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Journal of Community Health
Published in: Journal of Community Health 3/2013

Open Access 01-06-2013 | Original Paper

Willingness to Access Peer-Delivered HIV Testing and Counseling Among People Who Inject Drugs in Bangkok, Thailand

Authors: Lianping Ti, Kanna Hayashi, Karyn Kaplan, Paisan Suwannawong, Evan Wood, Julio Montaner, Thomas Kerr

Published in: Journal of Community Health | Issue 3/2013

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Abstract

Peer-based models for human immunodeficiency virus (HIV) testing have been implemented to increase access to testing in various settings. However, little is known about the acceptability of peer-delivered testing and counseling among people who inject drugs (IDU). During July and October 2011, data derived from the Mitsampan Community Research Project were used to construct three multivariate logistic regression models identifying factors associated with willingness to receive peer-delivered pre-test counseling, rapid HIV testing, and post-test counseling. Among a total of 348 IDU, 44, 38, and 36 % were willing to receive peer-delivered pre-test counseling, rapid HIV testing, and post-test counseling, respectively. In multivariate analyses, factors associated with willingness to access peer-delivered pre-test counseling included: male gender (adjusted odds ratio (AOR) = 0.48), higher than secondary education (AOR = 1.91), and binge drug use (AOR = 2.29) (all p < 0.05). Factors associated with willingness to access peer-delivered rapid HIV testing included: higher than secondary education (AOR = 2.06), binge drug use (AOR = 2.23), incarceration (AOR = 2.68), avoiding HIV testing (AOR = 0.24), and having been to the Mitsampan Harm Reduction Center (AOR = 1.63) (all p < 0.05). Lastly, binge drug use (AOR = 2.40), incarceration (AOR = 1.94), and avoiding HIV testing (AOR = 0.23) (all p < 0.05) were significantly associated with willingness to access peer-delivered post-test counseling. We found that a substantial proportion of Thai IDU were willing to receive peer-delivered HIV testing and counseling. These findings highlight the potential of peer-delivered testing to complement existing HIV testing programs that serve IDU.
Literature
1.
Ministry of Public Health Thailand. (2011). Thailand health profile, 2008–2010. Bangkok: Ministry of Public Health Thailand.
2.
WHO, UNODC, & UNAIDS. (2009). WHO, UNODC, UNAIDS technical guide for countries to set targets for universal access to HIV prevention, treatment and care for injecting drug users. Geneva: WHO.
3.
WHO, & UNODC. (2009). Guidance on testing and counselling for HIV in settings attended by people who inject drugs: Improving access to treatment, care and prevention. Geneva: WHO.
4.
European Centre for Disease Prevention and Control. (2010). HIV testing: Increasing uptake and effectiveness in the European Union. Stockholm: European Centre for Disease Prevention and Control.
5.
Girardi, E., Sabin, C., & Monforte, A. (2007). Late diagnosis of HIV infection: Epidemiological features, consequences and strategies to encourage earlier testing. Journal of Acquired Immune Deficiency Syndromes, 46, S3–S8.PubMedCrossRef
6.
Wood, E., Kerr, T., Hogg, R., et al. (2006). Impact of HIV testing on uptake of HIV therapy among antiretroviral naive HIV-infected injection drug users. Drug and Alcohol Review, 25, 451–454.PubMedCrossRef
7.
Schlumberger, M., Desenclos, J., Papaevangelou, G., Richardson, S., & Ancelle-Park, R. (1999). Knowledge of HIV serostatus and preventive behaviour among European injecting drug users: Second study. European Journal of Epidemiology, 15, 207–215.PubMedCrossRef
8.
Denison, J., O’Reilly, K., Schmid, G., Kennedy, C., & Sweat, M. (2008). HIV voluntary counseling and testing and behavioral risk reduction in developing countries: A Meta-analysis, 1990–2005. AIDS and Behavior, 12, 363–373.PubMedCrossRef
