@article{fdi:010081706, title = {{T}owards targeted interventions in low- and middle-income countries : risk profiles of people who inject drugs in {H}aiphong ({V}ietnam)}, author = {{R}iondel, {A}. and {D}uong {T}hi {H}uong and {M}ichel, {L}. and {P}eries, {M}. and {K}huat {T}hi {H}ai {O}anh and {P}ham {M}inh {K}hue and {N}ham {T}hi {T}uyet {T}hanh and {H}oang {T}hi {G}iang and {V}allo, {R}. and {C}ournil, {A}mandine and {R}apoud, {D}. and {Q}uillet, {C}. and {L}aureillard, {D}. and {V}u {H}ai {V}inh and {M}oles, {J}.{P}. and {F}eelemyer, {J}. and {H}ammett, {T}. and {D}es {J}arlais, {D}. and {N}agot, {N}.}, editor = {}, language = {{ENG}}, abstract = {{P}eople who inject drugs ({PWID}) are a dominant risk group afflicted by blood-borne viruses, mental health disorders, and social precariousness. {R}isk reduction interventions are administered to {PWID} regardless of their characteristics or specific risks. {T}he objective of this cross-sectional analysis was to empirically identify profiles of {PWID} regarding their drug use, risk behaviors, and mental health in order to tailor adapted interventions taking into account limited access to comprehensive care in middle-income countries. {PWID} were recruited using respondent-driven sampling. {PWID} with urine testing positive for heroin or methamphetamine and manifesting recent skin injection marks were enrolled. {C}lassification of participants was based on drug use, injection, risky sexual behavior, and mental health data. {T}his was subjected to multiple correspondence analysis followed by hierarchical cluster analysis combined with -means methodology. {F}rom {O}ctober 2016 to {J}anuary 2017, 1490 participants were recruited of which 1383 were eligible and enrolled. {HCV} prevalence was 70.5% and {HIV} prevalence 29.4%. {T}he cluster analysis identified five distinct profiles: profile 1: recent injection practices and high alcohol consumption, profile 2: at-risk injection and sexual behaviors with precarious situations, profile 3: no sexual activity and older age, profile 4: frequent injections with high methamphetamine use, and profile 5: stable partnerships and less frequent injections. {O}ur study has identified profiles of {PWID} at particularly high risks, and they should thus be targeted for interventions tailored to their specific risks}, keywords = {{VIET} {NAM} ; {HAI} {PHONG}}, booktitle = {}, journal = {{B}iomed {R}esearch {I}nternational}, volume = {2020}, numero = {}, pages = {8037193 [9 ]}, ISSN = {2314-6133}, year = {2020}, DOI = {10.1155/2020/8037193}, URL = {https://www.documentation.ird.fr/hor/fdi:010081706}, }