UBC Faculty Research and Publications

Injection drug use practices and HIV infection among people who inject drugs in Kigali, Rwanda: a cross-sectional study Twahirwa Rwema, Jean O.; Nizeyimana, Vianney; Prata, Neia M.; Okonkwo, Nneoma E.; Mazzei, Amelia A.; Muhirwa, Sulemani; Rukundo, Athanase; Lucas, Lisa; Niyigena, Audace; Makuza, Jean Damascene; Beyrer, Chris; Baral, Stefan D.; Kagaba, Aflodis

Abstract

Background In Rwanda, epidemiological data characterizing people who inject drugs (PWID) and their burden of HIV are limited. We examined injection drug use (IDU) history and practices, and HIV infection in a sample of PWID in Kigali. Methods From October 2019 to February 2020, 307 PWID aged ≥ 18 were enrolled in a cross-sectional study using convenience sampling in Kigali. Participants completed interviewer-administered questionnaires on IDU history and practices and HIV testing. We used Poisson regression with robust variance estimation to assess IDU practices associated with HIV infection and assessed factors associated with needle sharing in the six months preceding the study. Results The median age was 28 years (IQR 24–31); 81% (251) were males. Female PWID were more likely to report recent IDU initiation, selling sex for drugs, and to have been injected by a sex partner (p 

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