9.
Fonner, V., Denison, J., Kennedy, C. E., O’Reilly, K., & Sweat, M. (2012). Voluntary counseling and testing (VCT) for changing HIV-related risk behavior in developing countries. Coachrane Database of Systematic Reviews, 9. doi:10.​1002/​14651858.​CD001224.​pub4.
10.
11.
Human Rights Watch, & Thai AIDS Treatment Action Group. (2007). Deadly denial: Barriers to HIV/AIDS treatment for people who use drugs in Thailand (No. 17). Thailand.
12.
13.
14.
15.
Chan, K., Stoove, M., Sringernyuang, L., & Reidpath, D. (2008). Stigmatization of AIDS patients: Disentangling Thai nursing students’ attitudes towards HIV/AIDS, drug use, and commercial sex. AIDS and Behavior, 12, 146–157.PubMedCrossRef
16.
Broadhead, R., Heckathorn, D., Anthony, D., et al. (1998). Harnessing peer networks as an instrument for AIDS prevention: Results from a peer-driven intervention. Public Health Reports, 113, 42–57.PubMed
17.
Hayashi, K., Wood, E., Wiebe, L., Qi, J., & Kerr, T. (2010). An external evaluation of a peer-run outreach-based syringe exchange in Vancouver, Canada. International Journal of Drug Policy, 21(5), 418–421.PubMedCrossRef
18.
Kerr, T., Hayashi, K., Fairbairn, N., et al. (2010). Expanding the reach of harm reduction in Thailand: Experiences with a drug user-run drop-in centre. International Journal of Drug Policy, 21, 255–258.PubMedCrossRef
19.
Bemelmans, M., Van Den Akker, T., Ford, N., et al. (2010). Providing universal access to antiretroviral therapy in Thyolo, Malawi through task shifting and decentralization of HIV/AIDS care. Tropical Medicine & International Health, 15(12), 1413–1420.CrossRef
20.
Fulton, B., Scheffler, R., Sparkes, S., et al. (2011). Health workforce skill mix and task shifting in low income countries: A review of recent evidence. Human Resources for Health, 9(1), 1.PubMedCrossRef
21.
Price, J., & Binagwaho, A. (2010). From medical rationing to rationalizing the use of human resources for AIDS care and treatment in Africa: A case for task shifting. Developing World Bioethics, 10(2), 99–103.PubMedCrossRef
22.
Sanjana, P., Torpey, K., Schwarzwalder, A., et al. (2009). Task-shifting HIV counselling and testing services in Zambia: The role of lay counsellors. Human Resources for Health, 7, 44.PubMedCrossRef
23.
McCollum, E., Preidis, G., Kabue, M., et al. (2010). Task shifting routine inpatient pediatric HIV testing improves program outcomes in urban Malawi: A retrospective observational study. PLoS ONE, 5(3), e9626.PubMedCrossRef
24.
Callaghan, M., Ford, N., & Schneider, H. (2010). A systematic review of task-shifting for HIV treatment and care in Africa. Human Resources for Health, 8, 8.PubMedCrossRef
25.
Khumalo-Sakutukwa, G., Morin, S. F., Fritz, K., et al. (2008). Project accept (HPTN 043): A community-based intervention to reduce HIV incidence in populations at risk for HIV in sub-saharan Africa and Thailand. Journal of Acquired Immune Deficiency Syndromes, 49(4), 422–431.PubMedCrossRef
26.
27.
Selke, H., Kimaiyo, S., Sidle, J., et al. (2010). Task-shifting of antiretroviral delivery from health care workers to persons living with HIV/AIDS: Clinical outcomes of a community-based program in Kenya. Journal of Acquired Immune Deficiency Syndromes, 55(4), 483–490.PubMedCrossRef
28.
Ti, L., Hayashi, K., Kaplan, K., et al. (2012). HIV testing and willingness to get HIV testing at a peer-run drop-in centre for people who inject drugs in Bangkok, Thailand. BMC Public Health, 12, 189.PubMedCrossRef
29.
Kellerman, S. E., Lehman, J. S., Lansky, A., et al. (2002). HIV testing within at-risk populations in the United States and the reasons for seeking or avoiding HIV testing. Journal of Acquired Immune Deficiency Syndromes, 31(2), 202–210.PubMedCrossRef
30.
