| Titre : | Behavioral risk reduction in a declining HIV epidemic : Injection drug users in New York city, 1990-1997. (2000) |
| Auteurs : | D.C. DES JARLAIS ; T. CHAPMAN ; S.R. FRIEDMAN ; J. KWOK ; J. MILLIKEN ; E. MONTERROSO ; D. PAONE ; T. PERLIS ; R. ROCKWELL ; Beth Israel Medical Center. New York. NY. USA ; National Development and Research Institutes. New York. NY. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 90, n° 7, 2000) |
| Pagination : | 1112-1116 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Virose ; Infection ; VIH ; Rétrovirus ; Virus ; Toxicomanie ; Epidémiologie ; Facteur risque ; Comportement ; Toxicomane ; Homme ; Etats Unis ; Amérique ; Immunopathologie ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST EKoR0xMY. Diffusion soumise à autorisation]. 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. |
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