International Journal of STD & AIDS > Volume 20, Number 2 > Pp. 125-129

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Original research articles

A quasi-experimental study on a community-based behaviour change programme among injecting drug users in Sichuan, China

J-S Zhou PhD ^*  , K-L Zhang MD ^*, L-L Zhang MD , J-X Kang MD , J-X Zhang MD , W-H Lai MPH , L Liu PhD , G Liu MD  and Y-L Zeng MPH 

^* Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences and School of Basic Medicine, Peking Union Medical College, Beijing 100005; Sichuan Provincial Center for Disease Control and Prevention, Chengdu 610041; School of Public Health, Sichuan University, Chengdu 610041, Peoples Republic of China

Correspondence to: Dr Jiu-Shun Zhou, Department of Epidemiology and Statistics, School of Basic Medicine, Peking Union Medical College, No. 5, Dong Dan San Tiao, Beijing 100005, Peoples Republic of China Email: zzzzjs{at}hotmail.com

The objective of this study is to explore an effective model of comprehensive intervention on HIV/AIDS among injecting drug users (IDUs) in communities located in urban areas and to evaluate its feasibility in Sichuan Province, China. A quasi-experimental study was designed so that various intervention measures were conducted in the intervention city but not in the control city. A Behaviour Surveillance Survey was introduced to evaluate intervention exposure and the effect of behaviour change. In the intervention city, services received by IDUs increased over time (P < 0.001). Awareness of HIV increased from 34.2% in 2003 to 58.3% in 2004, and to 67.4% in 2005 (P < 0.001). The proportion of IDUs surveyed who shared a needle the last time they injected drugs decreased from 17.1% in 2003 to 7.0% in 2005, and in terms of the past month from 42.4% in 2003 to 18.4% in 2005 (P < 0.001). Data from a multivariate logistic regression analysis showed that comprehensive intervention was a protective factor for behaviour change (odds ratio [OR] =0.561; 95% confidence interval [CI], 0.424–0.741). A well-designed and organized comprehensive intervention programme will effectively change the high-risk behaviour among IDUs in these communities. A more comprehensive, expanded and integrated response is needed when conducting an HIV/AIDS prevention programme.

Key Words: AIDS • HIV • high-risk behaviour • prevention • Asia

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