A New Generation of Drug Users in St. Petersburg, Russia? HIV, HCV, and Overdose Risks in a Mixed-Methods Pilot Study of Young Hard Drug Users

Peter Meylakhs, Samuel R. Friedman, Anastasia Meylakhs, Pedro Mateu-Gelabert, Danielle Ompad, Alisa Alieva, Alexandra Dmitrieva

Research output: Contribution to journalArticle

Abstract

Russia has a widespread injection drug use epidemic with high prevalence of HIV and HCV among people who inject drugs (PWID). We conducted a mixed methods study of young (age 18–26) hard drug users in St. Petersburg. Thirty-nine structured and 10 semi-structured interviews were conducted. No HIV cases and two HCV cases were detected among the PWID subsample (n = 29). Amphetamine and other stimulants were common (70%), opioid use was rare and episodic. Consistent condom use was 10%. No PWID reported syringe-sharing, 51% reported other drug paraphernalia sharing. Most (89%) never or rarely communicated with older (30 +) opiate users. A new cohort of drug users in St. Petersburg may have emerged, which is much safer in its injection practices compared to previous cohorts. However, risky sexual practices among this new cohort may expose them to the possibility of sexual transmission of HIV and widespread drug paraphernalia sharing to the HCV epidemic.

Original languageEnglish (US)
JournalAIDS and Behavior
DOIs
StatePublished - Jan 1 2019

Fingerprint

Russia
Drug Users
HIV
Pharmaceutical Preparations
Opiate Alkaloids
Needle Sharing
Injections
Condoms
Amphetamine
Opioid Analgesics
Interviews

Keywords

  • HIV
  • Mixed-methods study
  • People who inject drugs (PWID)
  • Russia
  • Young drug users

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

A New Generation of Drug Users in St. Petersburg, Russia? HIV, HCV, and Overdose Risks in a Mixed-Methods Pilot Study of Young Hard Drug Users. / Meylakhs, Peter; Friedman, Samuel R.; Meylakhs, Anastasia; Mateu-Gelabert, Pedro; Ompad, Danielle; Alieva, Alisa; Dmitrieva, Alexandra.

In: AIDS and Behavior, 01.01.2019.

Research output: Contribution to journalArticle

Meylakhs, Peter ; Friedman, Samuel R. ; Meylakhs, Anastasia ; Mateu-Gelabert, Pedro ; Ompad, Danielle ; Alieva, Alisa ; Dmitrieva, Alexandra. / A New Generation of Drug Users in St. Petersburg, Russia? HIV, HCV, and Overdose Risks in a Mixed-Methods Pilot Study of Young Hard Drug Users. In: AIDS and Behavior. 2019.
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