HIV risk and prevention among clients of a delivery-based harm reduction service during an HIV outbreak among people who use drugs in northern rural Minnesota, USA

Harm Reduction Journal

Brief Report

Adam Palayew¹  Sarah Deutsch²  Sara N. Glick²  Elise Healy²  Kelly Knudtson²  Lucia Possehl³  Shayna Clark³  Sue Purchase³  Courtney A. McKnight⁴  Don Des Jarlais⁴ 

[1] Department of Epidemiology, University of Washington, Seattle, WA, USA;Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington, Seattle, WA, USA;Harm Reduction Sisters, Duluth, MN, USA;School of Global Public Health, New York University, New York City, NY, USA;

关键词: Syringe service programs;    HIV;    Minnesota;    People who inject drugs;   

DOI  :  10.1186/s12954-023-00839-1

 received in 2023-03-16, accepted in 2023-07-22,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundSince 2019, multiple HIV outbreaks occurred among people who inject drugs (PWID) in Minnesota. Syringe service programs (SSPs) are evidence-based programs that reduce the spread of HIV. We conducted an assessment of characteristics and HIV risk and prevention among clients of a delivery-based SSP near an HIV outbreak in rural, northern Minnesota.MethodsIn the fall of 2021, we conducted a cross-sectional survey of clients of a mobile SSP based in Duluth, Minnesota. Survey topics included demographics, drug use, sexual behavior, HIV testing history, and HIV status. We conducted descriptive analyses and used univariate logistic regression to identify correlates of syringe sharing. The analysis was limited to PWID in the last six months.ResultsA total of 125 people were surveyed; 77 (62%) were PWID in the last six months. Among these participants, 52% were female and 50% were homeless. Thirty-two percent reported sharing syringes and 45% reported sharing injecting equipment. Approximately one-half (49%) of participants had been tested for HIV in the past year, and none reported being HIV-positive. Individuals reported low condom usage (88% never used), and 23% of participants reported engaging in some form of transactional sex in the last six months. Incarceration in the last year was associated with sharing syringes (odds ratio = 1.4, 95% confidence interval 1.1–1.8).ConclusionHIV risk was high among PWID receiving services at this SSP. These data highlight a rural SSP that is engaged with people at risk for HIV and needs additional support to expand harm reduction services.

【 授权许可】

CC BY   
© The Author(s) 2023

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