13, accepted in 2014-07-15,  发布年份 2014

【 摘 要 】

Background

Methamphetamine (MA) use has a strong correlation with risky sexual behaviors, and thus may be triggering the growing HIV epidemic in Myanmar. Although methamphetamine use is a serious public health concern, only a few studies have examined HIV testing among young drug users. This study aimed to examine how predisposing, enabling and need factors affect HIV testing among young MA users.

Methods

A cross-sectional study was conducted from January to March 2013 in Muse city in the Northern Shan State of Myanmar. Using a respondent-driven sampling method, 776 MA users aged 18-24 years were recruited. The main outcome of interest was whether participants had ever been tested for HIV. Descriptive statistics and multivariate logistic regression were applied in this study.

Results

Approximately 14.7% of young MA users had ever been tested for HIV. Significant positive predictors of HIV testing included predisposing factors such as being a female MA user, having had higher education, and currently living with one’s spouse/sexual partner. Significant enabling factors included being employed and having ever visited NGO clinics or met NGO workers. Significant need factors were having ever been diagnosed with an STI and having ever wanted to receive help to stop drug use.

Conclusions

Predisposing, enabling and need factors were significant contributors affecting uptake of HIV testing among young MA users. Integrating HIV testing into STI treatment programs, alongside general expansion of HIV testing services may be effective in increasing HIV testing uptake among young MA users.

【 授权许可】

   
2014 Saw et al.; licensee BioMed Central Ltd.

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