title: HIV test avoidance among people who inject drugs in Thailand.
abstract: Case identification is a key component of HIV prevention efforts; yet rates of HIV testing remain low in some settings. We explored factors associated with HIV test avoidance among people who inject drugs (IDU) in Thailand. Between July and October 2011, 350 Thai IDU participated in the study. In bivariate analyses, male gender, high intensity drug use, syringe sharing, increased police presence, and being refused healthcare services were positively associated with HIV test avoidance, while ever receiving a hepatitis C test was negatively associated. Our findings highlight the need for interventions to reduce stigma in this setting.
authors.affiliation: British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081, Burrard Street, Vancouver, BC, V6Z 1Y6, Canada.
authors.forename: Lianping
authors.initials: L
authors.lastname: Ti
authors.forename: Kanna
authors.initials: K
authors.lastname: Hayashi
authors.forename: Karyn
authors.initials: K
authors.lastname: Kaplan
authors.forename: Paisan
authors.initials: P
authors.lastname: Suwannawong
authors.forename: Evan
authors.initials: E
authors.lastname: Wood
authors.forename: Julio
authors.initials: J
authors.lastname: Montaner
authors.forename: Thomas
authors.initials: T
authors.lastname: Kerr
mesh_terms: D015492:AIDS Serodiagnosis / Q000706:statistics & numerical data*; D000163:Acquired Immunodeficiency Syndrome / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology / Q000635:transmission*; D000328:Adult; D019969:Amphetamine-Related Disorders / Q000150:complications / Q000453:epidemiology / Q000523:psychology; D003906:Developing Countries; D058872:Epidemics; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D019698:Hepatitis C, Chronic / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology / Q000635:transmission; D006556:Heroin Dependence / Q000150:complications / Q000453:epidemiology / Q000523:psychology; D006801:Humans; D008297:Male; D008694:Methamphetamine; D008874:Midazolam; D008875:Middle Aged; D011287:Prejudice; D045808:Refusal to Participate / Q000523:psychology / Q000706:statistics & numerical data*; D057545:Social Stigma; D015819:Substance Abuse, Intravenous / Q000150:complications* / Q000453:epidemiology* / Q000523:psychology; D011795:Surveys and Questionnaires; D013785:Thailand; D014600:Utilization Review / Q000706:statistics & numerical data
chemical_list: D008694:Methamphetamine; D008874:Midazolam