Objectives London, Ontario, is facing an outbreak of HIV among people who inject drugs (PWID), as well as persistently high levels of hepatitis C virus (HCV). Syringe sharing is the primary driver of HIV and HCV transmission risks among PWID, however, little is known about factors contributing to syringe sharing in this setting. Therefore, we sought to characterize syringe sharing and its correlates among London PWID. Methods Between March and April, 2016, PWID participated in a survey administered by peer research associates as part of the Ontario Integrated Supervised Injection Services Feasibility Study. Bivariable and multivariable logistic regression models examined associations with syringe sharing (borrowing or lending previously used syringes) over the previous 6 months. A sub-analysis described patterns of borrowing and lending by self-reported HIV and HCV statuses. Results Of 198 PWID, 44 (22%) reported syringe sharing in the past 6 months. In the multivariable analysis, selling drugs (adjusted odds ratio; AOR = 1.92, 95% CI = 1.20–3.08), daily crystal methamphetamine injection (AOR = 1.66, 95% CI = 1.07– 2.59), and identifying as HIV-positive (AOR = 3.11, 95% CI = 1.61–6.01) were independently associated with increased syringe sharing. While not independently associated with syringe sharing, problems accessing syringes
Canadian Journal of Public Health – Springer Journals
Published: Jun 6, 2018
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