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The impact of addictive disorders on the HIV and syphilis coinfection

Published online by Cambridge University Press:  23 March 2020

E. Chumakov ,
N. Petrova  and
I. Smirnova
E. Chumakov*
Affiliation:
Saint Petersburg State University, Department of Psychiatry and Narcology, Saint-Petersburg, Russia
N. Petrova
Affiliation:
Saint Petersburg State University, Department of Psychiatry and Narcology, Saint Petersburg, Russia
I. Smirnova
Affiliation:
Saint Petersburg State University, Department of Infectious Diseases – Epidemiology and Dermatovenerology, Saint Petersburg, Russia
*
* Corresponding author.

Abstract

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Introduction

One of the main risk factors for both HIV-infection and syphilis is addictive behavior.

The objective of the study was to determine the impact of addictions on the HIV and syphilis coinfection.

Method

Sixty-five HIV-infected patients with syphilis were examined by a clinical method.

Results

The sample included 45 men (average age 32.09 ± 9.83) and 20 women (average age 31.7 ± 5.97). All patients were characterized by risky behavior. Seventy-one percent of men belonged to the category of men who have sex with men (MSM). Eighty-five percent of women had drug dependence (as compared to 61% for men who have sex with women (MSW) and 19% for МSМ; P < 0.05). Women were more likely to have opiate dependence (P < 0.001; as compared to men). We revealed a high incidence of drug addiction and alcoholism with the prevalence of dependence on opioids (F11; 55.0%; 7.7%), polysubstance use (F19; 25.0%; 23.1%) and alcoholism (F10; 50.0%; 61.25%) among women and MSW respectively (P < 0.05 as compared to MSM). Only 50% of women and 23% of MSW were in remission. MSM regularly consumed stimulants and cannabinoids without developing dependence.

Conclusions

Injecting drug use is typical of women and MSW and plays a leading role in the risk factors for HIV infection and syphilis. Addictive behavior among MSM increases risky sexual behavior and thus influences infection with HIV and syphilis.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EV15
Information
European Psychiatry , Volume 33 , Issue S1: Abstracts of the 24th European Congress of Psychiatry , March 2016 , pp. S294 - S295
Copyright
Copyright © European Psychiatric Association 2016
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