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2015 ; 10
(12
): e0145578
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Epidemiology of Drug Use and HIV-Related Risk Behaviors among People Who Inject
Drugs in Mwanza, Tanzania
#MMPMID26701616
Tan AX
; Kapiga S
; Khoshnood K
; Bruce RD
PLoS One
2015[]; 10
(12
): e0145578
PMID26701616
show ga
Heroin trafficking and consumption has increased steadily over the past decade in
Tanzania, but limited information regarding HIV and drug use exists for the city
of Mwanza. Our study investigates the epidemiology of drug use, and HIV risk
behaviors among drug users in the northwestern city of Mwanza. Using a
combination of targeted sampling and participant referral, we recruited 480
participants in Mwanza between June and August 2014. The sample was 92% male.
Seventy-nine (16.4%) participants reported injecting heroin, while 434 (90.4%)
reported smoking heroin. Unstable housing and cohabitation status were the only
socioeconomic characteristics significantly associated with heroin injection.
More than half of heroin injectors left syringes in common locations, and half
reported sharing needles and syringes. Other risk behaviors such as lack of
condom use during sex, and the use of illicit drugs during sex was widely
reported as well. Among the study sample, there was poor awareness of health
risks posed by needle/syringe sharing and drug use. Our results show that heroin
use and HIV risk related behaviors are pressing problems that should not be
ignored in Mwanza. Harm reduction programs are urgently needed in this
population.