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12 myths about HIV/AIDS and people who use drugs. Comment / C. BEYRER ; A. KAMARULZAMAN ; S. A. STRATHDEE ; MALINOWSKA-SEMPRUCH K. in Lancet (The), Vol.376, n°9737 (Jul 24, 2010) 

Public ISBD Aucun avis sur cette notice. [article]  inLancet (The) > Vol.376, n°9737 (Jul 24, 2010) . - 208-211 Titre : 12 myths about HIV/AIDS and people who use drugs. Comment Type de document : Périodique Auteurs : C. BEYRER ; A. KAMARULZAMAN ; S. A. STRATHDEE ; MALINOWSKA-SEMPRUCH K. Année de publication : 2010 Article en page(s) : 208-211 Langues : Anglais (eng) Catégories : Thésaurus TOXIBASE MYTHE ; USAGER ; VIH Index. décimale : MAL Maladies infectieuses / Infectious diseases Résumé : People who use drugs too often face stigma, discrimination, and mistreatment in HIV prevention, treatment, and care. Some societies consider such users less deserving of compassion than others with HIV who are not drug users, because users' health problems are self-inflicted or their substance use is judged as a moral or personal failing. Even among health-care providers, many preconceptions prevail about people who use drugs and are infected with HIV. What are these myths? [Extract] Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 18 Affiliation : Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, United States / Etats-Unis En ligne : http://www.thelancet.com/series/hiv-in-people-who-use-drugs Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=64118 [article] 12 myths about HIV/AIDS and people who use drugs. Comment [Périodique] / C. BEYRER ; A. KAMARULZAMAN ; S. A. STRATHDEE ; MALINOWSKA-SEMPRUCH K. . - 2010 . - 208-211. Langues : Anglais (eng) inLancet (The) > Vol.376, n°9737 (Jul 24, 2010) . - 208-211 Catégories : Thésaurus TOXIBASE MYTHE ; USAGER ; VIH Index. décimale : MAL Maladies infectieuses / Infectious diseases Résumé : People who use drugs too often face stigma, discrimination, and mistreatment in HIV prevention, treatment, and care. Some societies consider such users less deserving of compassion than others with HIV who are not drug users, because users' health problems are self-inflicted or their substance use is judged as a moral or personal failing. Even among health-care providers, many preconceptions prevail about people who use drugs and are infected with HIV. What are these myths? [Extract] Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 18 Affiliation : Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, United States / Etats-Unis En ligne : http://www.thelancet.com/series/hiv-in-people-who-use-drugs Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=64118

Association between expatriation and HIV awareness and knowledge among injecting drug users in Kabul, Afghanistan: A cross-sectional comparison of former refugees to those remaining during conflict / TODD C. S.

Public ISBD Aucun avis sur cette notice. Titre : Association between expatriation and HIV awareness and knowledge among injecting drug users in Kabul, Afghanistan: A cross-sectional comparison of former refugees to those remaining during conflict Type de document : Périodique Auteurs : TODD C. S. ; A. M. S. ABED ; S. A. STRATHDEE ; P. T. SCOTT ; BOTROS B. A. ; SAFI N. ; K. C. EARHART Année de publication : 2007 Importance : 1-8 Note générale : Conflict and Health, 2007, 1, (5), 1-8 Langues : Français (fre) Catégories : Thésaurus TOXIBASE VIH ; INJECTION ; INFORMATION ; ETUDE TRANSVERSALE ; GUERRE ; COMPARAISON ; STRUCTURE DE PROXIMITE ; PREVENTION Thésaurus Géographique AFGHANISTAN Index. décimale : MAL Maladies infectieuses / Infectious diseases Résumé : ENGLISH : Background: Little is known about human immunodeficiency virus (HIV) awareness among Afghan injecting drug users (IDUs), many of whom initiated injecting as refugees. We explored whether differences in HIV awareness and knowledge exist between Afghan IDUs who were refugees compared to those never having left Afghanistan. Methods: A convenience sample of IDUs in Kabul, Afghanistan was recruited into a cross-sectional study through street outreach over a one year period beginning in 2005. Participants completed an interviewer-administered questionnaire and underwent voluntary counseling and testing for HIV, syphilis, hepatitis B surface antigen, and hepatitis C antibody. Differences in HIV awareness and specific HIV knowledge between IDU who lived outside the country in the last decade versus those who had not were assessed with logistic regression. Results: Of 464 IDUs, 463 (99%) were male; median age and age at first injection were 29 and 25 years, respectively. Most (86.4%) had lived or worked outside the country in the past ten years. Awareness of HIV was reported by 46.1%; those having been outside the country in the last decade were significantly more likely to have heard of HIV (48.3% vs. 31.7%; OR = 2.00, 95% CI: 1.14 3.53). However, of those aware of HIV, only 38.3% could name three correct transmission routes; specific HIV knowledge was not significantly associated with residence outside the country. Conclusion: Accurate HIV knowledge among Afghan IDUs is low, though former refugees had greater HIV awareness. Reported high-risk injecting behavior was not significantly different between IDU that were refugees and those that did not leave the country, indicating that all Afghan IDU should receive targeted prevention programming. (Author' s abstract) Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 27 Affiliation : Division of International Health & Cross-cultural Medicine, University of California, San Diego School of Medicine, 9500 Gilman Drive, La Jolla, California 92093-0622 Etats-Unis. United States. Centre Emetteur : 13 OFDT Cote : A03182 Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=53978 Association between expatriation and HIV awareness and knowledge among injecting drug users in Kabul, Afghanistan: A cross-sectional comparison of former refugees to those remaining during conflict [Périodique] / TODD C. S. ; A. M. S. ABED ; S. A. STRATHDEE ; P. T. SCOTT ; BOTROS B. A. ; SAFI N. ; K. C. EARHART . - 2007 . - 1-8. Conflict and Health, 2007, 1, (5), 1-8 Langues : Français (fre) Catégories : Thésaurus TOXIBASE VIH ; INJECTION ; INFORMATION ; ETUDE TRANSVERSALE ; GUERRE ; COMPARAISON ; STRUCTURE DE PROXIMITE ; PREVENTION Thésaurus Géographique AFGHANISTAN Index. décimale : MAL Maladies infectieuses / Infectious diseases Résumé : ENGLISH : Background: Little is known about human immunodeficiency virus (HIV) awareness among Afghan injecting drug users (IDUs), many of whom initiated injecting as refugees. We explored whether differences in HIV awareness and knowledge exist between Afghan IDUs who were refugees compared to those never having left Afghanistan. Methods: A convenience sample of IDUs in Kabul, Afghanistan was recruited into a cross-sectional study through street outreach over a one year period beginning in 2005. Participants completed an interviewer-administered questionnaire and underwent voluntary counseling and testing for HIV, syphilis, hepatitis B surface antigen, and hepatitis C antibody. Differences in HIV awareness and specific HIV knowledge between IDU who lived outside the country in the last decade versus those who had not were assessed with logistic regression. Results: Of 464 IDUs, 463 (99%) were male; median age and age at first injection were 29 and 25 years, respectively. Most (86.4%) had lived or worked outside the country in the past ten years. Awareness of HIV was reported by 46.1%; those having been outside the country in the last decade were significantly more likely to have heard of HIV (48.3% vs. 31.7%; OR = 2.00, 95% CI: 1.14 3.53). However, of those aware of HIV, only 38.3% could name three correct transmission routes; specific HIV knowledge was not significantly associated with residence outside the country. Conclusion: Accurate HIV knowledge among Afghan IDUs is low, though former refugees had greater HIV awareness. Reported high-risk injecting behavior was not significantly different between IDU that were refugees and those that did not leave the country, indicating that all Afghan IDU should receive targeted prevention programming. (Author' s abstract) Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 27 Affiliation : Division of International Health & Cross-cultural Medicine, University of California, San Diego School of Medicine, 9500 Gilman Drive, La Jolla, California 92093-0622 Etats-Unis. United States. Centre Emetteur : 13 OFDT Cote : A03182 Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=53978

Association between injection practices and duration of injection among recently initiated injection drug users / M. BECKER BUXTON

