Evidence map›Paper›PMID 25014321›Full record

ArticleJournal of the International AIDS Society2014

Punitive policing and associated substance use risks among HIV-positive people in Russia who inject drugs.

Karsten Lunze, Anita Raj, Debbie M Cheng, Emily K Quinn, Carly Bridden, Elena Blokhina, Alexander Y Walley, Evgeny Krupitsky, Jeffrey H Samet

Abstract read
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Article in Journal of the International AIDS Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Karsten LunzeBoston University School of Medicine, Boston, MA, USA; lunze@bu.edu.
Anita RajDivision of Global Public Health, University of California, San Diego, CA, USA.
Debbie M ChengDepartment of Biostatistics, Boston University School of Public Health, Boston, MA, USA.
Emily K QuinnDepartment of Biostatistics, Boston University School of Public Health, Boston, MA, USA.
Carly BriddenDepartment of Medicine, Section of General Internal Medicine, Boston Medical Center, Boston, MA, USA.
Elena BlokhinaLaboratory of Clinical Psychopharmacology of Addictions, St. Petersburg Pavlov State Medical University, St. Petersburg, Russia.
Alexander Y WalleyDepartment of Medicine, Section of General Internal Medicine, Boston Medical Center, Boston, MA, USA.
Evgeny KrupitskyLaboratory of Clinical Psychopharmacology of Addictions, St. Petersburg Pavlov State Medical University, St. Petersburg, Russia.
Jeffrey H SametDepartment of Medicine, Section of General Internal Medicine, Boston Medical Center, Boston, MA, USA.

Funding

URBAN ARCH (2/5) Biostatistics and Data Management Core (BDM)U24AA020779 · NIAAA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI CHENG, DEBBIE M. · 2011 to 2020
$3.6M
URBAN ARCH (1/5) Administrative Coordinating Core (Admin Core)U24AA020778 · NIAAA · BOSTON MEDICAL CENTER · PI SAMET, JEFFREY H. · 2011 to 2020
$3.5M
Maximizing Opportunity - HIV Prevention in Hospitalized Russian DrinkersR01AA016059 · NIAAA · BOSTON MEDICAL CENTER · PI SAMET, JEFFREY H. · 2006 to 2010
$3.2M
Impact of Alcohol Use on HIV Infection--In the United States and RussiaK24AA015674 · NIAAA · BOSTON MEDICAL CENTER · PI SAMET, JEFFREY H. · 2006 to 2010
$756k
NIAAA NIH HHS K24 AA015674NIAAA NIH HHS K24AA015674NIAAA NIH HHS R01 AA016059NIAAA NIH HHS R01AA016059NIAAA NIH HHS U24 AA020778NIAAA NIH HHS U24AA020778NIAAA NIH HHS U24 AA020779PHS HHS U24020779
6 · The paper itself

Abstract

introductionDrug law enforcement is part of the HIV risk environment among people who inject drugs (PWID). Punitive policing practices such as extrajudicial arrests for needle possession and police planting of drugs have been described anecdotally in Russia, but these experiences and their associations with risky drug behaviours have not been quantified. This study aims to quantify the burden of extrajudicial police arrests among a cohort of HIV-positive PWID in Russia and to explore its links to drug-related health outcomes.

methodsIn a cross-sectional study of 582 HIV-positive people with lifetime injection drug use (IDU) in St. Petersburg, Russia, we estimated the prevalence of self-reported extrajudicial police arrests. We used multiple logistic regression to evaluate associations between arrests and the following outcomes: overdose, recent IDU and receptive needle sharing.

findingsThis cohort's mean age was 29.8 years, 60.8% were male; 75.3% reported non-fatal drug overdose, 50.3% recent IDU and 47.3% receptive needle sharing. Extrajudicial arrests were reported by more than half (60.5%, 95% confidence interval [CI]: 56.5-64.5) and were associated with higher odds of non-fatal drug overdose (AOR 1.52, 95% CI: 1.02-2.25) but not with recent IDU (AOR 1.17, arrests were associated with receptive needle sharing (AOR 1.84, 95% CI: 1.09-3.09).

conclusionsExtrajudicial police arrests were common among this cohort of Russian HIV-positive PWID and associated with non-fatal overdose and, among those with recent IDU, receptive needle sharing. As a part of the HIV risk environment of PWIDs, these practices might contribute to HIV transmission and overdose mortality. Further research is needed to relate these findings to the operational environment of law enforcement and to better understand how police interventions among PWIDs can improve the HIV risk environment.

Indexed as

PoliceRisk-TakingAdultCohort StudiesCross-Sectional StudiesFemaleHIV InfectionsHumansMaleRussiaSubstance Abuse, Intravenoushuman rightsinjection drug usekey populationsPLHApolice involvementRussian Federation

Identifiers

PMID25014321
PMCPMC4093768

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.