Engagement in HIV care and its correlates among people who inject drugs in St Petersburg, Russian Federation and Kohtla-Jarve, Estonia.

ABSTRACT:

Background and aims

HIV infection and mortality in Eastern Europe are driven by unsafe injection drug use. We sought to compare engagement in care from HIV testing through receipt of antiretroviral treatment among HIV-positive people who inject drugs (PWID) in St Petersburg, Russian Federation (RF) and Kohtla-Järve, Estonia and identify factors associated significantly with failure to progress at each stage of the HIV treatment cascade.

Design

Cross-sectional biobehavioral surveys of PWID with an analysis stratified by location-two Russian-speaking regions with similar HIV epidemic histories and current prevalence.

Setting

Field-based surveys conducted in St Petersburg, RF and Kohtla-Järve, Estonia.

Participants

We recruited 452 HIV-positive PWID in St Petersbu

SUBMITTER: Heimer R 

PROVIDER: S-EPMC5526080 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature