Historique
Article de Périodique
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)
Auteur(s) :
WOLFE, D. ;
CARRIERI, M. P. ;
SHEPARD D.
Année :
2010
Page(s) :
355-366
Sous-type de document :
Revue de la littérature / Literature review
Langue(s) :
Anglais
Refs biblio. :
149
Domaine :
Drogues illicites / Illicit drugs
Discipline :
MAL (Maladies infectieuses / Infectious diseases)
Thésaurus mots-clés
VIH
;
TRAITEMENT
;
INFECTION
;
USAGER
;
PRISE EN CHARGE
;
ACCES AUX SOINS
;
TRAITEMENT DE MAINTENANCE
Thésaurus 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]
Affiliation :
Open Society Institute, International Harm Reduction Development Program, New York, NY, United States / Etats-Unis