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Volume 2, Emitir 3 (2011)

Artigo de Pesquisa

Factors Associated with Recent Risky Drug Use and Sexual Behaviors among Drug Users in Southwestern China

Yifei Hu, Shu Liang, Junling Zhu, Guangming Qin, Qianping Liu, Benli Song, Qixing Wang, Daying Wei, Linglin Zhang, Han-Zhu Qian, Yuhua Ruan and Yiming Shao

A cross-sectional survey was conducted in 2007 among 504 drug users who were recruited mainly from detoxification centers in southwest China. About one-third (34.3%) of participants reported recent risky drug use behavior, which was defined as injecting drugs in the past 3 months, and more than one-fifth (21.6%) reported recent risky sexual behavior, or had multiple sexual partners in the past 30 days. Male sex (odds ratio [OR], 1.9; 95% confidence interval [CI], 1.2-3.2) and more episodes of detoxification (OR, 3.7; 95% CI, 2.3-6.0) were associated with higher odds of risky drug use behavior, while unmarried status (OR, 1.7; 95% CI, 1.0-2.9), higher personal annual income (OR, 1.8; 95% CI, 1.1-2.8) and history of sexually transmitted infections (OR, 3.7; 95% CI, 2.1-6.6) were associated with higher odds of having risky sexual behavior. Subgroup analyses showed 15% participants who used drugs in the past 3 months also shared needles, and 77% participants who had multiple sexual partners in the past 30 days did not use condoms during sex with non-primary sexual partners. The study findings are useful for developing HIV risk reduction intervention programs among drug users.

Relato de caso

Primary Human Immunodeficiency Virus Infection and Rhabdomyolysis

Abeer Moanna, Jacek Skarbinski, Ameeta S Kalokhe, David Rimland and Nadine G. Rouphael

Objectives: Over the past few years we have seen 3 patients with primary HIV infection and rhabdomyolysis in our institution. Methods: We report our 3 cases in addition to the review of the English-language literature for all reported cases of rhabdomyolysis and primary HIV infection. Results: In addition to our 3 cases we found 11 cases of primary HIV infection presenting with rhabdomyolysis. Conclusion: In patients presenting with rhabdomyolysis and no obvious precipitating factor, primary HIV infection should be included on the differential count.

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