Martin, M., Vanichseni, S., Suntharasamai, P., et al. (2011). Enrollment characteristics and risk behaviors of injection drug users participating in the Bangkok Tenofovir Study, Thailand. PLoS ONE, 6(9), e25127.PubMedCrossRef
31.
Baiden, F., Akanlu, G., Hodgson, A., et al. (2007). Using lay counsellors to promote community-based voluntary counselling and HIV testing in rural northern Ghana: A baseline survey on community acceptance and stigma. Journal of Biosocial Science, 39, 721–733.PubMedCrossRef
32.
Chakrapani, V., Newman, P., Shunmugam, M., & Dubrow, R. (2011). Social-structural contexts of needle and syringe sharing behaviours of HIV-positive injecting drug users in Manipur, India: A mixed methods investigation. Harm Reduction Journal, 8, 9.PubMedCrossRef
33.
Kerr, T., Small, W., Buchner, C., et al. (2010). Syringe sharing and HIV incidence among injection drug users and increased access to sterile syringes. American Journal of Public Health, 100(8), 1449–1453.PubMedCrossRef
34.
Rhodes, T., Judd, A., Mikhailova, L., et al. (2004). Injecting equipment sharing among injecting drug users in Togliatti City, Russian Federation: Maximizing the protective effects of syringe distribution. Journal of Acquired Immune Deficiency Syndromes, 35, 293–300.PubMedCrossRef
35.
WHO, & UNAIDS. (2007). Guidance of provider-initiated HIV testing and counselling in health facilities. Geneva: WHO.
36.
Dolan, K., Kite, B., Black, E., Aceijas, C., & Stimson, G. (2007). HIV in prison in low-income and middle-income countries. Lancet Infectious Diseases, 7(1), 32–41.PubMedCrossRef
37.
Kheirandish, P., Seyedalinaghi, S., Hosseini, M., et al. (2010). Prevalence and correlates of HIV infection among male injection drug users in detention in Tehran, Iran. Journal of Acquired Immune Deficiency Syndromes, 53(2), 273–275.PubMedCrossRef
38.
Suntharasamai, P., Martin, M., Vanichseni, S., et al. (2009). Factors associated with incarceration and incident human immunodeficiency virus (HIV) infection among injection drug users participating in an HIV vaccine trial in Bangkok, Thailand, 1999–2003. Addiction, 104(2), 235–242.PubMedCrossRef
39.
Awad, G., Sagrestano, L., Kittleson, M., & Sarvela, P. (2004). Development as a measure of barriers to HIV testing among individuals at high risk. AIDS Education and Prevention, 16(2), 115–125.PubMedCrossRef
40.
Ford, K., Wirawan, D., Sumantera, G., Sawitri, A., & Stahre, M. (2004). Voluntary HIV testing, disclosure, and stigma among injection drug users in Bali, Indonesia. AIDS Education and Prevention, 16(6), 487–498.PubMedCrossRef
41.
Ma, W., Detels, R., Feng, Y., et al. (2007). Acceptance of and barriers to voluntary HIV counselling and testing among adults in Guizhou province, China. AIDS, 21(Suppl 8), S129–S135.PubMedCrossRef
42.
Moyer, L., Brouwer, K., Ramos, R., et al. (2008). Barriers and missed opportunities to HIV testing among injection drug users in two Mexico—US border cities. Drug and Alcohol Review, 27(1), 39–45.PubMedCrossRef
43.
Boyd, S., Johnson, J., & Moffat, B. (2008). Opportunities to learn and barriers to change: Crack cocaine use in the Downtown Eastside of Vancouver. Harm Reduction Journal, 5, 34.PubMedCrossRef
44.
Weeks, M., Li, J., Dickson-Gomez, J., et al. (2009). Outcomes of a peer HIV prevention program with injection drug and crack users: The risk avoidance partnership. Substance Use and Misuse, 44(2), 253–281.PubMedCrossRef
Metadata
Title
Willingness to Access Peer-Delivered HIV Testing and Counseling Among People Who Inject Drugs in Bangkok, Thailand
Authors
Lianping Ti
Kanna Hayashi
Karyn Kaplan
Paisan Suwannawong
Evan Wood
Julio Montaner
Thomas Kerr
Publication date
01-06-2013
Publisher
Springer US
Published in
Journal of Community Health / Issue 3/2013
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-012-9635-z

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