I. SOCIO-DEMOGRAPHIC CHARACTERISTICS
|
Sex:
| | | | | |
Male
|
631 (77.8)
|
Ref
|
-
|
Ref
|
-
|
Female
|
180 (22.2)
|
1.72
|
(−0.62 ; 4.06)
|
−3.25
|
(−5.61 ; −0.88)
|
Age (median = 32 y.o):
| | | | | |
Less than 32 y.o.
|
397 (49.0)
|
Ref
|
-
|
Ref
|
-
|
32 y.o. or older
|
414 (51.0)
|
−5.21
|
(−7.27 ; −3.14)
|
−4.81
|
(−6.69 ; −2.93)
|
Education:
| | | | | |
Primary or basic
|
62 (7.6)
|
Ref
|
-
|
Ref
|
-
|
Secondary, vocational or at least some higher
|
749 (92.4)
|
7.37
|
(2.89 ; 11.84)
|
3.54
|
(−0.61 ; 7.68)
|
Main source of income:
| | | | | |
Legal source
|
677 (83.5)
|
Ref
|
-
|
Ref
|
-
|
Illegal source
|
134 (16.5)
|
−3.27
|
(−5.78 ; −0.76)
|
−0.35
|
(−2.75 ; 2.05)
|
Level of income:
| | | | | |
Coping well
|
245 (30.2)
|
Ref
|
-
|
Ref
|
-
|
Coping is difficult (or very difficult)
|
566 (69.8)
|
−8.99
|
(−11.18 ; −6.80)
|
−3.86
|
(−6.00 ; −1.73)
|
Living arrangements:
| | | | | |
Someone else’s house
|
274 (33.8)
|
Ref
|
-
|
Ref
|
-
|
Owned or rented place
|
512 (63.1)
|
−3.24
|
(−5.35 ; −1.13)
|
1.73
|
(−0.33 ; 3.79)
|
Shelter/no fixed place
|
25 (3.1)
|
−5.00
|
(−10.80 ; 0.81)
|
0.97
|
(−4.74 ; 6.69)
|
Marital status:d
| | | | | |
Not married
|
554 (68.4)
|
Ref
|
-
|
Ref
|
-
|
Married
|
256 (31.6)
|
−0.21
|
(−2.55 ; 2.13)
|
−0.96
|
(−3.40 ; 1.49)
|
II. ALCOHOL AND DRUG USE
|
Alcohol abuse using CAGE scale:
| | | | | |
CAGE = 0–1
|
274 (33.9)
|
Ref
|
-
|
Ref
|
-
|
CAGE = 2-4
|
534 (66.1)
|
−10.10
|
(−12.20 ; −8.00)
|
−1.76
|
(−4.00 ; 0.47)
|
Age of first drug use (cannabis excluded; median = 16 y.o.):
| | | | | |
17 y.o. or older
|
280 (34.5)
|
Ref
|
-
|
Ref
|
-
|
16 y.o. or younger
|
531 (65.5)
|
−6.64
|
(−8.70 ; −4.58)
|
−3.38
|
(−5.47 ; −1.30)
|
Main drug of use:
| | | | | |
(Meth)-amphetamines
|
27 (3.3)
|
Ref
|
-
|
Ref
|
-
|
Methadone/Fentanyl
|
221 (27.3)
|
−6.92
|
(−11.80 ; −2.04)
|
1.43
|
(−3.51 ; 6.37)
|
Heroin
|
563 (69.4)
|
−14.74
|
(−19.39 ; −10.08)
|
0.87
|
(−4.01 ; 5.74)
|
Poly-drug use in the last 4 weeks:e
| | | | | |
Injected 1 class of drugs
|
697 (85.9)
|
Ref
|
-
|
Ref
|
-
|
Injected 2 or more classes of drugs
|
114 (14.1)
|
−6.15
|
(−9.08 ; −3.22)
|
−3.62
|
(−6.38 ; −0.87)
|
Frequency of injecting drugs (days during the last 4 weeks; median = 20):
| | | | | |
