|Titre :||What happened to the HIV epidemic among non-injecting drug users in New York City? (2017)|
|Auteurs :||D. C. DES JARLAIS ; K. ARASTEH ; C. McKNIGHT ; J. FEELEMYER ; A. N. C. CAMPBELL ; S. TROSS ; H. L. F. COOPER ; H. HAGAN ; D. C. PERLMAN|
|Type de document :||Article : Périodique|
|Dans :||Addiction (Vol.112, n°2, February 2017)|
|Article en page(s) :||290-298|
|Note générale :||Commentary: Robust public health policies as a way forward in the HIV epidemic. Whitehead N.E., p. 299-300.|
|Discipline :||MAL (Maladies infectieuses / Infectious diseases)|
Thésaurus TOXIBASEVIH ; PREVALENCE ; VOIE D'ADMINISTRATION ; COCAINE ; HEROINE ; ETUDE CLINIQUE ; CRACK ; CONDUITE A RISQUE
Background and aims: HIV has reached high prevalence in many non-injecting drug user (NIDU) populations. The aims of this study were to (1) examine the trend in HIV prevalence among non-injecting cocaine and heroin NIDUs in New York City, (2) identify factors potentially associated with the trend and (3) estimate HIV incidence among NIDUs.
Design: Serial-cross sectional surveys of people entering drug treatment programs. People were permitted to participate only once per year, but could participate in multiple years.
Setting: Mount Sinai Beth Israel drug treatment programs in New York City, USA.
Participants: We recruited 3298 non-injecting cocaine and heroin users from 2005 to 2014. Participants were 78.7% male, 6.1% white, 25.7% Hispanic and 65.8% African American. Smoking crack cocaine was the most common non-injecting drug practice.
Measures: Trend tests were used to examine HIV prevalence, demographics, drug use, sexual behavior and use of antiretroviral treatment (ART) by calendar year; ?2 and multivariable logistic regression were used to compare 2005-10 versus 2011-14.
Findings: HIV prevalence declined approximately 1% per year (P Conclusions: HIV prevalence has declined and a high percentage of HIV-positive non-injecting drug users (NIDUs) are receiving antiretroviral treatment, suggesting an end to the HIV epidemic among NIDUs in New York City. These results can be considered a proof of concept that it is possible to control non-injecting drug use related sexual transmission HIV epidemics.
|Domaine :||Drogues illicites / Illicit drugs|
|Refs biblio. :||45|
|Affiliation :||Icahn School of Medicine at Mount Sinai, New York, NY, USA|