English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

espanolIntroduccion La prevalencia del VIH entre personas que se inyectan drogas (PIDs) es del 5%. Los estudios han encontrado que la prevalencia del VIH es aproximadamente del 10% entre las mujeres que se inyectan drogas (MIDs) y del 5% entre los hombres. Objetivo Este articulo busca describir detalladamente diferencias en las caracteristicas que forman ambientes de riesgo diferenciados al VIH entre hombres y mujeres que se inyectan drogas en Mexico. Metodo Se entrevisto a 824 personas que se inyectan drogas (PIDs) en Hermosillo y Ciudad Juarez en 2012 en lugares de encuentro de poblacion. El 74.0% fueron hombres y el 26.0% mujeres. Mediante la prueba de chi-cuadrada, se caracterizan perfiles sociodemograficos, dinamicas de uso de drogas y de inyeccion por sexo. Se ajustan diferentes modelos lineales mixtos generalizados para probar la hipotesis que los predictores del uso compartido de jeringas tienen efectos distintos en hombres y mujeres. Resultados El analisis descriptivo mostro que las mujeres viven en condiciones de mayor vulnerabilidad que los hombres en terminos de migracion, logros educativos, ocupacion e ingresos. Las mujeres tambien informaron una mayor frecuencia de inyeccion de drogas, mayor numero de drogas usadas y mayor prevalencia de uso compartido de jeringas. Las variables significativamente asociadas con la probabilidad de compartir jeringas fueron haber sido inyectado por alguien mas al momento de la primera inyeccion (Razones de momios ajustadas [AOR] = 1.60, 95% intervalo de confianza IC [1.11, 2.25], p Discusion y conclusion Los resultados sugieren la necesidad de disenar e implementar programas de reduccion de danos que tomen en cuenta las necesidades especificas de las MIDs. Es urgente mejorar la disponibilidad de jeringas entre PWIDs en el norte de Mexico por medio de programas permanentes de reduccion de danos, implementados en coordinacion entre las autoridades de salud publica y las organizaciones comunitarias y en conjunto con politicas de descriminalizacion de esta poblacion. EnglishIntroduction: HIV prevalence among people who inject drugs (PWID) is 5%. Studies have found a HIV prevalence around 10% among women who inject drugs (WWID) and 5% among men. Objective: to describe characteristics of risk environment that play different roles among men and women who inject drugs in Mexico that could be associated with those differentials. Method: in 2012 were interviewed in Hermosillo and Ciudad Juarez in places where population gathered. From them, 824 PWID 74.0% were men and 26.0% were women. Using chi-square test we analyzed associations of gender with demographics characteristics, drug use dynamics, and injecting behaviors. We fitted different generalized linear mixed models with random effects to test the hypothesis that predictors of receptive needle sharing have different effects on men and women. Results: descriptive analysis showed that women live in conditions of higher vulnerability than men in terms of migration, educational attainment, occupation, and income. Women also reported a higher frequency of drug injection, a higher number of drugs used, and a higher prevalence of sharing needles. Variables significantly associated with the likelihood of sharing needles were: having being injected for someone else at first drug injection (adjusted odds ratio [AOR] = 1.60, 95% confidence interval CI [1.11, 2.25], p Discussion and conclusion: results suggests the need to design and implement harm reduction programs that tackle the specific need of WID. Enhancing syringe availability through permanent harm reduction programs, implemented in coordination between public health authorities and community-based organizations, is a basic action to stop HIV spreading among PWID in northern Mexico, along with the decriminalization policies towards these population.

salud mental

Gender matters? How does gender shape risk environment for syringe sharing among people who inject drugsin northern Mexico. Results from a cross-sectional survey