SEARCHCROSS-SECTIONALepidemiology, public health

cross-sectional·epidemiology, public health, infectious disease, immunology, internal medicine·PMC10241362

Prevalence of HIV, risk behaviours and vulnerabilities of female sex partners of the HIV positive people who inject drugs (PWID) in Dhaka city, Bangladesh

PLOS ONE · 13 authors, 6 centres

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TL;DR

This cross-sectional survey measured HIV prevalence, risk behaviors, and vulnerabilities among female sex partners of HIV-positive people who inject drugs in Dhaka, Bangladesh, finding a high HIV prevalence and widespread low condom use and poor STI knowledge.

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A quantitative survey was conducted in 2019 among 227 female sex partners of HIV-positive people who inject drugs (PWID) in Dhaka city, Bangladesh, using a take-all sampling technique. The central finding was an HIV prevalence of 16.7% (95% CI: 12.4–22.2). The findings indicate an urgent need for strengthened, targeted interventions for this high-risk population.

STUDY TYPE

cross-sectional

SPECIALTY

epidemiology

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AI pipeline

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ORIGINAL PAPER

PMC10241362

Prevalence of HIV, risk behaviours and vulnerabilities of female sex partners of the HIV positive people who inject drugs (PWID) in Dhaka city, Bangladesh

PLOS ONE

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ABSTRACT

Abstract Background The HIV epidemic in Bangladesh is largely being driven by people who inject drugs (PWID) and mainly concentrated in Dhaka city. Intregrated biological and behavioural survey (IBBS) data of 2016 showed that a considerable percentage of the HIV positive PWID had unsafe sex with their female sex partners. Prevalence of HIV, risk behaviorus and vulnerabilities among the female sex partners of the PWID still remain unexplored. Methods To measure HIV prevalence, risk behaviours (drugs/injection/sexual) and vulnerabilities (treatment of and knowledge of sexually transmitted infections (STIs) and HIV/uptake of the routine HIV testing and HIV prevention services/physical and sexual violence), a quantitative survey was conducted among 227 female sex partners of the HIV positive PWID in Dhaka city in 2019 by adopting a take-all sampling technique. Results The median age of participants was 34.0 years. Prevalence of HIV was 16.7% (95% CI: 12.4–22.2). Only 6.8% to 18.7% of the participants used condoms consistently with different male sex partners; only 6.8%cto 18.7% during last year. Seventy five percent (95% CI: 69.2–80.8) had no knowledge on STI symptoms. Self-reported symptoms of STIs were reported by 26% (95% CI: 20.7–32.1) and half sought treatment during last year. Nineteen percent (95% CI: 14.7–25.1) had comprehensive knowledge of HIV. As part of the routine HIV prevention services by the PWID drop-in-centres (DICs), 42.7% (95% CI: 36.4–49.3) of the participants were tested for HIV and knew their result within the last year. One-third never received HIV prevention services. During the last one year preceding the survey, 46% (95% CI: 39.3–52.6) reported been beaten and 20.2% (95% CI: 15.3–26.1) been raped. Conclusion It is urgently necessary to consider the high-risk behaviours and vulnerabilities in designing or to strengthen targeted interventions for female sex partners of the HIV positive PWID in Dhaka city to ensure equality in accessing and utilization of services.

CITATION EXPORT

Md Masud Reza, A K M Masud Rana, Mohammad Niaz Morshed Khan et al.. Prevalence of HIV, risk behaviours and vulnerabilities of female sex partners of the HIV positive people who inject drugs (PWID) in Dhaka city, Bangladesh. PLOS ONE. (2023). https://doi.org/10.1371/journal.pone.0286673

AUTHORS

13 · 6 CENTRES

Md Masud Reza, A K M Masud Rana, Mohammad Niaz Morshed Khan, Md Safiullah Sarker, Sujan Chowdhury, Md Ziya Uddin, Lima Rahman, Mohammad Ezazul Islam Chowdhury, Md Abu Taher, Sharful Islam Khan, Syed Hani Abidi, Syed Hani Abidi, Syed Hani Abidi

1Programme for HIV and AIDS, Infectious Disease Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh
2HIV/AIDS Specialist, UNICEF, Dhaka, Bangladesh
3Director, Health and Nutrition Sector, Save the Children in Bangladesh, Dhaka, Bangladesh
4Technical Advisor, HIV/AIDS Program, Save the Children in Bangladesh, Dhaka, Bangladesh
5National Programme Coordinator (Drugs and HIV/AIDS), UNODC, Dhaka, Bangladesh
6Nazarbayev University School of Medicine, PAKISTAN