19 days or less
|
337 (41.6)
|
Ref
|
-
|
Ref
|
-
|
20 days or more
|
474 (58.4)
|
−8.37
|
(−10.49 ; −6.25)
|
−1.39
|
(−3.88 ; 1.09)
|
Frequency of injecting drugs (times per day; median = 1):
| | | | | |
One
|
437 (54.0)
|
Ref
|
-
|
Ref
|
-
|
Two or more
|
372 (46.0)
|
−7.69
|
(−9.79 ; −5.60)
|
−0.40
|
(−2.61 ; 1.80)
|
Used non-sterile injecting equipment at least once in the last 4 weeks:
| | | | | |
No (or don’t know)
|
344 (42.4)
|
Ref
|
-
|
Ref
|
-
|
Yes
|
467 (57.6)
|
−10.54
|
(−12.59 ; −8.50)
|
−2.05
|
(−4.41 ; 0.30)
|
Ever used non-sterile injecting equipment:
| | | | | |
No
|
79 (9.7)
|
Ref
|
-
|
Ref
|
-
|
Yes
|
732 (90.3)
|
−10.94
|
(−14.08 ; −7.81)
|
−0.55
|
(−4.13 ; 3.04)
|
Getting sterile injecting equipment (any unused syringes in last 4 weeks):
| | | | | |
No
|
46 (5.7)
|
Ref
|
-
|
Ref
|
-
|
Yes
|
765 (94.3)
|
9.12
|
(4.77 ; 13.48)
|
−0.97
|
(−5.14 ; 3.20)
|
Ever overdosed:
| | | | | |
No
|
284 (35.0)
|
Ref
|
-
|
Ref
|
-
|
Yes
|
527 (65.0)
|
−6.58
|
(−8.75 ; −4.42)
|
0.10
|
(−2.12 ; 2.32)
|
III. MENTAL HEALTH
|
Mental health problems score:
| | | | | |
Lower score on mental health problems
|
427 (52.7)
|
Ref
|
-
|
Ref
|
-
|
Higher score on mental health problems
|
384 (47.3)
|
−9.27
|
(−11.28 ; −7.26)
|
−2.61
|
(−4.85 ; −0.38)
|
IV. SEXUAL RISK
|
Sexually active in the last 6 months:
| | | | | |
No
|
188 (23.2)
|
Ref
|
-
|
Ref
|
-
|
Yes
|
623 (76.8)
|
1.75
|
(−0.73 ; 4.23)
|
0.91
|
(−1.69 ; 3.52)
|
Involved in sexual work in the last 6 months:
| | | | | |
No
|
757 (93.3)
|
Ref
|
-
|
Ref
|
-
|
Yes
|
54 (6.7)
|
−0.16
|
(−3.35 ; 3.03)
|
2.80
|
(−1.05 ; 6.66)
|
Paid for sex in the last 6 months:
| | | | | |
No
|
748 (92.2)
|
Ref
|
-
|
Ref
|
-
|
Yes
|
63 (7.8)
|
7.80
|
(4.65 ; 10.95)
|
2.25
|
(−1.11 ; 5.60)
|
Condom use during the last sexual intercourse:
| | | | | |
Yes
|
378 (46.6)
|
Ref
|
-
|
N/A
|
-
|
No
|
238 (29.3)
|
−0.79
|
(−3.29 ; 1.72)
| | |
Don’t know
|
195 (24.0)
|
−2.44
|
(−5.11 ; 0.24)
| | |
HIV and Hepatitis C status of primary sexual partner:
| | | | | |
HIV and HCV negative or unknown
|
155 (19.1)
|
Ref
|
-
|
Ref
|
-
|
Known to be HIV or HCV positive
|
218 (26.9)
|
−11.09
|
(−14.14 ; −8.04)
|
−1.98
|
(−5.05 ; 1.09)
|
No primary partner in the last 6 months
|