Public ISBD Aucun avis sur cette notice. Titre : Association between injection practices and duration of injection among recently initiated injection drug users Titre original : (Lien entre pratiques d'injection et durée de l'usage chez des usagers ayant été initiés récemment à l'injection) Type de document : Périodique Auteurs : M. BECKER BUXTON ; D. VLAHOV ; S. A. STRATHDEE ; D. C. DES JARLAIS ; MORSE E. V. ; L. OUELLET ; P. KERNDT ; R. S. GARFEIN Année de publication : 2004 Importance : 177-183 Présentation : tabl. Note générale : Drug and Alcohol Dependence, 2004, 75, (2), 177-183 Langues : Anglais (eng) Catégories : Thésaurus TOXIBASE USAGER ; INJECTION ; VOIE INTRAVEINEUSE ; INITIATION ; FACTEUR DE RISQUE ; DUREE ; TYPE D'USAGE Index. décimale : EPI Epidémiologie / Epidemiology Résumé : ENGLISH : Background: Earlier studies suggest higher infection risk among recently initiated injection drug users (IDUs) than more experienced users. Whether IDUs' risky injection practices rise progressively with duration of injection or frequency of practices is higher near initiation and then taper remains an open question. Methods: Recently initiated IDUs were street recruited and interviewed between 1997 and 1999 as part of a multisite cohort study in five US urban cities. Recent risky injection practices (injecting with others and injecting on average more now) were examined across three cross-sections defined by duration of injection: 0-1 year, 2-3 years, and 4-6 years. Results: The IDU groups of <2 years duration (n = 691) and 2-3 years duration (n = 697) had higher odds than the 4-6 year group (n = 520) of reporting injecting with others (Odds Ratio, OR = 1.52, and OR = 1.47, respectively) and injecting on average more now (OR = 1.44 and OR = 1.44, respectively). The associations remained after multivariate adjustment for demographic variables. Conclusions: These data on recently initiated IDUs suggest that risky injection practices were more frequent earlier than later within the first 6 years of initiation, emphasizing that outreach prevention needs to identify and intervene with IDUs early. (Review's abstract.) Note de contenu : tabl. Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 25 Affiliation : Univ. CA, 1600 Divisadero St., Box 1710, San Francisco, CA 94115 Etats-Unis. United States. Numéro Toxibase : 804648 Centre Emetteur : 08 CAS Strasbourg Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=17036 Association between injection practices and duration of injection among recently initiated injection drug users = (Lien entre pratiques d'injection et durée de l'usage chez des usagers ayant été initiés récemment à l'injection) [Périodique] / M. BECKER BUXTON ; D. VLAHOV ; S. A. STRATHDEE ; D. C. DES JARLAIS ; MORSE E. V. ; L. OUELLET ; P. KERNDT ; R. S. GARFEIN . - 2004 . - 177-183 : tabl. Drug and Alcohol Dependence, 2004, 75, (2), 177-183 Langues : Anglais (eng) Catégories : Thésaurus TOXIBASE USAGER ; INJECTION ; VOIE INTRAVEINEUSE ; INITIATION ; FACTEUR DE RISQUE ; DUREE ; TYPE D'USAGE Index. décimale : EPI Epidémiologie / Epidemiology Résumé : ENGLISH : Background: Earlier studies suggest higher infection risk among recently initiated injection drug users (IDUs) than more experienced users. Whether IDUs' risky injection practices rise progressively with duration of injection or frequency of practices is higher near initiation and then taper remains an open question. Methods: Recently initiated IDUs were street recruited and interviewed between 1997 and 1999 as part of a multisite cohort study in five US urban cities. Recent risky injection practices (injecting with others and injecting on average more now) were examined across three cross-sections defined by duration of injection: 0-1 year, 2-3 years, and 4-6 years. Results: The IDU groups of <2 years duration (n = 691) and 2-3 years duration (n = 697) had higher odds than the 4-6 year group (n = 520) of reporting injecting with others (Odds Ratio, OR = 1.52, and OR = 1.47, respectively) and injecting on average more now (OR = 1.44 and OR = 1.44, respectively). The associations remained after multivariate adjustment for demographic variables. Conclusions: These data on recently initiated IDUs suggest that risky injection practices were more frequent earlier than later within the first 6 years of initiation, emphasizing that outreach prevention needs to identify and intervene with IDUs early. (Review's abstract.) Note de contenu : tabl. Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 25 Affiliation : Univ. CA, 1600 Divisadero St., Box 1710, San Francisco, CA 94115 Etats-Unis. United States. Numéro Toxibase : 804648 Centre Emetteur : 08 CAS Strasbourg Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=17036

Attitudes toward HIV treatments influence unsafe sexual and injection practices among injecting drug users / TUN W.

Public ISBD Aucun avis sur cette notice. Titre : Attitudes toward HIV treatments influence unsafe sexual and injection practices among injecting drug users Titre original : (L'attitude vis-à-vis du VIH influe sur les pratiques sexuelles non sécuritaires et l'injection parmi des usagers de drogues injectables.) Type de document : Périodique Auteurs : TUN W. ; D. D. CELENTANO ; D. VLAHOV ; S. A. STRATHDEE Année de publication : 2003 Importance : 1953-1962 Présentation : tabl. ISBN/ISSN/EAN : 0269-9370 Note générale : AIDS, 2003, 17, 1953-1962 Langues : Anglais (eng) Catégories : Thésaurus TOXIBASE VIH ; TRAITEMENT ; PERCEPTION ; CONDUITE A RISQUE ; SEXUALITE ; PARTAGE DE SERINGUE ; ETUDE LONGITUDINALE Thésaurus Géographique ETATS-UNIS Index. décimale : MAL Maladies infectieuses / Infectious diseases Résumé : ENGLISH : Objective: To determine if HIV treatment-related attitudes are associated with unprotected sex and needle sharing among HIV-seropositive and -seronegative injecting drug users (IDU) in Baltimore, Maryland. Design and methods: IDU participating in a cohort study seen between December 2000 and July 2001 completed an interviewer-administered questionnaire on attitudes toward HIV treatment and risk behaviors (593 HIV-seronegative, 338 HIV-seropositive), including: perceived HIV transmissibility through unprotected sex and needle sharing, and safer sex and injection fatigue. Logistic regression was used to examine the role of attitudinal factors on needle sharing and unsafe sex. Results: Almost two-thirds of sexually active participants engaged in unprotected sex and approximately half of those injecting drugs shared needles. Among HIV-seropositive IDU, perception of reduced HIV transmissibility through unprotected sex was significantly associated with unprotected sex [adjusted odds ratio (AOR), 3.33; 95% confidence interval (CI), 1.05-10.55). Safer injection fatigue was independently associated with needle sharing among HIV-seropositive IDU (AOR, 6.55; 95% CI, 1.69-25.39). Among HIV-seronegative IDU, safer sex fatigue and safer injection fatigue were independently associated with unprotected sex (AOR, 3.12; 95% CI, 1.17-8.35) and needle sharing (AOR, 5.15; 95% CI, 2.33-11,37), respectively. Conclusion: Among HIV-seropositive IDU, perceiving that HIV treatments reduce HIV transmission was significantly associated with unprotected sex. Risk reduction fatigue was strongly associated with unsafe sexual and injection behaviors among HIV-seronegative individuals. HIV prevention interventions must consider the unintended impact of HIV treatments on attitudes and risk behaviors among IDU. (Author' s abstract) Note de contenu : tabl. Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 30 Affiliation : Johns Hopkins Univ., Bloomberg Sch. Public Hlth, 615 North Wolfe St., Baltimore, Maryland 21205 Etats-Unis. United States. Numéro Toxibase : 207168 Centre Emetteur : 02 Coordonnateur Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=19275 Attitudes toward HIV treatments influence unsafe sexual and injection practices among injecting drug users = (L'attitude vis-à-vis du VIH influe sur les pratiques sexuelles non sécuritaires et l'injection parmi des usagers de drogues injectables.) [Périodique] / TUN W. ; D. D. CELENTANO ; D. VLAHOV ; S. A. STRATHDEE . - 2003 . - 1953-1962 : tabl. ISSN : 0269-9370 AIDS, 2003, 17, 1953-1962 Langues : Anglais (eng) Catégories : Thésaurus TOXIBASE VIH ; TRAITEMENT ; PERCEPTION ; CONDUITE A RISQUE ; SEXUALITE ; PARTAGE DE SERINGUE ; ETUDE LONGITUDINALE Thésaurus Géographique ETATS-UNIS Index. décimale : MAL Maladies infectieuses / Infectious diseases Résumé : ENGLISH : Objective: To determine if HIV treatment-related attitudes are associated with unprotected sex and needle sharing among HIV-seropositive and -seronegative injecting drug users (IDU) in Baltimore, Maryland. Design and methods: IDU participating in a cohort study seen between December 2000 and July 2001 completed an interviewer-administered questionnaire on attitudes toward HIV treatment and risk behaviors (593 HIV-seronegative, 338 HIV-seropositive), including: perceived HIV transmissibility through unprotected sex and needle sharing, and safer sex and injection fatigue. Logistic regression was used to examine the role of attitudinal factors on needle sharing and unsafe sex. Results: Almost two-thirds of sexually active participants engaged in unprotected sex and approximately half of those injecting drugs shared needles. Among HIV-seropositive IDU, perception of reduced HIV transmissibility through unprotected sex was significantly associated with unprotected sex [adjusted odds ratio (AOR), 3.33; 95% confidence interval (CI), 1.05-10.55). Safer injection fatigue was independently associated with needle sharing among HIV-seropositive IDU (AOR, 6.55; 95% CI, 1.69-25.39). Among HIV-seronegative IDU, safer sex fatigue and safer injection fatigue were independently associated with unprotected sex (AOR, 3.12; 95% CI, 1.17-8.35) and needle sharing (AOR, 5.15; 95% CI, 2.33-11,37), respectively. Conclusion: Among HIV-seropositive IDU, perceiving that HIV treatments reduce HIV transmission was significantly associated with unprotected sex. Risk reduction fatigue was strongly associated with unsafe sexual and injection behaviors among HIV-seronegative individuals. HIV prevention interventions must consider the unintended impact of HIV treatments on attitudes and risk behaviors among IDU. (Author' s abstract) Note de contenu : tabl. Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 30 Affiliation : Johns Hopkins Univ., Bloomberg Sch. Public Hlth, 615 North Wolfe St., Baltimore, Maryland 21205 Etats-Unis. United States. Numéro Toxibase : 207168 Centre Emetteur : 02 Coordonnateur Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=19275

Barriers to use of free antiretroviral therapy in injection drug users / S. A. STRATHDEE

