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Table 4 Factors associated with needle sharing in the six months preceding the study among PWID in Kigali, Rwanda, N: 307

From: Injection drug use practices and HIV infection among people who inject drugs in Kigali, Rwanda: a cross-sectional study

 

Shared needles

% (N)

Unadjusted PR (95% CI)

p value

Adjusted PR (95% CI)

p value

Sociodemographic characteristics*

     

 18–24

22.9 (19)

Ref

 

Ref

 

 25–34

32.9 (62)

1.44 (0.92–2.25)

0.108

1.01 (0.71–1.42)

0.978

 > 35

38.2 (13)

1.67 (0.93–2.99)

0.084

0.91 (0.57–1.45)

0.698

Biological sex

     

 Male

30.7 (77)

Ref

 

Ref

 

 Female

30.4 (17)

0.98 (0.64–1.53)

0.963

1.68 (1.09–2.59)

0.019

Education

     

 Primary education or less

23.4 (11)

Ref

   

 Some secondary education

21.5 (17)

0 .92 (0.47–1.79)

0.805

  

 Completed secondary or above

36.5 (66)

1.56 (0.89–2.71)

0.116

  

Marital status**

     

 Single

29.7 (75)

Ref

   

 Cohabitating/Married

33.3 (11)

1.12 (0.66–1.88)

0.669

  

 Divorced/Separated/Widow

36.8 (7)

1.24 (0.66–2.31)

0.501

  

Occupation

     

 Unemployed

25.4 (43)

Ref

 

Ref

 

 Employed/ Student

36.9 (51)

1.45 (1.03–2.04)

0.031

1.58 (1.19–2.11)

0.002

Self-reported sexual orientation***

     

 Heterosexual

27.4 (59)

Ref

 

Ref

 

 Homosexual

28.6 (10)

1.04 (0.58–1.84)

0.889

1.08 (0.75–1.55)

0.667

 Bisexual

44.6 (25)

1.63 (1.13–2.34)

0.009

1.46 (1.03- 2.07)

0.034

Drug Injection related behaviors, access to needles and condom use

     

Age at first injection

     

 Before 18 years

30.2 (16)

Ref

   

 18 to 24 years

33.3 (44)

1.10 (0.68–1.78)

0.683

  

 Over 25 years

27.9 (34)

0.92 (0.56–1.52)

0.754

  

Duration of drug injection****

     

 Less than 3 years

20.3 (26)

Ref

 

Ref

 

 4–5 years

30.5 (32)

1.50 (0.95–2.35)

0.077

1.05 (0.74–1.48)

0.791

 Over 5 years

50.7 (36)

2.49 (1.65–3.77)

0.001

1.25 (0.83–1.89)

0.281

Needle sharing at the first injection

     

 No

15.4 (36)

Ref

 

Ref

 

 Yes

79.5 (58)

5.16 (3.73–7.13)

0.001

2.18 (1.59–2.99)

0.001

Needle reuse in the previous 6 months

     

 No

9.8 (20)

Ref

 

Ref

 

 Yes

71.8 (74)

7.32 (4.74–11.31)

0.001

2.27 (1.51–3.43)

0.001

Number of needles sharing partners in the previous 6 months

     

 Two or less

21.9 (54)

Ref

 

Ref

 

 More than two partners

90.9 (40)

4.14 (3.21–5.34)

0.001

0.99 (0.79–1.25)

0.983

Selling sex for drugs in the previous 6 months*****

     

 No

24 (49)

Ref

 

Ref

 

 Yes

42.5 (40)

1.77 (1.26–2.48)

0.001

1.08 (0.79–1.46)

0.607

Access to sterile needles

     

 Always

19.4 (38)

Ref

 

Ref

 

 Sometimes

52.5 (53)

2.71 (1.92–3.81)

0.001

1.10 (0.84–1.44)

0.477

Sharing other drug paraphernalia in the previous 6 months

     

 No

19.4 (38)

Ref

 

Ref

 

 Yes

52.5 (53)

9.38 (6.19–14.21)

0.001

3.56 (2.19- 5.81)

0.001

  1. Bold values are for variables that were found to be significantly associated with needle sharing in the six months prior to the study
  2. * Data missing for n=2; ** Data missing for n=3; *** Data missing for n=1 ; **** Data missing for n=2 ; ***** Data missing for n=9