• Surveillance van HIV-infectie onder injecterende druggebruikers in Nederland: meting Eindhoven/Helmond/'s Hertogenbosch 1999

      Berns MPH; Snijders BM; Rozendaal CM; Hoek AFM; Laar MJW van de; CIE (GGD EindhovenGGD HelmondGGD 's HertogenboschNovadic, 2000-06-29)
      To assess the prevalence of HIV among injecting drug users (IDUs) in three cities in the Netherlands (Eindhoven, Helmond and 's-Hertogenbosch). To evaluate the risk of further spread of HIV among IDUs, to non-IDUs and to the general population.Between March 3 and April 15, 1999 a saliva specimen and a completed questionnaire on risk behaviour were collected from 132 IDUs in Eindhoven, Helmond and 's-Hertogenbosch. Participation was on a voluntary basis and anonymous. Participants were recruited via methadone care services.Of the 130 IDUs, six persons were infected with HIV (prevalence 4.6%, 95% confidence interval [CI] 1.7 - 9.8%).Of the 85 current injectors, 17% had borrowed used syringes or needles in the previous six months, this level is similar to most of other cities studied in the Netherlands. Condom use was very low during sexual contact between steady partners (88% not always using a condom);18% of the IDUs had a non-drug user as a steady sexual partner. The prevalence of HIV among IDUs in Eindhoven, Helmond and 's-Hertogenbosch in the Netherlands is approximately 5%. The number of IDUs showing injecting risk behaviour is concluded to be similar to most of the other cities already studied in the Netherlands. Sexual risk behaviour occurs regularly and is comparable to that in the other cities. The risk of further spread of HIV among IDUs is low. At this low level of HIV prevalence, the risk of spread to non-IDUs or the general population is also low.