Public ISBD Aucun avis sur cette notice. Titre : Barriers to use of free antiretroviral therapy in injection drug users Titre original : (Obstacles à la mise en place d'une thérapie antirétrovirale gratuite chez des usagers de drogues par voie intraveineuse) Type de document : Périodique Auteurs : S. A. STRATHDEE ; A. PALEPU ; CORNELISSE P. G. ; B. YIP ; M. V. O'SHAUGHNESSY ; J. S. MONTANER ; M. T. SCHECHTER ; R. S. HOGG Année de publication : 1998 Importance : 547-549 Note générale : Journal of the American Medical Association, 1998, 280, (6), 547-549 Langues : Français (fre) Catégories : Thésaurus TOXIBASE USAGER ; VOIE INTRAVEINEUSE ; VIH ; INFECTION ; ETUDE PROSPECTIVE ; COHORTE ; PRISE EN CHARGE ; TRAITEMENT ; EPIDEMIOLOGIE Thésaurus Géographique CANADA Index. décimale : MAL Maladies infectieuses / Infectious diseases Résumé : ENGLISH : CONTEXT: In British Columbia, human immunodeficiency virus (HIV)-infected persons eligible for antiretroviral therapy may receive it free but the extent to which HIV-infected injection drug users access it is unknown. OBJECTIVE: To identify patient and physician characteristics associated with antiretroviral therapy utilization in HIV-infected injection drug users. DESIGN: Prospective cohort study with record linkage between survey data and data from a provincial HIV/AIDS (acquired immunodeficiency syndrome) drug treatment program. SETTING: British Columbia, where antiretroviral therapies are offered free to all persons with HIV infection with CD4 cell counts less than 0.50 x 10(9)/L (500/microL) and/or HIV-1 RNA levels higher than 5000 copies/mL. SUBJECTS: A total of 177 HIV-infected injection drug users eligible for antiretroviral therapy, recruited through the prospective cohort study since May 1996. MAIN OUTCOME MEASURES: Patient use of antiretroviral drugs through the provincial drug treatment program and physician experience treating HIV infection. RESULTS: After a median of 11 months after first eligibility, only 71 (40%) of 177 patients had received any antiretroviral drugs, primarily double combinations (47/71 [66%]). Both patient and physician characteristics were associated with use of antiretroviral drugs. After adjusting for CD4 cell count and HIV-1 RNA level at eligibility, odds of not receiving antiretrovirals were increased more than 2-fold for females (odds ratio [OR], 2.53; 95% confidence interval [CI], 1.08-5.93) and 3-fold for those not currently enrolled in drug or alcohol treatment programs (OR, 3.49; 95% CI, 1.45-8.40). Younger drug users were less likely to receive therapy (OR, 0.47/10-y increase; 95% CI, 0.28-0.80). Those with physicians having the least experience treating persons with HIV infection were more than 5 times less likely to receive therapy (OR, 5.55; 95% CI, 2.49-12.37). CONCLUSIONS: Despite free antiretroviral therapy, many HIV-infected injection drug users are not receiving it. Public health efforts should target younger and female drug users, and physicians with less experience treating HIV infection. (Review' s abstract) Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 21 Affiliation : British Columbia Ctre for Excellence in HIV/AIDS, St Paul's Hospital Canada. Canada. Numéro Toxibase : 1300866 Centre Emetteur : 13 OFDT Cote : A01627 Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=57274 Barriers to use of free antiretroviral therapy in injection drug users = (Obstacles à la mise en place d'une thérapie antirétrovirale gratuite chez des usagers de drogues par voie intraveineuse) [Périodique] / S. A. STRATHDEE ; A. PALEPU ; CORNELISSE P. G. ; B. YIP ; M. V. O'SHAUGHNESSY ; J. S. MONTANER ; M. T. SCHECHTER ; R. S. HOGG . - 1998 . - 547-549. Journal of the American Medical Association, 1998, 280, (6), 547-549 Langues : Français (fre) Catégories : Thésaurus TOXIBASE USAGER ; VOIE INTRAVEINEUSE ; VIH ; INFECTION ; ETUDE PROSPECTIVE ; COHORTE ; PRISE EN CHARGE ; TRAITEMENT ; EPIDEMIOLOGIE Thésaurus Géographique CANADA Index. décimale : MAL Maladies infectieuses / Infectious diseases Résumé : ENGLISH : CONTEXT: In British Columbia, human immunodeficiency virus (HIV)-infected persons eligible for antiretroviral therapy may receive it free but the extent to which HIV-infected injection drug users access it is unknown. OBJECTIVE: To identify patient and physician characteristics associated with antiretroviral therapy utilization in HIV-infected injection drug users. DESIGN: Prospective cohort study with record linkage between survey data and data from a provincial HIV/AIDS (acquired immunodeficiency syndrome) drug treatment program. SETTING: British Columbia, where antiretroviral therapies are offered free to all persons with HIV infection with CD4 cell counts less than 0.50 x 10(9)/L (500/microL) and/or HIV-1 RNA levels higher than 5000 copies/mL. SUBJECTS: A total of 177 HIV-infected injection drug users eligible for antiretroviral therapy, recruited through the prospective cohort study since May 1996. MAIN OUTCOME MEASURES: Patient use of antiretroviral drugs through the provincial drug treatment program and physician experience treating HIV infection. RESULTS: After a median of 11 months after first eligibility, only 71 (40%) of 177 patients had received any antiretroviral drugs, primarily double combinations (47/71 [66%]). Both patient and physician characteristics were associated with use of antiretroviral drugs. After adjusting for CD4 cell count and HIV-1 RNA level at eligibility, odds of not receiving antiretrovirals were increased more than 2-fold for females (odds ratio [OR], 2.53; 95% confidence interval [CI], 1.08-5.93) and 3-fold for those not currently enrolled in drug or alcohol treatment programs (OR, 3.49; 95% CI, 1.45-8.40). Younger drug users were less likely to receive therapy (OR, 0.47/10-y increase; 95% CI, 0.28-0.80). Those with physicians having the least experience treating persons with HIV infection were more than 5 times less likely to receive therapy (OR, 5.55; 95% CI, 2.49-12.37). CONCLUSIONS: Despite free antiretroviral therapy, many HIV-infected injection drug users are not receiving it. Public health efforts should target younger and female drug users, and physicians with less experience treating HIV infection. (Review' s abstract) Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 21 Affiliation : British Columbia Ctre for Excellence in HIV/AIDS, St Paul's Hospital Canada. Canada. Numéro Toxibase : 1300866 Centre Emetteur : 13 OFDT Cote : A01627 Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=57274

Can HIV epidemics among injection drug users be prevented ? / S. A. STRATHDEE

Public ISBD Aucun avis sur cette notice. Titre : Can HIV epidemics among injection drug users be prevented ? Titre original : (L'épidémie VIH peut-elle être prévenue chez les usagers de drogue par injection ?) Type de document : Périodique Auteurs : S. A. STRATHDEE ; E. J. C. VAN AMEIJDEN ; MESQUITA F. ; A. WODAK ; S. RANA ; D. VLAHOV Année de publication : 1998 ISBN/ISSN/EAN : 1350-2840 Note générale : AIDS, 1998, 12, (Suppl. A), S71-S79 Langues : Anglais (eng) Catégories : Thésaurus TOXIBASE EPIDEMIOLOGIE ; SIDA ; VOIE INTRAVEINEUSE ; SERINGUE ; PROGRAMME ; PREVENTION ; TRAITEMENT DE MAINTENANCE Résumé : FRANÇAIS : Dans certaines populations marginales, comme les UDI, la fréquence du VIH continue d'augmenter. Le partage des aiguilles est en effet le mode principal de contamination dans les pays d'Europe de l'Ouest et de l'Est, le nord de l'Afrique, le Moyen-Orient et une partie de l'Asie. Il est donc primordial de leur donner un accès illimité à du matériel stérile et de promouvoir l'usage unique, de mettre en place des programmes d'échange de seringues, de développer les thérapies de substitution et de les aider à réduire ou à cesser ce mode d'administration. L'exemple de l'Australie est remarquable avec une faible prévalence VIH liée à l'application à grande échelle de ces différentes stratégies. Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 114 Affiliation : British Columbia Ctre Excellence AID/AIDS, St Paul's Hosp., 608-1081 Burrard St., Vancouver BC, V6Z 1Y6 Canada. Canada. Numéro Toxibase : 204547 Centre Emetteur : 02 Coordonnateur Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=29907 Can HIV epidemics among injection drug users be prevented ? = (L'épidémie VIH peut-elle être prévenue chez les usagers de drogue par injection ?) [Périodique] / S. A. STRATHDEE ; E. J. C. VAN AMEIJDEN ; MESQUITA F. ; A. WODAK ; S. RANA ; D. VLAHOV . - 1998. ISSN : 1350-2840 AIDS, 1998, 12, (Suppl. A), S71-S79 Langues : Anglais (eng) Catégories : Thésaurus TOXIBASE EPIDEMIOLOGIE ; SIDA ; VOIE INTRAVEINEUSE ; SERINGUE ; PROGRAMME ; PREVENTION ; TRAITEMENT DE MAINTENANCE Résumé : FRANÇAIS : Dans certaines populations marginales, comme les UDI, la fréquence du VIH continue d'augmenter. Le partage des aiguilles est en effet le mode principal de contamination dans les pays d'Europe de l'Ouest et de l'Est, le nord de l'Afrique, le Moyen-Orient et une partie de l'Asie. Il est donc primordial de leur donner un accès illimité à du matériel stérile et de promouvoir l'usage unique, de mettre en place des programmes d'échange de seringues, de développer les thérapies de substitution et de les aider à réduire ou à cesser ce mode d'administration. L'exemple de l'Australie est remarquable avec une faible prévalence VIH liée à l'application à grande échelle de ces différentes stratégies. Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 114 Affiliation : British Columbia Ctre Excellence AID/AIDS, St Paul's Hosp., 608-1081 Burrard St., Vancouver BC, V6Z 1Y6 Canada. Canada. Numéro Toxibase : 204547 Centre Emetteur : 02 Coordonnateur Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=29907

Childhood sexual abuse and age at initiation of injection drug use / D. C. OMPAD in American Journal of Public Health, Vol.95 n°4 (2005)

Public ISBD Aucun avis sur cette notice. [article]  inAmerican Journal of Public Health > Vol.95 n°4 (2005) . - 703-709 Titre : Childhood sexual abuse and age at initiation of injection drug use Titre original : (Abus sexuel pendant l'enfance et âge de la première injection de drogue) Type de document : Périodique Auteurs : D. C. OMPAD ; R. M. IKEDA ; N. SHAH ; C. M. FULLER ; S. BAILEY ; MORSE E. ; P. KERNDT ; MASLOW C. ; Y. WU ; D. VLAHOV ; R. GARFEIN ; S. A. STRATHDEE Année de publication : 2005 Article en page(s) : 703-709 Présentation : tabl. Note générale : American Journal of Public Health, 2005, 95, (4), 703-709 Langues : Anglais (eng) Catégories : Thésaurus TOXIBASE PRODUIT ILLICITE ; MALTRAITANCE ; ENFANT ; SEXUALITE ; FACTEUR DE RISQUE ; INJECTION ; ADULTE JEUNE ; ENQUETE ; EPIDEMIOLOGIE ANALYTIQUE Index. décimale : EPI Epidémiologie / Epidemiology Résumé : ENGLISH : OBJECTIVES: We examined the relation between childhood sexual abuse and injection drug use initiation among young adult injection drug users. METHODS: We used mixed effect linear models to compare age at first injection among 2143 young injection drug users by first sexual abuse age categories. RESULTS: The participants were predominantly male (63.3%) and White (52.8%). Mean age and age at first injection were 23.7 and 19.6 years. ; respectively; 307 participants (14.3%) reported childhood sexual abuse. After adjustment for gender. ; race/ethnicity. ; noninjection drug use before first injection drug use. ; and recruitment site. ; childhood sexual abuse was independently associated with younger age at first injection. CONCLUSIONS: Childhood sexual abuse was associated with earlier initiation of injection drug use. These data emphasize the need to integrate substance abuse prevention with postvictimization services for children and adolescents. (Review' s abstract) Note de contenu : tabl. Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 50 Affiliation : Etats-Unis. United States. Numéro Toxibase : 1301115 Centre Emetteur : 13 OFDT Cote : Abonnement Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=56161 [article] Childhood sexual abuse and age at initiation of injection drug use = (Abus sexuel pendant l'enfance et âge de la première injection de drogue) [Périodique] / D. C. OMPAD ; R. M. IKEDA ; N. SHAH ; C. M. FULLER ; S. BAILEY ; MORSE E. ; P. KERNDT ; MASLOW C. ; Y. WU ; D. VLAHOV ; R. GARFEIN ; S. A. STRATHDEE . - 2005 . - 703-709 : tabl. American Journal of Public Health, 2005, 95, (4), 703-709 Langues : Anglais (eng) inAmerican Journal of Public Health > Vol.95 n°4 (2005) . - 703-709 Catégories : Thésaurus TOXIBASE PRODUIT ILLICITE ; MALTRAITANCE ; ENFANT ; SEXUALITE ; FACTEUR DE RISQUE ; INJECTION ; ADULTE JEUNE ; ENQUETE ; EPIDEMIOLOGIE ANALYTIQUE Index. décimale : EPI Epidémiologie / Epidemiology Résumé : ENGLISH : OBJECTIVES: We examined the relation between childhood sexual abuse and injection drug use initiation among young adult injection drug users. METHODS: We used mixed effect linear models to compare age at first injection among 2143 young injection drug users by first sexual abuse age categories. RESULTS: The participants were predominantly male (63.3%) and White (52.8%). Mean age and age at first injection were 23.7 and 19.6 years. ; respectively; 307 participants (14.3%) reported childhood sexual abuse. After adjustment for gender. ; race/ethnicity. ; noninjection drug use before first injection drug use. ; and recruitment site. ; childhood sexual abuse was independently associated with younger age at first injection. CONCLUSIONS: Childhood sexual abuse was associated with earlier initiation of injection drug use. These data emphasize the need to integrate substance abuse prevention with postvictimization services for children and adolescents. (Review' s abstract) Note de contenu : tabl. Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 50 Affiliation : Etats-Unis. United States. Numéro Toxibase : 1301115 Centre Emetteur : 13 OFDT Cote : Abonnement Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=56161

Circumstances surrounding the first injection experience and their association with future syringe sharing behaviors in young urban injection drug users / L. A. NOVELLI

Public ISBD Aucun avis sur cette notice. Titre : Circumstances surrounding the first injection experience and their association with future syringe sharing behaviors in young urban injection drug users Titre original : (Circonstances favorisant la première injection et lien avec des futures pratiques de partage de seringues chez de jeunes usagers de drogue injecteurs en milieu urbain) Type de document : Périodique Auteurs : L. A. NOVELLI ; S. G. SHERMAN ; HAVENS J. R. ; S. A. STRATHDEE ; SAPUN M. Année de publication : 2005 Importance : 303-309 Présentation : tabl. Note générale : Drug and Alcohol Dependence, 2005, 77, (3), 303-309 Langues : Anglais (eng) Catégories : Thésaurus TOXIBASE USAGER ; INJECTION ; CONDUITE A RISQUE ; POPULATION A RISQUE ; PARTAGE DE SERINGUE ; INITIATION ; FACTEUR DE RISQUE ; EPIDEMIOLOGIE DESCRIPTIVE Thésaurus Géographique ETATS-UNIS Index. décimale : EPI Epidémiologie / Epidemiology Résumé : ENGLISH : Young injection drug users are at heightened risk for acquisition of blood-borne infections because of their high rates of unsafe injection behaviors, yet there has been little research examining the circumstances surrounding injection drug users first injection experience (hit). We examined the relationship between factors associated with young drug users first hit and their future syringe sharing behaviors among 420 new initiates to injection drug use (less than 5 years), aged 1530 years old in urban Baltimore, Maryland. Contingency table analysis and logistic regression were used to determine the association between circumstances surrounding the first hit and recent receptive syringe sharing. Participants were primarily male (58.8%), White (71.2%), and were a median age of 24 years (interquartile range [IQR]: 2127 years). Adjusting for race, gender, and homelessness, the following variables were independently associated with recent receptive syringe sharing: age at first hit (adjusted odds ratio [AOR] = 0.92 per year increase; 95% confidence interval [CI]: 0.870.98), self-injection at initiation (AOR = 0.55; 95% CI: 0.320.97) and using a syringe that had previously been used by someone else at first hit (AOR = 2.81; 95% CI: 1.704.64). These data suggest that injection-related risk behaviors may be established as early as the onset of injection initiation, supporting the need to educate non-injectors of the harms associated with unsafe injection practices. (Review's abstract.) Note de contenu : tabl. Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 26 Affiliation : Dept. Epidemiol., J. Hopkins Bloomberg Sch. Pub. Health, 615 N Wolfe St., E6006, Baltimore, MD 21205 Etats-Unis. United States. Numéro Toxibase : 804789 Centre Emetteur : 08 CAS Strasbourg Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=16502 Circumstances surrounding the first injection experience and their association with future syringe sharing behaviors in young urban injection drug users = (Circonstances favorisant la première injection et lien avec des futures pratiques de partage de seringues chez de jeunes usagers de drogue injecteurs en milieu urbain) [Périodique] / L. A. NOVELLI ; S. G. SHERMAN ; HAVENS J. R. ; S. A. STRATHDEE ; SAPUN M. . - 2005 . - 303-309 : tabl. Drug and Alcohol Dependence, 2005, 77, (3), 303-309 Langues : Anglais (eng) Catégories : Thésaurus TOXIBASE USAGER ; INJECTION ; CONDUITE A RISQUE ; POPULATION A RISQUE ; PARTAGE DE SERINGUE ; INITIATION ; FACTEUR DE RISQUE ; EPIDEMIOLOGIE DESCRIPTIVE Thésaurus Géographique ETATS-UNIS Index. décimale : EPI Epidémiologie / Epidemiology Résumé : ENGLISH : Young injection drug users are at heightened risk for acquisition of blood-borne infections because of their high rates of unsafe injection behaviors, yet there has been little research examining the circumstances surrounding injection drug users first injection experience (hit). We examined the relationship between factors associated with young drug users first hit and their future syringe sharing behaviors among 420 new initiates to injection drug use (less than 5 years), aged 1530 years old in urban Baltimore, Maryland. Contingency table analysis and logistic regression were used to determine the association between circumstances surrounding the first hit and recent receptive syringe sharing. Participants were primarily male (58.8%), White (71.2%), and were a median age of 24 years (interquartile range [IQR]: 2127 years). Adjusting for race, gender, and homelessness, the following variables were independently associated with recent receptive syringe sharing: age at first hit (adjusted odds ratio [AOR] = 0.92 per year increase; 95% confidence interval [CI]: 0.870.98), self-injection at initiation (AOR = 0.55; 95% CI: 0.320.97) and using a syringe that had previously been used by someone else at first hit (AOR = 2.81; 95% CI: 1.704.64). These data suggest that injection-related risk behaviors may be established as early as the onset of injection initiation, supporting the need to educate non-injectors of the harms associated with unsafe injection practices. (Review's abstract.) Note de contenu : tabl. Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 26 Affiliation : Dept. Epidemiol., J. Hopkins Bloomberg Sch. Pub. Health, 615 N Wolfe St., E6006, Baltimore, MD 21205 Etats-Unis. United States. Numéro Toxibase : 804789 Centre Emetteur : 08 CAS Strasbourg Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=16502

Comparing new participants of a mobile versus a pharmacy-based needle exchange program / E. D. RILEY

Public ISBD Aucun avis sur cette notice. Titre : Comparing new participants of a mobile versus a pharmacy-based needle exchange program Titre original : (Programme d'échanges de seringues : comparaison entre les nouveaux participants à un programme mobile et en pharmacie) Type de document : Périodique Auteurs : E. D. RILEY ; SAFAEIAN M. ; S. A. STRATHDEE ; MARX M. A. ; HUETTNER S. ; P. BEILENSON ; D. VLAHOV Année de publication : 2000 Importance : 57-61 Présentation : tabl. Note générale : Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 2000, 24, (1), 57-61 Langues : Français (fre) Catégories : Thésaurus TOXIBASE ECHANGE DE SERINGUES ; STRUCTURE DE PROXIMITE ; PHARMACIE ; COMPARAISON ; INJECTION ; USAGER Thésaurus Géographique ETATS-UNIS Index. décimale : MAL Maladies infectieuses / Infectious diseases Résumé : FRANÇAIS : Objectif : on étudie des usagers participant pour la première fois à un programme déchange de seringues, et on compare leurs caractéristiques en fonction du site déchange choisi (bus ou pharmacie) dans une région où les deux types de sites existent. Méthodes : Les données démographiques et celles concernant lusage de drogues ont été recueillies auprès des usagers participant au programme lors de leur recrutement. Etaient inclus dans létude les sujets participant pour la première fois au programme déchange de seringues de Baltimore entre décembre 1997 et mars 1999, et dont la première visite se faisait soit auprès dun bus, soit auprès de lune des deux pharmacies. Les statistiques descriptives et les conclusions sont basées sur le type de programme déchange de seringues choisi par les participants. Résultats : Sur les 286 sujets étudiés, 92 % étaient afro-américains, 28 % étaient des femmes, 11 % avaient une activité professionnelle et 55 % avaient achevé des études secondaires. Lâge moyen était de 40 ans. Dans les études multivariées, le choix du bus était plus courant chez les usagers par voie injectable fréquents (odds ratio (OR) = 2,0) et moins courant chez les sujets afroaméricains (OR = 0,21). Conclusions : les données de létude montrent que les différents lieux prévus pour les programmes déchange de seringues attirent différents types dusagers participant à ces programmes. Ceci laisse entendre que pour optimiser les stratégies de réduction des risques, il est important de proposer différents types de sites pour pouvoir atteindre les usagers ayant des types d'usage différents. ENGLISH : Objective: To compare characteristics of first-time needle exchange participants who enrolled at a mobile van-based exchange site versus a fixed pharmacy-based exchange site, in an area where both types of needle exchange programs were available. Methods: Demographic and drug use data were collected on needle exchange program participants on enrollment. Participants were included if they were first-time participants at the Baltimore needle exchange program between December 1997 and March 1999, and if their first visit was at either one van-based site or at one of two pharmacy-based sites. Descriptive statistics and inferences were based on the type of needle exchange into which participants enrolled. Results: Among 286 first-time participants, 92% were African American, 28% were women, 11% were currently employed, 55% completed high school, and the median age was 40 years. In multivariate analyses, van-based enrollment was more common among frequent injectors (odds ratio [OR] = 2.0), but less common among African American participants (OR = 0.21). Conclusions: Our data suggest that different venues for needle exchange program attract different types of drug injecting participants. This suggests that offering different venue types to reach participants with differing drug use patterns will be important to optimize risk reduction strategies. (Author's abstract.) Note de contenu : tabl. Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 31 Affiliation : 615 North Wolfe St., Baltimore, MD 21205 Etats-Unis. United States. Numéro Toxibase : 1100651 Centre Emetteur : 11 SEDAP Cote : A03370 Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=53359 Comparing new participants of a mobile versus a pharmacy-based needle exchange program = (Programme d'échanges de seringues : comparaison entre les nouveaux participants à un programme mobile et en pharmacie) [Périodique] / E. D. RILEY ; SAFAEIAN M. ; S. A. STRATHDEE ; MARX M. A. ; HUETTNER S. ; P. BEILENSON ; D. VLAHOV . - 2000 . - 57-61 : tabl. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 2000, 24, (1), 57-61 Langues : Français (fre) Catégories : Thésaurus TOXIBASE ECHANGE DE SERINGUES ; STRUCTURE DE PROXIMITE ; PHARMACIE ; COMPARAISON ; INJECTION ; USAGER Thésaurus Géographique ETATS-UNIS Index. décimale : MAL Maladies infectieuses / Infectious diseases Résumé : FRANÇAIS : Objectif : on étudie des usagers participant pour la première fois à un programme déchange de seringues, et on compare leurs caractéristiques en fonction du site déchange choisi (bus ou pharmacie) dans une région où les deux types de sites existent. Méthodes : Les données démographiques et celles concernant lusage de drogues ont été recueillies auprès des usagers participant au programme lors de leur recrutement. Etaient inclus dans létude les sujets participant pour la première fois au programme déchange de seringues de Baltimore entre décembre 1997 et mars 1999, et dont la première visite se faisait soit auprès dun bus, soit auprès de lune des deux pharmacies. Les statistiques descriptives et les conclusions sont basées sur le type de programme déchange de seringues choisi par les participants. Résultats : Sur les 286 sujets étudiés, 92 % étaient afro-américains, 28 % étaient des femmes, 11 % avaient une activité professionnelle et 55 % avaient achevé des études secondaires. Lâge moyen était de 40 ans. Dans les études multivariées, le choix du bus était plus courant chez les usagers par voie injectable fréquents (odds ratio (OR) = 2,0) et moins courant chez les sujets afroaméricains (OR = 0,21). Conclusions : les données de létude montrent que les différents lieux prévus pour les programmes déchange de seringues attirent différents types dusagers participant à ces programmes. Ceci laisse entendre que pour optimiser les stratégies de réduction des risques, il est important de proposer différents types de sites pour pouvoir atteindre les usagers ayant des types d'usage différents. ENGLISH : Objective: To compare characteristics of first-time needle exchange participants who enrolled at a mobile van-based exchange site versus a fixed pharmacy-based exchange site, in an area where both types of needle exchange programs were available. Methods: Demographic and drug use data were collected on needle exchange program participants on enrollment. Participants were included if they were first-time participants at the Baltimore needle exchange program between December 1997 and March 1999, and if their first visit was at either one van-based site or at one of two pharmacy-based sites. Descriptive statistics and inferences were based on the type of needle exchange into which participants enrolled. Results: Among 286 first-time participants, 92% were African American, 28% were women, 11% were currently employed, 55% completed high school, and the median age was 40 years. In multivariate analyses, van-based enrollment was more common among frequent injectors (odds ratio [OR] = 2.0), but less common among African American participants (OR = 0.21). Conclusions: Our data suggest that different venues for needle exchange program attract different types of drug injecting participants. This suggests that offering different venue types to reach participants with differing drug use patterns will be important to optimize risk reduction strategies. (Author's abstract.) Note de contenu : tabl. Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 31 Affiliation : 615 North Wolfe St., Baltimore, MD 21205 Etats-Unis. United States. Numéro Toxibase : 1100651 Centre Emetteur : 11 SEDAP Cote : A03370 Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=53359

Comparison of sexual behaviors, unprotected sex, and substance use between two independent cohorts of gay and bisexual men / K. J. P. CRAIB

Public ISBD Aucun avis sur cette notice. Titre : Comparison of sexual behaviors, unprotected sex, and substance use between two independent cohorts of gay and bisexual men Titre original : (Comparaison des comportements sexuels, des pratiques sexuelles non protégées et des usages de drogues entre deux cohortes indépendantes d'hommes homosexuels et bisexuels.) Type de document : Périodique Auteurs : K. J. P. CRAIB ; A. C. WEBER ; P. G. A. CORNELISSE ; MARTINDALE S. L. M. ; M. L. MILLER ; M. T. SCHECHTER ; S. A. STRATHDEE ; SCHILDER A. ; R. S. HOGG Année de publication : 2000 Importance : 303-311 Présentation : tabl. Note générale : AIDS, 2000, 14, (3), 303-311 Langues : Anglais (eng) Catégories : Thésaurus TOXIBASE BISEXUEL ; HOMOSEXUEL ; SEXE MASCULIN ; VIH ; CONTAMINATION ; CONDUITE A RISQUE ; COHORTE ; COMPARAISON ; PRESERVATIF ; CONSOMMATION ; SEXUALITE Thésaurus Géographique CANADA Index. décimale : MAL Maladies infectieuses / Infectious diseases Résumé : FRANÇAIS : Les deux cohortes comparées sont : 235 hommes séronégatifs au VIH qui ont participés au Vanguard Project (VP) de mai 1995 à avril 1996 et 263 hommes séronégatifs qui ont participés à la Vancouver Lymphadenopathy AIDS Study (VLAS) de janvier à décembre 1985. Après contrôle des différences liées à l'âge, à l'ethnie, à la consommation de drogues, et à la méthode de recrutement entre les 2 cohortes, les résultats montrent que les participants à l'étude VLAS sont 9 fois plus susceptibles d'avoir un comportement sexuel à haut risque ; leur risque de séroconversion est significativement plus élevé que celui des participants au VP. Les participants au VP rapportent plus d'usage de cocaïne (30 vs. 8%), de LSD (21 vs. 3%), d'amphétamines (11 vs. 1%), d'héroïne (3 vs. 0%) et de méthyldiamphétamines (11 vs 1%) et montrent une activité sexuelle (évaluée par le nombre de partenaires réguliers et occasionnels et par la fréquence de rapports anaux) très supérieure à celle, 10 ans auparavant, des participants à la VLAS. Cependant, un usage de préservatifs qui semble significativement supérieur chez les participants au VP a contribué à une plus faible contamination par le VIH-1 de cette cohorte. ENGLISH : Objective: To compare demographic characteristics, sexual practices, unprotected receptive and insertive anal intercourse, substance use and rates of HIV-1 seroconversion between two prospective cohorts of HIV-negative men who have sex with men. Design: Comparative analysis of two independent cohorts. Methods: Between May 1995 and April 1996, 235 HIV-negative Vanguard Project (VP) participants were enrolled and between January and December 1985, 263 HIV- negative participants in the Vancouver Lymphadenopathy AIDS Study (VLAS) completed a follow-up visit. The VP participants were compared with VLAS participants with respect to self-reported demographic variables, sexual behaviors, unprotected sex, substance use and rates of HIV-1 seroconversion during follow-up. Results: In comparison with the VLAS participants the VP participants were younger (median age, 26 versus 34 years; P < 0.001), more likely to be non-Caucasian (75 versus 97%; P< 0.001), and were less likely to have attended university/college (35 versus 46%; P = 0.014). The VP participants reported a higher mean number of male sex partners in the previous year (15 versus 12; P = 0.026) and a higher mean number of regular partners (1.7 versus 0.6; P < 0.001). The VP participants were more likely to report engaging in receptive (92 versus 60%; P < 0.001) and insertive (90 versus 69%; P < 0.001) anal intercourse with regular partners and receptive anal intercourse with casual partners (62 versus 38%; P < 0.001). The VLAS participants were more likely to report never using condoms during insertive and receptive anal intercourse with both regular and casual partners. The VP participants were less likely to report using nitrite inhalants (34 versus 43%; P= 0.033), but more likely to report the use of cocaine (30 versus 8%; P < 0.001), LSD (21 versus 3%; P < 0.001), amphetamine (11 versus 1%; P < 0.001), heroin (3 versus 0%; P = 0.010) and methyldiamphetamine (17 versus 10%; P = 0.034). The VLAS participants were nine times more likely to report high-risk sexual behavior, after controlling for differences in age, ethnicity, substance use, and method of recruitment between cohort members. After adjustment for differences in demographics, sexual behaviors, and level of substance use, the risk ratio for seroconversion among VLAS participants remained significantly elevated compared with VP participants. (Author' s abstract) Note de contenu : tabl. Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 24 Affiliation : Div. Epidemiol. Population Hlth, BC Ctr. Excellence HIV/AIDS, 608-1081 Burrard St, Vancouver, BC V6Z, 1Y6 Canada. Canada. Numéro Toxibase : 205054 Centre Emetteur : 02 Coordonnateur Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=25750 Comparison of sexual behaviors, unprotected sex, and substance use between two independent cohorts of gay and bisexual men = (Comparaison des comportements sexuels, des pratiques sexuelles non protégées et des usages de drogues entre deux cohortes indépendantes d'hommes homosexuels et bisexuels.) [Périodique] / K. J. P. CRAIB ; A. C. WEBER ; P. G. A. CORNELISSE ; MARTINDALE S. L. M. ; M. L. MILLER ; M. T. SCHECHTER ; S. A. STRATHDEE ; SCHILDER A. ; R. S. HOGG . - 2000 . - 303-311 : tabl. AIDS, 2000, 14, (3), 303-311 Langues : Anglais (eng) Catégories : Thésaurus TOXIBASE BISEXUEL ; HOMOSEXUEL ; SEXE MASCULIN ; VIH ; CONTAMINATION ; CONDUITE A RISQUE ; COHORTE ; COMPARAISON ; PRESERVATIF ; CONSOMMATION ; SEXUALITE Thésaurus Géographique CANADA Index. décimale : MAL Maladies infectieuses / Infectious diseases Résumé : FRANÇAIS : Les deux cohortes comparées sont : 235 hommes séronégatifs au VIH qui ont participés au Vanguard Project (VP) de mai 1995 à avril 1996 et 263 hommes séronégatifs qui ont participés à la Vancouver Lymphadenopathy AIDS Study (VLAS) de janvier à décembre 1985. Après contrôle des différences liées à l'âge, à l'ethnie, à la consommation de drogues, et à la méthode de recrutement entre les 2 cohortes, les résultats montrent que les participants à l'étude VLAS sont 9 fois plus susceptibles d'avoir un comportement sexuel à haut risque ; leur risque de séroconversion est significativement plus élevé que celui des participants au VP. Les participants au VP rapportent plus d'usage de cocaïne (30 vs. 8%), de LSD (21 vs. 3%), d'amphétamines (11 vs. 1%), d'héroïne (3 vs. 0%) et de méthyldiamphétamines (11 vs 1%) et montrent une activité sexuelle (évaluée par le nombre de partenaires réguliers et occasionnels et par la fréquence de rapports anaux) très supérieure à celle, 10 ans auparavant, des participants à la VLAS. Cependant, un usage de préservatifs qui semble significativement supérieur chez les participants au VP a contribué à une plus faible contamination par le VIH-1 de cette cohorte. ENGLISH : Objective: To compare demographic characteristics, sexual practices, unprotected receptive and insertive anal intercourse, substance use and rates of HIV-1 seroconversion between two prospective cohorts of HIV-negative men who have sex with men. Design: Comparative analysis of two independent cohorts. Methods: Between May 1995 and April 1996, 235 HIV-negative Vanguard Project (VP) participants were enrolled and between January and December 1985, 263 HIV- negative participants in the Vancouver Lymphadenopathy AIDS Study (VLAS) completed a follow-up visit. The VP participants were compared with VLAS participants with respect to self-reported demographic variables, sexual behaviors, unprotected sex, substance use and rates of HIV-1 seroconversion during follow-up. Results: In comparison with the VLAS participants the VP participants were younger (median age, 26 versus 34 years; P < 0.001), more likely to be non-Caucasian (75 versus 97%; P< 0.001), and were less likely to have attended university/college (35 versus 46%; P = 0.014). The VP participants reported a higher mean number of male sex partners in the previous year (15 versus 12; P = 0.026) and a higher mean number of regular partners (1.7 versus 0.6; P < 0.001). The VP participants were more likely to report engaging in receptive (92 versus 60%; P < 0.001) and insertive (90 versus 69%; P < 0.001) anal intercourse with regular partners and receptive anal intercourse with casual partners (62 versus 38%; P < 0.001). The VLAS participants were more likely to report never using condoms during insertive and receptive anal intercourse with both regular and casual partners. The VP participants were less likely to report using nitrite inhalants (34 versus 43%; P= 0.033), but more likely to report the use of cocaine (30 versus 8%; P < 0.001), LSD (21 versus 3%; P < 0.001), amphetamine (11 versus 1%; P < 0.001), heroin (3 versus 0%; P = 0.010) and methyldiamphetamine (17 versus 10%; P = 0.034). The VLAS participants were nine times more likely to report high-risk sexual behavior, after controlling for differences in age, ethnicity, substance use, and method of recruitment between cohort members. After adjustment for differences in demographics, sexual behaviors, and level of substance use, the risk ratio for seroconversion among VLAS participants remained significantly elevated compared with VP participants. (Author' s abstract) Note de contenu : tabl. Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 24 Affiliation : Div. Epidemiol. Population Hlth, BC Ctr. Excellence HIV/AIDS, 608-1081 Burrard St, Vancouver, BC V6Z, 1Y6 Canada. Canada. Numéro Toxibase : 205054 Centre Emetteur : 02 Coordonnateur Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=25750

Complex emergencies, HIV, and substance use: no "big easy" solution / S. A. STRATHDEE in Substance Use and Misuse, Vol.41, n°10-12 (2006)

Public ISBD Aucun avis sur cette notice. [article]  inSubstance Use and Misuse > Vol.41, n°10-12 (2006) . - 1637-1651 Titre : Complex emergencies, HIV, and substance use: no "big easy" solution Type de document : Périodique Auteurs : S. A. STRATHDEE ; STACHOWIAK J. A. ; TODD C. S. ; W. K. AL-DELAIMY ; W. WIEBEL ; HANKINS C. ; T. L. PATTERSON Année de publication : 2006 Article en page(s) : 1637-1651 Note générale : Substance Use and Misuse, 2006, 41, (10-12), 1637-1651 Langues : Français (fre) Catégories : Thésaurus TOXIBASE VIH ; STRESS POST-TRAUMATIQUE ; GUERRE ; FACTEUR DE RISQUE ; PAUVRETE ; SANS ABRI ; EMPLOI Thésaurus Géographique RUSSIE ; AFGHANISTAN ; IRAQ ; AFRIQUE ; INDONESIE Index. décimale : MAL Maladies infectieuses / Infectious diseases Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 49 Affiliation : Department of Family and Preventive Medicine, University of California, San Diego. Email : sstrathdee@ucsd.edu Etats-Unis. United States. Centre Emetteur : 13 OFDT Cote : Abonnement Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=52952 [article] Complex emergencies, HIV, and substance use: no "big easy" solution [Périodique] / S. A. STRATHDEE ; STACHOWIAK J. A. ; TODD C. S. ; W. K. AL-DELAIMY ; W. WIEBEL ; HANKINS C. ; T. L. PATTERSON . - 2006 . - 1637-1651. Substance Use and Misuse, 2006, 41, (10-12), 1637-1651 Langues : Français (fre) inSubstance Use and Misuse > Vol.41, n°10-12 (2006) . - 1637-1651 Catégories : Thésaurus TOXIBASE VIH ; STRESS POST-TRAUMATIQUE ; GUERRE ; FACTEUR DE RISQUE ; PAUVRETE ; SANS ABRI ; EMPLOI Thésaurus Géographique RUSSIE ; AFGHANISTAN ; IRAQ ; AFRIQUE ; INDONESIE Index. décimale : MAL Maladies infectieuses / Infectious diseases Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 49 Affiliation : Department of Family and Preventive Medicine, University of California, San Diego. Email : sstrathdee@ucsd.edu Etats-Unis. United States. Centre Emetteur : 13 OFDT Cote : Abonnement Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=52952

Correlates of attempted suicide among young injection drug users in a multi-site cohort / HAVENS J. R.

Public ISBD Aucun avis sur cette notice. Titre : Correlates of attempted suicide among young injection drug users in a multi-site cohort Titre original : (Usages de drogues et tentatives de suicide chez de jeunes injecteurs : étude de cohorte multi-sites) Type de document : Périodique Auteurs : HAVENS J. R. ; S. A. STRATHDEE ; C. M. FULLER ; R. IKEDA ; S. R. FRIEDMAN ; D. C. DES JARLAIS ; MORSE P. S. ; S. BAILEY ; P. KERNDT ; R. S. GARFEIN ; COLLABORATIVE INJECTION DRUG USER STUDY GROUP Année de publication : 2004 Importance : 261-269 Présentation : tabl. Note générale : Drug and Alcohol Dependence, 2004, 75, (3), 261-269 Langues : Anglais (eng) Catégories : Thésaurus TOXIBASE HEROINE ; USAGER ; INJECTION ; SUICIDE ; TENTATIVE DE SUICIDE ; PREVALENCE ; COHORTE ; MILIEU URBAIN ; ADOLESCENT ; ADULTE JEUNE ; FACTEUR DE VULNERABILITE Index. décimale : EPI Epidémiologie / Epidemiology Résumé : ENGLISH : The purpose of this study was to determine the prevalence and correlates of attempted suicide among young injection drug users (IDUs) from six study sites in five US cities. Two thousand two hundred and nineteen participants 15-30 years of age underwent interviewer-administered questionnaires relating to self-reported drug use, sociodemographics, suicidal ideation and attempts, and exposure to violence. The 6-month prevalence of suicidal ideation and attempts was 35.8% (n = 795) and 7% (n = 156), respectively. Compared to those not reporting a recent (past 6 months) suicide attempt, those attempting suicide were more likely to have a lifetime history of mental health facility admission or sexual abuse. Participants receiving drug treatment at the time of the baseline interview (53.2% versus 37.1%, odds ratio [OR] = I.93, 95% confidence interval [CI]: 1.39, 2.67) were also more likely to report a recent attempt; as were those reporting a history of experiencing violence. These associations persisted after adjusting for age, sex, race/ethnicity, study site, and other significant covariates by multiple logistic regression. These data suggest that increased access to drug treatment, community mental health, and violence prevention programs may decrease suicidal behavior among young injection drug users. (Review's abstract.) Note de contenu : tabl. Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 48 Affiliation : Ctr. Drug Alcohol Res., Univ. KY, 915B South Limestone, Lexington, KY 40536 Etats-Unis. United States. Numéro Toxibase : 804655 Centre Emetteur : 08 CAS Strasbourg Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=17043 Correlates of attempted suicide among young injection drug users in a multi-site cohort = (Usages de drogues et tentatives de suicide chez de jeunes injecteurs : étude de cohorte multi-sites) [Périodique] / HAVENS J. R. ; S. A. STRATHDEE ; C. M. FULLER ; R. IKEDA ; S. R. FRIEDMAN ; D. C. DES JARLAIS ; MORSE P. S. ; S. BAILEY ; P. KERNDT ; R. S. GARFEIN ; COLLABORATIVE INJECTION DRUG USER STUDY GROUP . - 2004 . - 261-269 : tabl. Drug and Alcohol Dependence, 2004, 75, (3), 261-269 Langues : Anglais (eng) Catégories : Thésaurus TOXIBASE HEROINE ; USAGER ; INJECTION ; SUICIDE ; TENTATIVE DE SUICIDE ; PREVALENCE ; COHORTE ; MILIEU URBAIN ; ADOLESCENT ; ADULTE JEUNE ; FACTEUR DE VULNERABILITE Index. décimale : EPI Epidémiologie / Epidemiology Résumé : ENGLISH : The purpose of this study was to determine the prevalence and correlates of attempted suicide among young injection drug users (IDUs) from six study sites in five US cities. Two thousand two hundred and nineteen participants 15-30 years of age underwent interviewer-administered questionnaires relating to self-reported drug use, sociodemographics, suicidal ideation and attempts, and exposure to violence. The 6-month prevalence of suicidal ideation and attempts was 35.8% (n = 795) and 7% (n = 156), respectively. Compared to those not reporting a recent (past 6 months) suicide attempt, those attempting suicide were more likely to have a lifetime history of mental health facility admission or sexual abuse. Participants receiving drug treatment at the time of the baseline interview (53.2% versus 37.1%, odds ratio [OR] = I.93, 95% confidence interval [CI]: 1.39, 2.67) were also more likely to report a recent attempt; as were those reporting a history of experiencing violence. These associations persisted after adjusting for age, sex, race/ethnicity, study site, and other significant covariates by multiple logistic regression. These data suggest that increased access to drug treatment, community mental health, and violence prevention programs may decrease suicidal behavior among young injection drug users. (Review's abstract.) Note de contenu : tabl. Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 48 Affiliation : Ctr. Drug Alcohol Res., Univ. KY, 915B South Limestone, Lexington, KY 40536 Etats-Unis. United States. Numéro Toxibase : 804655 Centre Emetteur : 08 CAS Strasbourg Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=17043

Correlates of enrollment in methadone maintenance treatment programs differ by HIV-serostatus / N. G. SHAH

Public ISBD Aucun avis sur cette notice. Titre : Correlates of enrollment in methadone maintenance treatment programs differ by HIV-serostatus Titre original : (Les corrélations de l'engagement dans un programme de maintenance à la méthadone diffèrent selon le sérostatut VIH.) Type de document : Périodique Auteurs : N. G. SHAH ; D. D. CELENTANO ; D. VLAHOV ; V. STAMBOLIS ; L. JOHNSON ; K. E. NELSON ; S. A. STRATHDEE Année de publication : 2000 Importance : 2035-2043 Présentation : tabl. ISBN/ISSN/EAN : 0269-9370 Note générale : AIDS, 2000, 14, 2035-2043 Langues : Anglais (eng) Catégories : Thésaurus TOXIBASE TRAITEMENT DE MAINTENANCE ; METHADONE ; ECHANGE DE SERINGUES ; VIH ; SEROPOSITIVITE ; ETUDE LONGITUDINALE Thésaurus Géographique ETATS-UNIS Index. décimale : TRA Traitement et prise en charge / Treatment and care Résumé : FRANÇAIS : Dans une cohorte de 1480 UDVIs, soumise à des tests VIH semi-annuels et à des interviews de 1994 à 1998, et bénéficiant d'un programme d'échange de seringues, une analyse longitudinale a été faite afin de déterminer les corrélations à la participation à un programme méthadone. Bien qu'une même proportion d'usagers séropositifs et séronégatifs se soit engagée dans le programme méthadone (26 vs 22 %), les corrélations en fonction du statut sanguin diffèrent. Chez les participants séropositifs, la participation au programme méthadone est associée à un âge plus avancé. Chez les participants séronégatifs, la non participation au programme méthadone est associée au fait d'être Américain d'origine Africaine, d'avoir été incarcéré, ou d'être sans abri. Dans les 2 groupes, les femmes sont plus susceptibles de participer à un programme méthadone, ainsi que ceux qui bénéficient de Medicaid. Le suivi du programme d'échange de seringue est associé à un meilleur engagement dans un programme méthadone chez les UDVIs séronégatifs, particulièrement au cours de la première année. ENGLISH : objectives: To identify correlates of en rollment in methadone maintenance treatment programs (MMTP) among a prospective cohort of injection drug users (IDUs) in Baltimore, Maryland. Methods: A total of 1480 IDUs undergoing semi-annual HIV tests and interviews were studied between 1994 and 1998, during which time a needle exchange program was introduced. Longitudinal analysis using generalized estimating equations was used to identify correlates of MMTP participation over time. Results: Although similar proportions of HIV-seropositive and -seronegative IDUs enrolled in MMTP during follow-up (26 versus 22%, respectively), correlates of enrollment differed by HIV-serostatus. Among HIV-seropositive participants, older age [adjusted odds ratio (AOR, 1.37)] was associated with enrollment in MMTP. Among HIV-seronegative IDUs, factors associated with not enrolling in MMTP were being African American (AOR, 0.22) and having been recently incarcerated (AOR, 0.62) or homeless (AOR, 0.72). In both groups, females were twice as likely to be enrolled in MMTP, and those with Medicaid were 1.5 times more likely to be enrolled. When behavioral factors were lagged one visit, needle exchange program attendance was positively associated with MMTP enrollment among HIV-negative IDUs (AOR, 2.10); however, this association diminished significantly over time as dedicated treatment slots for needle exchange program participants became saturated. Conclusions: These findings underscore the need to improve access to MMTP, especially to certain subgroups such as African-Americans, the homeless, incarcerated and uninsured. Our data suggest that health care providers and needle exchange programs can facilitate enrollment into MMTP provided that adequate treatment slots are consistently available to this particularly vulnerable population. (Author' s abstract) Note de contenu : tabl. Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 51 Affiliation : Dept Epidemiology, The Johns Hopkins School of Public Health, Baltimore, Maryland. Etats-Unis. United States. Numéro Toxibase : 205433 Centre Emetteur : 02 Coordonnateur Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=25779 Correlates of enrollment in methadone maintenance treatment programs differ by HIV-serostatus = (Les corrélations de l'engagement dans un programme de maintenance à la méthadone diffèrent selon le sérostatut VIH.) [Périodique] / N. G. SHAH ; D. D. CELENTANO ; D. VLAHOV ; V. STAMBOLIS ; L. JOHNSON ; K. E. NELSON ; S. A. STRATHDEE . - 2000 . - 2035-2043 : tabl. ISSN : 0269-9370 AIDS, 2000, 14, 2035-2043 Langues : Anglais (eng) Catégories : Thésaurus TOXIBASE TRAITEMENT DE MAINTENANCE ; METHADONE ; ECHANGE DE SERINGUES ; VIH ; SEROPOSITIVITE ; ETUDE LONGITUDINALE Thésaurus Géographique ETATS-UNIS Index. décimale : TRA Traitement et prise en charge / Treatment and care Résumé : FRANÇAIS : Dans une cohorte de 1480 UDVIs, soumise à des tests VIH semi-annuels et à des interviews de 1994 à 1998, et bénéficiant d'un programme d'échange de seringues, une analyse longitudinale a été faite afin de déterminer les corrélations à la participation à un programme méthadone. Bien qu'une même proportion d'usagers séropositifs et séronégatifs se soit engagée dans le programme méthadone (26 vs 22 %), les corrélations en fonction du statut sanguin diffèrent. Chez les participants séropositifs, la participation au programme méthadone est associée à un âge plus avancé. Chez les participants séronégatifs, la non participation au programme méthadone est associée au fait d'être Américain d'origine Africaine, d'avoir été incarcéré, ou d'être sans abri. Dans les 2 groupes, les femmes sont plus susceptibles de participer à un programme méthadone, ainsi que ceux qui bénéficient de Medicaid. Le suivi du programme d'échange de seringue est associé à un meilleur engagement dans un programme méthadone chez les UDVIs séronégatifs, particulièrement au cours de la première année. ENGLISH : objectives: To identify correlates of en rollment in methadone maintenance treatment programs (MMTP) among a prospective cohort of injection drug users (IDUs) in Baltimore, Maryland. Methods: A total of 1480 IDUs undergoing semi-annual HIV tests and interviews were studied between 1994 and 1998, during which time a needle exchange program was introduced. Longitudinal analysis using generalized estimating equations was used to identify correlates of MMTP participation over time. Results: Although similar proportions of HIV-seropositive and -seronegative IDUs enrolled in MMTP during follow-up (26 versus 22%, respectively), correlates of enrollment differed by HIV-serostatus. Among HIV-seropositive participants, older age [adjusted odds ratio (AOR, 1.37)] was associated with enrollment in MMTP. Among HIV-seronegative IDUs, factors associated with not enrolling in MMTP were being African American (AOR, 0.22) and having been recently incarcerated (AOR, 0.62) or homeless (AOR, 0.72). In both groups, females were twice as likely to be enrolled in MMTP, and those with Medicaid were 1.5 times more likely to be enrolled. When behavioral factors were lagged one visit, needle exchange program attendance was positively associated with MMTP enrollment among HIV-negative IDUs (AOR, 2.10); however, this association diminished significantly over time as dedicated treatment slots for needle exchange program participants became saturated. Conclusions: These findings underscore the need to improve access to MMTP, especially to certain subgroups such as African-Americans, the homeless, incarcerated and uninsured. Our data suggest that health care providers and needle exchange programs can facilitate enrollment into MMTP provided that adequate treatment slots are consistently available to this particularly vulnerable population. (Author' s abstract) Note de contenu : tabl. Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 51 Affiliation : Dept Epidemiology, The Johns Hopkins School of Public Health, Baltimore, Maryland. Etats-Unis. United States. Numéro Toxibase : 205433 Centre Emetteur : 02 Coordonnateur Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=25779

Correlates of receptive and distributive needle sharing among injection drug users in Kabul, Afghanistan / TODD C. S.

