Study Proposal: Testing Peer Counseling and Case Management Based Intervention for HIV Treatment
Testing peer counseling and case management based intervention as a tool of building up and maintaining adherence to HIV treatment and care among HIV-positive injection drug users in Saint Petersburg, Russia.
Background
“The Russian Federation has experienced one of the fastest growing HIV epidemics observed anywhere in the world” (Niccolai at al, 2011). According to the data of Russian Federal AIDS Center, at the end of 2012 more than 700 000 people on Russia were registered with HIV (Federal AIDS Center factsheet). Since its beginning, HIV epidemic in Russia was concentrated among injection drug users (IDUs), and although epidemic have been generalized, IDUs continue to comprise large proportion of people infected with HIV (Fedorova at al., 2013).
St Petersburg is the second largest city in Russia, with a population of 4.7 million people – 3.2% of the total population (Wikipedia). From the beginning of HIV epidemic in St Petersburg IDUs were the most affected group with parenteral way being the main route of HIV transmission Volik at al. 2012).
Purpose
Results of epidemiologic studies (Volik at al, 2012, Mimiaga at al, 2010) confirmed by expert opinions of specialists working in the field of provision of HIV/AIDS treatment and care for injection drug users in Saint Petersburg, demonstrate that social support of IDUs in the course of HIV treatment significantly increases their adherence to prescription regimen; it is hypothesized that peer counselling and individual case management will significantly increase both involvement to ARV treatment programs and adherence to HIV treatment for HIV-positive 1injection drug ...
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... St Petersburg: [accessed: April, 29, 2014]. 2014. http://en.wikipedia.org/wiki/St_petersburg.
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Kippax, S., Stephenson, N., Parker, R. G., & Aggleton, P. (2013, August). Between individual agency and structure in HIV prevention understanding the middle ground of social practice [Journal]. American Journal of Public Health, 103 (8), 1367-1375. http://dx.doi.org/10.2105/AJPH.2013.301301
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In the past two decades, a large body of studies has investigated unsafe injection behaviors and their risk factors in IDUs population. Unsafe injection practice, especially needle/syringe sharing is associated with low education7,11, economic pressure12, length of drug use history7,13, sex work history (female only)13, and having casual sexual partners7,11. All this previous research has contributed to our understanding of unsafe injection behaviors quantitatively. However, most of the prior quantitative studies presented findings in a structured manner (i.e., several variables on injection), which prevents the exploration of unique unsafe injection practices especially some unrecognized practices ignored by previous studies. In addition,