Gender Differences in HIV, HCV risk and Prevention Needs Among People who Inject drug in Vietnam

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Giang, Hoang Thi | Duc, Nguyen Quang | Khue, Pham Minh | Quillet, Catherine | Oanh, Khuat Thi Hai | Thanh, Nham Thi Tuyet | Vallo, Roselyne | Feelemyer, Jonathan | Vinh, Vu Hai | Rapoud, Delphine | Michel, Laurent | Laureillard, Didier | Moles, Jean Pierre | Jarlais, Don Des | Nagot, Nicolas | Huong, Duong Thi

Edité par CCSD ; Springer Verlag -

International audience. We examined gender differences among people who inject drug (PWID) in Hai Phong, Vietnam in term of blood-borne infections, risk behaviors, and access to care. Using respondent-driven-sampling surveys, we recruited 3146 PWID from 2016 to 2018. Inclusion criteria included a positive urine test for heroin and recent injection marks. There were 155 female PWID (4,9%), including 82 at RDS-2016, 32 at RDS-2017 and 38 at RDS-2018. The age mean was 36.3 ± 7.2 years. The majority of female PWID had less than high school education (90.9%) and were unemployed (51.3%). There was no difference in the proportion of HIV and HCV positive by gender. However, women had several significant differences in risk behaviors than men in multivariable logistic regression. Being a woman was independently associated with being unemployed, being a sex worker, having unstable housing, having uses drugs for less than 5 years, more use of methamphetamine, having a partner who ever injected drugs, and less access to methadone treatment. Interventions targeting female PWID are needed, possibly through community organizations and peer educators.

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