Historique
Périodique
Do needle syringe programs reduce HIV infection among injecting drug users: a comprehensive review of the international evidence
(Les programmes d'échange de seringues mènent-ils à une réduction des infections VIH chez les usagers de drogues par voie injectable ? Une revue exhaustive des données internationales)
Auteur(s) :
WODAK, A. ;
COONEY, A.
Année
2006
Page(s) :
777-813
Sous-type de document :
Revue de la littérature / Literature review
Langue(s) :
Anglais
Refs biblio. :
135
Domaine :
Drogues illicites / Illicit drugs
Discipline :
MAL (Maladies infectieuses / Infectious diseases)
Thésaurus mots-clés
REDUCTION DES RISQUES ET DES DOMMAGES
;
PROGRAMME
;
ECHANGE DE SERINGUES
;
FACTEUR DE RISQUE
;
PREVENTION
;
VIH
;
EFFICACITE
;
COUT
;
EVALUATION
Thésaurus géographique
AUSTRALIE
Note générale :
Substance Use and Misuse, 2006, 41, (6-7), 777-813
Résumé :
This first international review of the evidence that needle syringe programs reduce HIV infection among injecting drug users found that conservative interpretation of the published data fulfills six of the nine Bradford Hill criteria (strength of association, replication of findings, temporal sequence, biological plausibility, coherence of evidence, and reasoning by analogy) and all six additional criteria (cost-effectiveness, absence of negative consequences, feasibility of implementation, expansion and coverage, unanticipated benefits, and application to special populations). The Bradford Hill criteria are often used to evaluate public health interventions. The principal finding of this review was that there is compelling evidence of effectiveness, safety, and cost-effectiveness, consistent with seven previous reviews conducted by or on behalf of U.S. government agencies. Authorities in countries affected or threatened by HIV infection among injecting drug users should carefully consider this convincing evidence now available for needle syringe programs with a view to establishing or expanding needle syringe programs to scale.
Affiliation :
FRACP, Alcohol and Drug Service, St. Vincent's Hospital, Darling Hurst, Australia.