Titre : | Treatment and care for injecting drug users with HIV infection: a review of barriers and ways forward. HIV in people who use drugs 3 (2010) |
Auteurs : | D. WOLFE ; M. P. CARRIERI ; SHEPARD D. |
Type de document : | Article : Périodique |
Dans : | Lancet (The) (Vol.376, n°9738, Jul 31, 2010) |
Article en page(s) : | 355-366 |
Langues: | Anglais |
Discipline : | MAL (Maladies infectieuses / Infectious diseases) |
Mots-clés : |
Thésaurus mots-clés VIH ; TRAITEMENT ; INFECTION ; USAGER ; PRISE EN CHARGE ; ACCES AUX SOINS ; TRAITEMENT DE MAINTENANCEThésaurus géographique CHINE ; VIETNAM ; RUSSIE ; UKRAINE ; MALAISIE |
Résumé : | We review evidence for effectiveness, cost-effectiveness, and coverage of antiretroviral therapy (ART) for injecting drug users (IDUs) infected with HIV, with particular attention to low-income and middle-income countries. In these countries, nearly half (47%) of all IDUs infected with HIV are in five nations - China, Vietnam, Russia, Ukraine, and Malaysia. In all five countries, IDU access to ART is disproportionately low, and systemic and structural obstacles restrict treatment access. IDUs are 67% of cumulative HIV cases in these countries, but only 25% of those receiving ART. Integration of ART with opioid substitution and tuberculosis treatment, increased peer engagement in treatment delivery, and reform of harmful policies - including police use of drug-user registries, detention of drug users in centres offering no evidence-based treatment, and imprisonment for possession of drugs for personal use - are needed to improve ART coverage of IDUs. [Author's abstract] |
Domaine : | Drogues illicites / Illicit drugs |
Sous-type de document : | Revue de la littérature / Literature review |
Refs biblio. : | 149 |
Affiliation : | Open Society Institute, International Harm Reduction Development Program, New York, NY, United States / Etats-Unis |
Lien : | http://www.thelancet.com/series/hiv-in-people-who-use-drugs |
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