Historique
Périodique
Behavioral risk reduction in a declining HIV epidemic: injection drug users in New York City, 1990-1997
Auteur(s) :
DES JARLAIS, D. C. ;
PERLIS T. ;
FRIEDMAN, S. R. ;
CHAPMAN, T. ;
KWOK J. ;
ROCKWELL R. ;
PAONE, D. ;
MILLIKEN J. ;
MONTERROSO, E.
Année
2000
Page(s) :
1112-1116
Langue(s) :
Anglais
Refs biblio. :
22
Domaine :
Drogues illicites / Illicit drugs
Discipline :
MAL (Maladies infectieuses / Infectious diseases)
Thésaurus mots-clés
EVOLUTION
;
VIH
;
REDUCTION DES RISQUES ET DES DOMMAGES
;
CONDUITE A RISQUE
;
INJECTION
;
USAGER
;
ENQUETE
Thésaurus géographique
ETATS-UNIS
Note générale :
American Journal of Public Health, 2000, 90, (7), 1112-1116
Résumé :
OBJECTIVES: This study assessed trends in HIV risk behaviors among injection drug users in New York City from 1990 to 1997. METHODS: Injection drug users were recruited continuously from a large drug detoxification treatment program (N = 2588) and a research storefront located in a high-drug-use area (N = 2701). Informed consent was obtained, and a trained interviewer administered a structured interview covering sociodemographics, drug use history, HIV risk behavior, and participation in syringe exchange. RESULTS: Trends were assessed for 5 risk behaviors in the 6-month period before the interview. The 3 injection risk behaviors declined significantly over time at each site (all P < .01). When data were pooled across sites, all 5 risk behaviors declined significantly over time (all P < .01). Participation in syringe exchange programs and in HIV counseling and testing increased greatly from 1990 to 1997. CONCLUSIONS: The continuing risk reduction among injection drug users indicates a "declining phase" in the large HIV epidemic in New York City. HIV prevention programs appear to be making an important contribution to the declining phase. (Author' s abstract)
Affiliation :
Beth Israel Medical Center, Chemical Dependency Institute, New York, NY, USA
Cote :
A03753