Historique
Périodique
Changing profiles of injecting drug users with AIDS in a Hispanic population
(Modifier le profil des usagers de drogue par injection ayant le SIDA dans une population hispanique)
Auteur(s) :
AMILL, A. ;
GOMEZ, M. L. A. ;
FERNANDEZ, D. M. ;
BANGDIWALA, S. I. ;
RIOS E. ;
HUNTER, R. F.
Année
2004
Page(s) :
1147-1156
Langue(s) :
Anglais
Refs biblio. :
51
Domaine :
Drogues illicites / Illicit drugs
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
PORTO RICO
Thésaurus mots-clés
USAGER
;
INJECTION
;
SIDA
;
CONDUITE A RISQUE
;
EVOLUTION
;
ETUDE LONGITUDINALE
Note générale :
Addiction, 2004, 99, (9), 1147-1156
Note de contenu :
tabl.
Résumé :
ENGLISH :
Aims : To describe and assess the changing trends in socio-demographic, risk, clinical and immunological parameters in male intravenous drug users (IDU) with AIDS. Design, setting and participants : Baseline description by year of entry of 610 male IDU with AIDS who entered into a cohort study in Bayamon, Puerto Rico, from 1992 to 2000. Study participants were evaluated at in-patient health-care facilities in the University Hospital Ramon Ruiz Arnau or in the ambulatory immunology clinic facilities. Findings : The median age at which subjects entered the study and the proportion of patients with an educational level lower than a high school degree increased from 1992 to 2000. Upward trends were also observed in the practice of injecting non-prescription drugs during the last 12-month period, the practice of needle sharing and the use of a combination of heroin and cocaine ('speedballs'). Higher proportions of subjects were also diagnosed with wasting syndrome and bacterial pneumonia. The median CD4 count recorded at entry decreased over the course of the study. Conclusions : Puerto Rican male IDU diagnosed with AIDS are arriving at health-care facilities in the latest stages of the disease. Better and early interventions with different health care approaches need to be developed. (Author' s abstract)
Affiliation :
Retrovirus Research Ctr, Univ. Central del Caribe, Ave. Laurel, Santa Juanita Bayamon, Puerto Rico 00956. E-mail: aamilluccaribe.edu
Etats-Unis. United States.
Etats-Unis. United States.