Public ISBD Aucun avis sur cette notice. Titre : Correlates of receptive and distributive needle sharing among injection drug users in Kabul, Afghanistan Type de document : Périodique Auteurs : TODD C. S. ; A. M. S. ABED ; P. T. SCOTT ; BOTROS B. A. ; SAFI N. ; K. C. EARHART ; S. A. STRATHDEE Année de publication : 2008 Importance : 91-100 Note générale : American Journal of Drug and Alcohol Abuse, 2008, 34, (1), 91-100 Langues : Français (fre) Catégories : Thésaurus TOXIBASE INJECTION ; USAGER ; PARTAGE DE SERINGUE ; REDUCTION DES RISQUES ; ETUDE TRANSVERSALE Thésaurus Géographique AFGHANISTAN Index. décimale : PRE Prévention / Prevention Résumé : ENGLISH : We describe receptive and distributive needle/syringe sharing among injection drug users (IDUs) in Kabul, Afghanistan. In this cross-sectional study, IDUs completed an interviewer-administered questionnaire. Logistic regression identified correlates of needle sharing in the last six months. Receptive and distributive sharing in the last six months were reported by 28.2% and 28.7% of participants, respectively, and were both independently associated with reported difficulty obtaining new syringes (Receptive sharing: AOR = 2.60, 95% CI: 1.66-4.06; Distributive: AOR = 1.56, 95% CI: 1.02-2.39). Receptive and distributive sharing are common among IDU in Kabul; scaling up availability of sterile, no-cost injecting equipment is urgently needed. (Author' s abstract) Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 25 Affiliation : Division of International Health and Cross-Cultural Medicine, University of California, San Diego, La Jolla, CA. Email : cstodd@ucsd.edu Etats-Unis. United States. Centre Emetteur : 13 OFDT Cote : A03580 Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=52799 Correlates of receptive and distributive needle sharing among injection drug users in Kabul, Afghanistan [Périodique] / TODD C. S. ; A. M. S. ABED ; P. T. SCOTT ; BOTROS B. A. ; SAFI N. ; K. C. EARHART ; S. A. STRATHDEE . - 2008 . - 91-100. American Journal of Drug and Alcohol Abuse, 2008, 34, (1), 91-100 Langues : Français (fre) Catégories : Thésaurus TOXIBASE INJECTION ; USAGER ; PARTAGE DE SERINGUE ; REDUCTION DES RISQUES ; ETUDE TRANSVERSALE Thésaurus Géographique AFGHANISTAN Index. décimale : PRE Prévention / Prevention Résumé : ENGLISH : We describe receptive and distributive needle/syringe sharing among injection drug users (IDUs) in Kabul, Afghanistan. In this cross-sectional study, IDUs completed an interviewer-administered questionnaire. Logistic regression identified correlates of needle sharing in the last six months. Receptive and distributive sharing in the last six months were reported by 28.2% and 28.7% of participants, respectively, and were both independently associated with reported difficulty obtaining new syringes (Receptive sharing: AOR = 2.60, 95% CI: 1.66-4.06; Distributive: AOR = 1.56, 95% CI: 1.02-2.39). Receptive and distributive sharing are common among IDU in Kabul; scaling up availability of sterile, no-cost injecting equipment is urgently needed. (Author' s abstract) Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 25 Affiliation : Division of International Health and Cross-Cultural Medicine, University of California, San Diego, La Jolla, CA. Email : cstodd@ucsd.edu Etats-Unis. United States. Centre Emetteur : 13 OFDT Cote : A03580 Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=52799

Correlates of unsafe syringe acquisition and disposal among injection drug users in Baltimore, Maryland / E. T. GOLUB

Public ISBD Aucun avis sur cette notice. Titre : Correlates of unsafe syringe acquisition and disposal among injection drug users in Baltimore, Maryland Titre original : (Facteurs en corrélation avec des pratiques dangereuses d'acquisition et l'évacuation des seringues chez des usagers de drogue par voie injectable à Baltimore, Maryland) Type de document : Périodique Auteurs : E. T. GOLUB ; J. C. BARETA ; S. H. MEHTA ; MAC CALL L. D. ; D. VLAHOV ; S. A. STRATHDEE Année de publication : 2005 Importance : 1751-1764 Présentation : tabl. Note générale : Substance Use and Misuse, 2005, 40, (12), 1751-1764 Langues : Anglais (eng) Catégories : Thésaurus TOXIBASE USAGER ; SERINGUE ; CONDUITE A RISQUE ; VIH ; HEPATITE ; REDUCTION DES RISQUES ; PROGRAMME ; ECHANGE DE SERINGUES Index. décimale : MAL Maladies infectieuses / Infectious diseases Résumé : ENGLISH : Because multi-person syringe use is the most common vehicle for HIV and hepatitis C virus transmission among injection drug users (IDUs), safe sources of sterile syringes and safe methods of disposal are necessary to curb these epidemics. We examined syringe acquisition and disposal in a cohort of IDUs in Baltimore. Between January 1, 1998 and December 31, 2001, 1034 participants reported on syringe acquisition at 3492 visits, and 953 reported on disposal at 2569 visits. Participants were 69.9% male, 93.9% African-American, and median age was 44. Syringes were acquired exclusively from unsafe sources at 32.3% of visits, while exclusively unsafe disposal was reported at 59.3% of visits. Significant correlates of unsafe acquisition were: attending shooting galleries, anonymous sex, sharing needles, smoking crack, and emergency room visits. Significant correlates of unsafe disposal were: injecting speedball, no methadone treatment, acquiring safely and frequent injection. Having a primary source of medical care was associated with safe acquisition, but unsafe disposal. IDUs continue to acquire safely but dispose unsafely, especially among those with a primary source of care; this suggests that messages about safe disposal are not being disseminated as widely as those about acquisition. These data suggest the need for a more active program involving pharmacists, an expanded syringe access program, and better efforts to enhance safe disposal. (Editor's abstract.) Note de contenu : tabl. Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 40 Affiliation : Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, Maryland. E-mail : egolubjhsph.edu Etats-Unis. United States. Numéro Toxibase : 404896 Centre Emetteur : 04 CIRDD-51 Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=15273 Correlates of unsafe syringe acquisition and disposal among injection drug users in Baltimore, Maryland = (Facteurs en corrélation avec des pratiques dangereuses d'acquisition et l'évacuation des seringues chez des usagers de drogue par voie injectable à Baltimore, Maryland) [Périodique] / E. T. GOLUB ; J. C. BARETA ; S. H. MEHTA ; MAC CALL L. D. ; D. VLAHOV ; S. A. STRATHDEE . - 2005 . - 1751-1764 : tabl. Substance Use and Misuse, 2005, 40, (12), 1751-1764 Langues : Anglais (eng) Catégories : Thésaurus TOXIBASE USAGER ; SERINGUE ; CONDUITE A RISQUE ; VIH ; HEPATITE ; REDUCTION DES RISQUES ; PROGRAMME ; ECHANGE DE SERINGUES Index. décimale : MAL Maladies infectieuses / Infectious diseases Résumé : ENGLISH : Because multi-person syringe use is the most common vehicle for HIV and hepatitis C virus transmission among injection drug users (IDUs), safe sources of sterile syringes and safe methods of disposal are necessary to curb these epidemics. We examined syringe acquisition and disposal in a cohort of IDUs in Baltimore. Between January 1, 1998 and December 31, 2001, 1034 participants reported on syringe acquisition at 3492 visits, and 953 reported on disposal at 2569 visits. Participants were 69.9% male, 93.9% African-American, and median age was 44. Syringes were acquired exclusively from unsafe sources at 32.3% of visits, while exclusively unsafe disposal was reported at 59.3% of visits. Significant correlates of unsafe acquisition were: attending shooting galleries, anonymous sex, sharing needles, smoking crack, and emergency room visits. Significant correlates of unsafe disposal were: injecting speedball, no methadone treatment, acquiring safely and frequent injection. Having a primary source of medical care was associated with safe acquisition, but unsafe disposal. IDUs continue to acquire safely but dispose unsafely, especially among those with a primary source of care; this suggests that messages about safe disposal are not being disseminated as widely as those about acquisition. These data suggest the need for a more active program involving pharmacists, an expanded syringe access program, and better efforts to enhance safe disposal. (Editor's abstract.) Note de contenu : tabl. Domaine Toxibase : Drogues illicites. Illicit drugs. Refs biblio. : 40 Affiliation : Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, Maryland. E-mail : egolubjhsph.edu Etats-Unis. United States. Numéro Toxibase : 404896 Centre Emetteur : 04 CIRDD-51 Permalink : http://bdoc.ofdt.fr/pmb/opac_css/index.php?lvl=notice_display&id=15273