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The geographic distribution patterns of HIV-, HCV- and co-infections among drug users in a national methadone maintenance treatment program in Southwest China
- Source :
- BMC Infectious Diseases
- Publication Year :
- 2014
- Publisher :
- BioMed Central, 2014.
-
Abstract
- Background HIV-, HCV- and HIV/HCV co-infections among drug users have become a rapidly emerging global public health problem. In order to constrain the dual epidemics of HIV/AIDS and drug use, China has adopted a methadone maintenance treatment program (MMTP) since 2004. Studies of the geographic heterogeneity of HIV and HCV infections at a local scale are sparse, which has critical implications for future MMTP implementation and health policies covering both HIV and HCV prevention among drug users in China. This study aimed to characterize geographic patterns of HIV and HCV prevalence at the township level among drug users in a Yi Autonomous Prefecture, Southwest of China. Methods Data on demographic and clinical characteristics of all clients in the 11 MMTP clinics of the Yi Autonomous Prefecture from March 2004 to December 2012 were collected. A GIS-based geographic analysis involving geographic autocorrelation analysis and geographic scan statistics were employed to identify the geographic distribution pattern of HIV-, HCV- and co-infections among drug users. Results A total of 6690 MMTP clients was analyzed. The prevalence of HIV-, HCV- and co-infections were 25.2%, 30.8%, and 10.9% respectively. There were significant global and local geographic autocorrelations for HIV-, HCV-, and co-infection. The Moran’s I was 0.3015, 0.3449, and 0.3155, respectively (P
- Subjects :
- Adult
Male
medicine.medical_specialty
Methadone maintenance
China
Substance-Related Disorders
Developing country
HIV Infections
Drug Users
Medical microbiology
Acquired immunodeficiency syndrome (AIDS)
Environmental health
Opiate Substitution Treatment
Prevalence
Medicine
Humans
Geographic autocorrelation analysis
Geography, Medical
business.industry
Coinfection
Public health
virus diseases
HIV
Hepatitis C
Middle Aged
medicine.disease
Virology
Co-infection
Infectious Diseases
HCV
Female
Geographic distribution
Geographic scan statistic
business
Methadone
medicine.drug
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 14712334
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- BMC Infectious Diseases
- Accession number :
- edsair.doi.dedup.....fd49df82a1377d7ba53974164a8ffb9e