Injection drug use, commercial sex work, and the HIV/STI epidemic in the Russian Federation.

摘要: Given this situation there is an urgent need both for research into the determinants of epidemic heterosexual HIV spread in Russian context and implementation interventions targeted toward sex workers. In order to assess likely extent Russia it important obtain detailed behavioral data (including qualitative quantitative on sexual networking) STI/HIV prevalence workers their partners (1) appreciate severity HIV/STI epidemiologic population; (2) understand role commercial work dynamics Russia; (3) design appropriate interventions; (4) monitor over time including potential indications impact preventive interventions. at multiple levels required reduce stigmatization marginalization by society as well victimization exploitation police reverse negative attitudes about state structures health services) facilitate pragmatic public nongovernmental organizations. (excerpt)