438 (54.0)
|
−8.23
|
(−11.00 ; −5.47)
|
−2.02
|
(−5.04 ; 1.00)
|
V. INFECTIOUS DISEASES HISTORY AND STATUS
|
Ever been tested for HIV:
| | | | | |
No (or don’t know)
|
52 (6.4)
|
Ref
|
-
|
Ref
|
-
|
Yes
|
759 (93.6)
|
−1.95
|
(−6.04 ; 2.13)
|
3.63
|
(−0.58 ; 7.84)
|
HIV status awareness:
| | | | | |
Result of the most recent HIV test is negative, unknown or never tested
|
428 (52.8)
|
Ref
|
-
|
N/A
|
-
|
Result of the most recent HIV test is positive
|
383 (47.2)
|
−9.71
|
(−11.74 ; −7.68)
| | |
HIV status (based on study testing):
| | | | | |
Negative
|
359 (44.3)
|
Ref
|
-
|
Ref
|
-
|
Positive
|
452 (55.7)
|
−9.20
|
(−11.26 ; −7.15)
|
−2.71
|
(−6.55 ; 1.13)
|
Receiving regular HIV care:
| | | | | |
HIV-negative or unaware
|
428 (52.8)
|
Ref
|
-
|
Ref
|
-
|
HIV+; receives regular HIV care
|
125 (15.4)
|
−0.87
|
(−3.41 ; 1.67)
|
1.46
|
(−3.05 ; 5.98)
|
HIV+; does not receive regular HIV care
|
258 (31.8)
|
−13.77
|
(−15.95 ; −11.59)
|
−4.32
|
(−8.36 ; −0.28)
|
Tuberculosis history awareness:
| | | | | |
No (or don’t know)
|
757 (93.3)
|
Ref
|
-
|
Ref
|
-
|
Yes
|
54 (6.7)
|
−7.46
|
(−11.15 ; −3.76)
|
−3.32
|
(−6.43 ; −0.22)
|
Hepatitis C history awareness:
| | | | | |
No
|
126 (15.5)
|
Ref
|
-
|
N/A
|
-
|
Yes
|
685 (84.5)
|
−10.13
|
(−13.02 ; −7.23)
| | |
Treatment of Hepatitis C:
| | | | | |
Never diagnosed with HCV
|
126 (15.5)
|
Ref
|
-
|
Ref
|
-
|
HCV+, never been offered treatment
|
591 (72.9)
|
−11.09
|
(−14.00 ; −8.17)
|
−4.56
|
(−7.62 ; −1.50)
|
HCV+, was offered treatment, but did not receive it
|
50 (6.2)
|
−7.45
|
(−12.58 ; −2.32)
|
−7.37
|
(−12.75 ; −1.99)
|
HCV+, was offered treatment and received it
|
44 (5.4)
|
−0.27
|
(−4.53 ; 3.98)
|
−2.02
|
(−6.80 ; 2.76)
|
Hepatitis B history awareness:
| | | | | |
No
|
401 (49.4)
|
Ref
|
-
|
Ref
|
-
|
Yes
|
410 (50.6)
|
−9.31
|
(−11.29 ; −7.34)
|
−0.05
|
(−2.36 ; 2.25)
|
Ever vaccinated against Hepatitis B:
| | | | | |
No (or don’t know)
|
525 (64.7)
|
Ref
|
-
|
Ref
|
-
|
Yes (at least one dose)
|
286 (35.3)
|
7.29
|
(5.07 ; 9.50)
|
1.63
|
(−0.74 ;4.00)
|
VI. CONTACT WITH TREATMENT SERVICES AND PRISON
|
History of incarceration:
| | | | | |
No
|
537 (66.2)
|
Ref
|
-
|
Ref
|
-
|
Yes
|
274 (33.8)
|
−2.41
|
(−4.64 ; −0.18)
|
−1.49
|
