There is little research on injecting drug use in Nigeria. We investigated the prevalence of HIV, hepatitis B and C, and sexually transmitted infections (STIs) among male injection drug users (IDUs) in Lagos. Male IDUs (N = 328) were recruited through respondent-driven sampling. Participants completed an interview about their sexual and injecting risk behaviours and were tested for hepatitis B surface antigen (HBV), hepatitis C antibody (HCV), HIV and syphilis, as well as genital chlamydia and gonorrhoea infections. Three-quarters of IDUs (74%) reported injecting drugs in the past one month although most did not share needles (92%) and the majority obtained sterile needles from pharmacists (87%). Estimated HBV, HCV, HIV, syphilis, gonorrhoea and chlamydia prevalences were 7.8%, 7.7%, 0.9%, 1.9%, 0.0%, and 3.7%, respectively. The burden of HIV is presently low among IDUs in Lagos. Changes in accessibility to sterile needles at pharmacists would likely have a deleterious effect on IDUs' health. HBV vaccination and HCV prevention programmes for IDUs are urgently needed.

译文

:在尼日利亚,有关注射毒品使用的研究很少。我们调查了拉各斯男性注射吸毒者(IDU)中HIV,乙肝和丙肝以及性传播感染(STI)的患病率。男性注射毒品者(N = 328)是通过受访者驱动的样本招募的。参与者完成了关于其性行为和注射风险行为的访谈,并接受了乙型肝炎表面抗原(HBV),丙型肝炎抗体(HCV),HIV和梅毒以及生殖器衣原体和淋病感染的测试。在过去的一个月中,四分之三的注射毒品使用者(74%)报告正在注射药物,尽管大多数不共用针头(92%),并且大多数是从药剂师那里获得无菌针头的(87%)。估计的HBV,HCV,HIV,梅毒,淋病和衣原体患病率分别为7.8%,7.7%,0.9%,1.9%,0.0%和3.7%。目前在拉各斯的注射毒品使用者中艾滋病毒负担很低。药剂师对无菌针头的可及性的改变可能会对注射毒品使用者的健康产生有害影响。急需为注射吸毒者提供乙肝疫苗和丙肝预防方案。

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