1. CONDOM USE WITH FEMALE SEX WORKERS AMONG HIV POSITIVE INJECTING DRUG USERS IN SOUTHERN VIETNAM Nguyen Duy Phuc, Tran Phuc Hau, Pham Duy Quang, Khuu Van Nghia, Nguyen Thi Bich Hong, Phan Trong Lan, Nguyen Vu Thuong

2. CONTENTS 1 BACKGROUND 2 STUDY PARTICIPANTS AND METHODS 3 RESULTS AND DISCUSSION 4 CONCLUSION

3. 1. BACKGROUND IDU: 0,34% population but accounted for 10% PLWH Concentrated in Eastern Europe & Southeast Asia IDU  the major high risk group for the HIV epidemic in VN. VAAC/2014: HIV prevalence among IDU: 11%, very high in Thai Nguyen (34%), Lai Chau (27.7%) Risk for HIV infection among IDU: injecting drugs & unsafe sex  less concerned about safe sex A study in HCMC: 50% IDU used a condom when having sex with FSW IBBS 2009: percentage of IDU reported having sex with FSW was so high but the proportion of condom use is not as high such as that in Danang (45%-50%), Nghe An (39%-63%), Ha Noi (38%-60%) This study aimed to evaluate the condom use status when having sex with FSW among positive HIV IDU so as to inform more effective interventions

4. 2. STUDY PARTICIPANTS AND METHODS Study participants: 1.542 IDUs in 5 southern provinces including DN, TN, TG, VL & HG (2009-2012), with a total 219 HIV infected IDU Study design: cross-sectional Sampling: clustered random sampling based on sampling frame Data entry: Epidata 3.1 Data analysis: Stata 14 Statistical test: Multivariate poisson regression (robust variance)

5. 3. RESULTS AND DISCUSSION CharacteristicnFreq% Social characteristics Age 219 Mean 29.2 Range 18 - 55 No schooling 2047235.3 Marital status 218 Singled 13963.8 Married/Cohabitating 5826.6 Widowed/divorced/separated 219.6 Unemployment 2063014.6 Injecting venues in rural 21912356.2 Monthly income (million VND) 205 Mean 1,8 Range 0 - 7 Drinking alcohol daily 219198.7

6. 3. RESULTS AND DISCUSSION (Cont.) CharacteristicnFreq% Knowledge of HIV / STI and STI history Ever heard of STI 21813662.4 Knowing at least one symptom of STI in males 21812155.5 Having abnormal signs/symptoms in genital tract / past 12 months 21952.3

7. 3. RESULTS AND DISCUSSION (Cont.)

8. CharacteristicnFreq% Injecting drugs & having sex Duration of injecting (year)219 Means (Range)6.9 (0 - 39) Frequency of injecting drugs per day218 Means (Range)3.2 (1 - 4) Sharing needles in the past month219209.1 Sharing drugs, injecting equipments in the past month20612259.2 Ever had sex21919990.9 Age at first sex194 Means (Range)19.8 (15 - 46) Number of sexual partners/ past 12 months199 Means (Range) 2 (0 - 36)

9. 3. RESULTS AND DISCUSSION (Cont.)

11. CharacteristicnFreq% Access to VCT program Knowing where to test for HIV in the province21813461.5 Ever got tested for HIV2186529.8 Do not want to test for HIV in the future (among those who never got HIV testing)691521.7 The reasons one does not want to test for HIV in the future15 Fear of knowing positive results1173.3 Fear of being stigmatized640.0 Fear of revealing HIV status 533.3

12. 3. RESULTS AND DISCUSSION (Cont.)

14. 4. CONCLUSION Consistent condom use with FSW was not high among HIV positive IDU (67.7%) Factors associated with always use of a condom found in this study (injecting in urban sites, living with a wife/girlfriend, self-perceiving of risk for HIV infection and having ever had tested for HIV) should be used to inform harm reduction programs in general and condom promotion program in particular for HIV positive IDU

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