(−3.40 ; 0.42)
|
Having basic medical insurance:
| | | | | |
No
|
156 (19.3)
|
Ref
|
-
|
Ref
|
-
|
Yes
|
654 (80.7)
|
2.39
|
(−0.40 ; 5.17)
|
1.46
|
(−1.06 ; 3.98)
|
Receiving any healthcare services in the last 12 months:
| | | | | |
Received
|
546 (67.3)
|
Ref
|
-
|
Ref
|
-
|
Not received
|
265 (32.7)
|
−3.00
|
(−5.32 ; −0.68)
|
−1.46
|
(−3.56 ; 0.64)
|
Ever received drug abuse treatment:
| | | | | |
No
|
229 (28.2)
|
Ref
|
-
|
N/A
|
-
|
Yes
|
582 (71.8)
|
−5.79
|
(−8.15 ; −3.43)
| | |
Receiving detoxification services in the last 6 months:
| | | | | |
Did not need detox services
|
646 (79.7)
|
Ref
|
-
|
Ref
|
-
|
Needed, but did not receive detox
|
99 (12.2)
|
−10.74
|
(−14.12 ; −7.35)
|
−5.39
|
(−9.00 ; −1.78)
|
Needed and received detox
|
66 (8.1)
|
−4.00
|
(−8.04 ; 0.04)
|
−4.82
|
(−7.96 ; −1.67)
|
Ever had difficulties obtaining drug abuse treatment:
| | | | | |
Never received treatment (or don’t know)
|
233 (28.7)
|
Ref
|
-
|
Ref
|
-
|
Had no difficulties
|
482 (59.4)
|
−4.44
|
(−6.89 ; −1.99)
|
1.26
|
(−0.93 ; 3.45)
|
Had difficulties
|
96 (11.8)
|
−10.56
|
(−13.92 ; −7.20)
|
−0.74
|
(−4.14 ; 2.66)
|
Had difficulties obtaining medical care because of drug use:
| | | | | |
No (or don’t know)
|
764 (94.2)
|
Ref
|
-
|
Ref
|
-
|
Yes
|
47 (5.8)
|
−5.10
|
(−9.48 ; −0.73)
|
−4.22
|
(−8.21 ; −0.22)
|
VII. STIGMA, DISCLOSURE AND POLICE HARASSMENT
|
Ever experienced police confiscate syringes:
| | | | | |
No
|
599 (73.9)
|
Ref
|
-
|
Ref
|
-
|
Yes
|
212 (26.1)
|
−6.00
|
(−8.41 ; −3.59)
|
−0.48
|
(−3.02 ; 2.06)
|
PWID status disclosure to family/friends:f
| | | | | |
Rather disclosed
|
420 (51.8)
|
Ref
|
-
|
Ref
|
-
|
Rather did not disclose
|
391 (48.2)
|
−7.06
|
(−9.10 ; −5.01)
|
−0.65
|
(−2.78 ; 1.48)
|
PWID status disclosure to a healthcare provider:g
| | | | | |
Rather disclosed
|
278 (34.3)
|
Ref
|
-
|
Ref
|
-
|
Rather did not disclose
|
533 (65.7)
|
3.83
|
(1.67 ; 5.99)
|
−0.16
|
(−2.51 ; 2.19)
|
Internalized PWID stigma:h
| | | | | |
Low
|
417 (51.4)
|
Ref
|
-
|
Ref
|
-
|
High
|
394 (48.6)
|
−9.14
|
(−11.15 ; −7.13)
|
−3.68
|
(−5.92 ; −1.44)
|
PWID stigma consciousness:h
| | | | | |
Low
|
343(42.3)
|
Ref
|
-
|
Ref
|
-
|
High
|
468 (57.7)
|
−1.68
|
(−3.81 ; 0.45)
|
1.52
|
(−0.52 ; 3.56)
|