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

尼日利亚关于注射吸毒的研究很少。我们调查了拉各斯男性注射吸毒者 (idu) 中HIV,乙型和丙型肝炎以及性传播感染 (STIs) 的患病率。通过受访者驱动的抽样招募男性注射吸毒者 (N = 328)。参与者完成了关于他们的性和注射风险行为的访谈,并测试了乙型肝炎表面抗原 (HBV),丙型肝炎抗体 (HCV),艾滋病毒和梅毒,以及生殖器衣原体和淋病感染。四分之三的注射吸毒者 (74%) 报告在过去一个月注射毒品,尽管大多数人不共用针头 (92%),大多数人从药剂师那里获得无菌针头 (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,拉各斯注射吸毒者的艾滋病毒负担很低。药剂师对无菌针头的可及性发生变化可能会对idus的健康产生有害影响。迫切需要针对注射吸毒者的HBV疫苗接种和HCV预防计划。

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