期刊
INTERNATIONAL JOURNAL OF STD & AIDS
卷 21, 期 7, 页码 489-496出版社
SAGE PUBLICATIONS LTD
DOI: 10.1258/ijsa.2010.010097
关键词
HIV; Europe; epidemiology; high-risk screening
资金
- CDC Global AIDS Program
- International HIV/AIDS Alliance in Ukraine
- United States Agency for International Development (USAID) - Ukraine
- Elton John AIDS Foundation
- Hilda Mullen Foundation
- West Foundation
We conducted the first systematic, community-based, multicity assessment outside the USA of HIV seroprevalence, risk factors and linkage into clinical services among 929 street youth. After city-wide mapping, we used time-location sampling and randomly selected 74 venues in Odesa, Kyiv and Donetsk, Ukraine. Rapid HIV testing with post-test counselling was offered to all eligible youths aged 15-24 years. Overall, 18.4% (95% confidence interval 16.2-20.2) were HIV positive and 85% had previously unknown status. Rates were identical by sex. Subgroups with highest rates included orphans (26%), youths with histories of exchanging sex (35%), sexually transmitted infections (STIs) (37%), injection drug use (IDU) (42%) and needle sharing (49%). Independent predictors, similar across age groups and city, included being orphaned, time on the street, history of anal sex, STIs, exchanging sex, any drug use, IDU and needle sharing. Two-thirds (68%) of HIV-positive youths were linked to services. This high-risk population has many immediate needs.
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