dc.contributor.author | Hatzakis, A. | en |
dc.contributor.author | Sypsa, V. | en |
dc.contributor.author | Paraskeva, D. | en |
dc.contributor.author | Nikolopoulos, Georgios K. | en |
dc.contributor.author | Tsiara, Chrissa G. | en |
dc.contributor.author | Micha, Katerina | en |
dc.contributor.author | Panopoulos, A. | en |
dc.contributor.author | Malliori-Minerva, Melpomeni | en |
dc.contributor.author | Psichogiou, M. | en |
dc.contributor.author | Pharris, Anastasia | en |
dc.contributor.author | Wiessing, L. | en |
dc.contributor.author | Laar, M. J. van de | en |
dc.contributor.author | Donoghoe, Martin | en |
dc.contributor.author | Heckathorn, Douglas D. | en |
dc.contributor.author | Friedman, Samuel R. | en |
dc.contributor.author | Jarlais, Don C. Des | en |
dc.creator | Hatzakis, A. | en |
dc.creator | Sypsa, V. | en |
dc.creator | Paraskeva, D. | en |
dc.creator | Nikolopoulos, Georgios K. | en |
dc.creator | Tsiara, Chrissa G. | en |
dc.creator | Micha, Katerina | en |
dc.creator | Panopoulos, A. | en |
dc.creator | Malliori-Minerva, Melpomeni | en |
dc.creator | Psichogiou, M. | en |
dc.creator | Pharris, Anastasia | en |
dc.creator | Wiessing, L. | en |
dc.creator | Laar, M. J. van de | en |
dc.creator | Donoghoe, Martin | en |
dc.creator | Heckathorn, Douglas D. | en |
dc.creator | Friedman, Samuel R. | en |
dc.creator | Jarlais, Don C. Des | en |
dc.date.accessioned | 2018-06-22T09:53:29Z | |
dc.date.available | 2018-06-22T09:53:29Z | |
dc.date.issued | 2015 | |
dc.identifier.uri | https://gnosis.library.ucy.ac.cy/handle/7/41868 | |
dc.description.abstract | Aims: To (i) describe an intervention implemented in response to the HIV-1 outbreak among people who inject drugs (PWIDs) in Greece (ARISTOTLE programme), (ii) assess its success in identifying and testing this population and (iii) describe socio-demographic characteristics, risk behaviours and access to treatment/prevention, estimate HIV prevalence and identify risk factors, as assessed at the first participation of PWIDs. Design: A 'seek, test, treat, retain' intervention employing five rounds of respondent-driven sampling. Setting: Athens, Greece (2012-13). Participants: A total of 3320 individuals who had injected drugs in the past 12 months. Intervention: ARISTOTLE is an intervention that involves reaching out to high-risk, hard-to-reach PWIDs ('seek'), engaging them in HIV testing and providing information and materials to prevent HIV ('test') and initiating and maintaining anti-retroviral and opioid substitution treatment for those testing positive ('treat' and 'retain'). Measurements: Blood samples were collected for HIV testing and personal interviews were conducted. Findings: ARISTOTLE recruited 3320 PWIDs during the course of 13.5 months. More than half (54%) participated in multiple rounds, resulting in 7113 visits. HIV prevalence was 15.1%. At their first contact with the programme, 12.5% were on opioid substitution treatment programmes and the median number of free syringes they had received in the preceding month was 0. In the multivariable analysis, apart from injection-related variables, homelessness was a risk factor for HIV infection in male PWIDs [odds ratio (OR)yes versus no=1.89, 95% confidence interval (CI)=1.41, 2.52] while, in female PWIDS, the number of sexual partners (OR for >5 versus one partner in the past year=4.12, 95% CI=1.93, 8.77) and history of imprisonment (OR yes versus no=2.76, 95% CI=1.43, 5.31) were associated with HIV. Conclusions: In Athens, Greece, the ARISTOTLE intervention for identifying HIV-positive people among people who inject drugs (PWID) facilitated rapid identification of a hidden population experiencing an outbreak and provided HIV testing, counselling and linkage to care. According to ARISTOTLE data, the 2011 HIV outbreak in Athens resulted in 15% HIV infection among PWID. Risk factors for HIV among PWID included homelessness in men and history of imprisonment and number of sexual partners in women. © 2015 Society for the Study of Addiction. | en |
dc.language.iso | eng | en |
dc.source | Addiction | en |
dc.subject | Greece | en |
dc.subject | Intervention | en |
dc.subject | Human | en |
dc.subject | Humans | en |
dc.subject | Adult | en |
dc.subject | Aged | en |
dc.subject | Female | en |
dc.subject | Intravenous | en |
dc.subject | Adolescent | en |
dc.subject | Male | en |
dc.subject | Disease outbreaks | en |
dc.subject | Epidemic | en |
dc.subject | Hiv infections | en |
dc.subject | Prevalence | en |
dc.subject | Risk factor | en |
dc.subject | Middle aged | en |
dc.subject | Young adult | en |
dc.subject | Highly active antiretroviral therapy | en |
dc.subject | Statistics and numerical data | en |
dc.subject | High risk behavior | en |
dc.subject | Risk-taking | en |
dc.subject | Substance abuse | en |
dc.subject | Substance abuse | en |
dc.subject | Comorbidity | en |
dc.subject | Antiretroviral therapy | en |
dc.subject | Highly active | en |
dc.subject | Hiv outbreak | en |
dc.subject | Psychotherapy | en |
dc.subject | Pwids | en |
dc.subject | Respondent-driven sampling | en |
dc.subject | Risk factors | en |
dc.subject | Socioenvironmental therapy | en |
dc.title | Design and baseline findings of a large-scale rapid response to an HIV outbreak in people who inject drugs in Athens, Greece: The ARISTOTLE programme | en |
dc.type | info:eu-repo/semantics/article | |
dc.identifier.doi | 10.1111/add.12999 | |
dc.description.volume | 110 | |
dc.description.issue | 9 | |
dc.description.startingpage | 1453 | |
dc.description.endingpage | 1467 | |
dc.author.faculty | Ιατρική Σχολή / Medical School | |
dc.author.department | Ιατρική Σχολή / Medical School | |
dc.type.uhtype | Article | en |
dc.contributor.orcid | Nikolopoulos, Georgios K.[0000-0002-3307-0246] | |
dc.contributor.orcid | Psichogiou, M. [0000-0002-3000-8447] | |
dc.gnosis.orcid | 0000-0002-3307-0246 | |
dc.gnosis.orcid | 0000-0002-3000-8447 | |