| Titre : | Declining seroprevalence in a Very Large HIV epidemic : Injecting drug users in New York City, 1991 to 1996. (1998) |
| Auteurs : | D.C. DES JARLAIS ; M. BEARDSLEY ; S.T. BEATRICE ; T. CHAPMAN ; E. DEBERNARDO ; S. DEREN ; S.R. FRIEDMAN ; M. MARMOR ; E. MONTERROSO ; D. PAONE ; T. PERLIS ; J.L. SOTHERAN ; L.V. TORIAN ; S. TORTU ; Beth Israel Medical Center. New York. NY. USA ; National Development and Research Institutes Inc. New York. NY. USA ; New York City Department of Health. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 88, n° 12, 1998) |
| Pagination : | 1801-1806 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Virose ; Infection ; Séropositivité ; VIH ; Rétrovirus ; Virus ; Toxicomanie ; Epidémiologie ; Prévalence ; Evolution ; Toxicomane ; Homme ; Etats Unis ; Amérique ; Immunopathologie ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST ajPzR0x8. Diffusion soumise à autorisation]. Objectives. This study assessed recent trends in HIV seroprevalence among injecting drug users in New York City. Methods. We analyzed temporal trends in HIV seroprevalence from 1991 through 1996 in 5 studies of injecting drug users recruited from a detoxification program, a methadone maintenance program, research storefronts in the Lower East Side and Harlem areas, and a citywide network of sexually transmitted disease clinics. A total of 11 334 serum samples were tested. Results. From 1991 through 1996, HIV seroprevalence declined substantially among subjects in all 5 studies : from 53% to 36% in the detoxification program, from 45% to 29% in the methadone program, from 44% to 22% at the Lower East Side storefront, from 48% to 21% at the Harlem storefront, and from 30% to 21% in the sexually transmitted disease clinics (all P<. 002 by X2tests for trend). Conclusions. The reductions in HIV seroprevalence seen among injecting drug users in New York City from 1991 through 1996 indicate a new phase in this large HIV epidemic. Potential explanatory factors include the loss of HIV-seropositive individuals through disability and death and lower rates of risk behavior leading to low HIV incidence. |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact