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Interviews took place at fixed needle exchange sites administered by trained field workers nurses or employees from the needle exchange programmes. The inclusion criteria were injection in the past 4 weeks and giving a dried blood specimen for HIV testing. It is not since the explosive outbreaks of HIV among IDU in south east Asia in the mids that such high city estimates of prevalence have been reported [2,13]. Risk behaviours and characteristics were compared between the two cities. Although the interplay of such social structural factors in the creation of an environment of risk and vulnerability is difficult to gauge, evidence of city differences in injecting risk behaviours and environmental factors points to the importance of delineating how social and structural factors may mediate HIV transmission risk differently in different contexts [10,21]. Estimates indicate that 20 individuals, or 2. In the context of a high background HIV prevalence, with over half the sample reporting two or more sex partners in the same time frame, this is an important finding for the targeting of HIV prevention. The social and economic changes associated with political transition influenced Estonians and Russians very differently.

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Dried blood spot specimens were collected using single-use disposable lancets and neonatal Guthrie cards to detect antibodies to HIV anti-HIV [7,8]. In the univariable analysis increased odds of anti-HIV positivity were associated with non-Estonian ethnicity [odds ratio OR 2. Risk behaviours and characteristics were compared between the two cities. Table 1 After adjustment, only three variables remained significantly associated with increased odds of anti-HIV positivity. It is not since the explosive outbreaks of HIV among IDU in south east Asia in the mids that such high city estimates of prevalence have been reported [2,13]. Interviews took place at fixed needle exchange sites administered by trained field workers nurses or employees from the needle exchange programmes. A total of drug injectors were recruited in Tallinn, and in Kohtla-Jarve.

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Interviews took place at fixed needle exchange sites administered by trained field workers nurses or employees from the needle exchange programmes. The spread of HIV in Estonia is characterized by rapid transmission associated with drug injecting, but there is little reliable evidence estimating the prevalence of antibodies to HIV among injecting drug users IDU. In the context of a high background HIV prevalence, with over half the sample reporting two or more sex partners in the same time frame, this is an important finding for the targeting of HIV prevention. References After the collapse of the Soviet Union, Estonia has experienced major political, economic and social changes associated with declines in health and life expectancy as well as growth in informal economies, including drugs and the sex trade [1,2]. The social and economic changes associated with political transition influenced Estonians and Russians very differently. Estimates indicate that 20 individuals, or 2. Multivariable analysis followed a conceptual framework approach described previously [10,11]. Injecting drug use and risk behaviour characteristics varied by city.

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Intracluster correlation coefficients were calculated to measure the degree to which observations from individuals recruited by the same individual were correlated, and a random effects model was used to adjust for any correlation. The spread of HIV in Estonia is characterized by rapid transmission associated with drug injecting, but there is little reliable evidence estimating the prevalence of antibodies to HIV among injecting drug users IDU. Dried blood spot specimens were collected using single-use disposable lancets and neonatal Guthrie cards to detect antibodies to HIV anti-HIV [7,8].

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