title: HIV/AIDS-related knowledge awareness and risk behaviors among injection drug users in Maanshan, China: a cross-sectional study.
abstract: BACKGROUND
  Unsafe injection practices significantly increase the risk of human immunodeficiency virus (HIV) infection among injection drug users (IDUs). Little is known about how demographic characteristics of IDUs are linked to HIV-related risk behaviors in the central regions of China.
  
  
  METHODS
  A cross-sectional survey was conducted at Mandatory Detoxification Centers (MDCs) and the community in Maanshan, China.
  
  
  RESULTS
  Of the 916 IDUs, 96.4 % reported a history of heroin use during the past year, 93.4 % had HIV/AIDS knowledge, 16.8 % reported receptive syringe sharing and 12.2 % reported inconsistent condom use in commercial sex in the past year. Unsafe injection practice was associated with increased odds of minority ethnicity, lower level of education, and no peer education in the past year. Unsafe sex practice was associated with increased odds of being single, 18-30 years of age, non-local residence, and history of methamphetamine use in the past year.
  
  
  CONCLUSIONS
  Integrated interventions to promote safe injection and protected commercial sex practices targeting IDUs must also consider individual and socio-environmental factors.
authors.affiliation: School of Public Health, Wannan Medical College, 22 West Wenchang Road, Wuhu, Anhui Province, 241002, China. chenbf1980@163.com.
authors.forename: Baifeng
authors.initials: B
authors.lastname: Chen
authors.affiliation: School of Public Health, Wannan Medical College, 22 West Wenchang Road, Wuhu, Anhui Province, 241002, China. kutuomonk@foxmail.com.
authors.forename: Yu
authors.initials: Y
authors.lastname: Zhu
authors.affiliation: School of Public Health, Wannan Medical College, 22 West Wenchang Road, Wuhu, Anhui Province, 241002, China. guorui0710075@126.com.
authors.forename: Rui
authors.initials: R
authors.lastname: Guo
authors.affiliation: School of Public Health, Wannan Medical College, 22 West Wenchang Road, Wuhu, Anhui Province, 241002, China. dss522@126.com.
authors.forename: Shushu
authors.initials: S
authors.lastname: Ding
authors.affiliation: Centre for Disease Control of Maanshan City, 849 Jiangdong Dadao, Maanshan, Anhui Province, 241000, China. 962847809@qq.com.
authors.forename: Zhen
authors.initials: Z
authors.lastname: Zhang
authors.affiliation: Centre for Disease Control of Maanshan City, 849 Jiangdong Dadao, Maanshan, Anhui Province, 241000, China. mascdc3836@163.com.
authors.forename: Huaying
authors.initials: H
authors.lastname: Cai
authors.affiliation: Centre for Disease Control of Maanshan City, 849 Jiangdong Dadao, Maanshan, Anhui Province, 241000, China. 842032683@qq.com.
authors.forename: Hongbin
authors.initials: H
authors.lastname: Zhu
authors.affiliation: School of Public Health, Wannan Medical College, 22 West Wenchang Road, Wuhu, Anhui Province, 241002, China. wyf@wnmc.edu.cn.
authors.forename: Yufeng
authors.initials: Y
authors.lastname: Wen
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000523:psychology*; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D055030:Drug Users; D005260:Female; D015658:HIV Infections / Q000453:epidemiology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D016485:Needle Sharing / Q000706:statistics & numerical data*; D012309:Risk-Taking; D011477:Sex Work; D015819:Substance Abuse, Intravenous / Q000453:epidemiology* / Q000523:psychology; D047568:Unsafe Sex / Q000706:statistics & numerical data
references.citation: Adicciones. 2009;21(4):309-25
references.pmid: 20011989
references.citation: Sex Transm Infect. 2014 May;90(3):230-6
references.pmid: 24482489
references.citation: Curr HIV/AIDS Rep. 2014 Jun;11(2):134-45
references.pmid: 24664878
references.citation: Addiction. 2010 Aug;105(8):1448-56
references.pmid: 20456292
references.citation: Addiction. 2011 Oct;106(10):1780-7; discussion 1788-9
references.pmid: 21457169
references.citation: AIDS Educ Prev. 2013 Aug;25(4):336-48
references.pmid: 23837811
references.citation: PLoS Med. 2008 Dec 9;5(12):e234
references.pmid: 19071954
references.citation: AIDS Educ Prev. 2004 Jun;16(3 Suppl A):7-17
references.pmid: 15262561
references.citation: J Public Health (Oxf). 2015 Jun;37(2):305-12
references.pmid: 25104838
references.citation: J Food Drug Anal. 2013 Dec;21(4):S37-S41
references.pmid: 25284965
references.citation: Drug Alcohol Depend. 2011 Jan 1;113(1):37-45
references.pmid: 20728287
references.citation: Harm Reduct J. 2010 Mar 05;7:4
references.pmid: 20205729
references.citation: Lancet. 2011 Jun 11;377(9782):2031-41
references.pmid: 21641026
references.citation: Sex Transm Dis. 2013 Feb;40(2):136-47
references.pmid: 23321993
references.citation: Am J Mens Health. 2014 May;8(3):205-16
references.pmid: 24128671