A DECLINE IN HIV-INFECTED NEEDLES RETURNED TO NEW-HAVENS NEEDLE EXCHANGE PROGRAM - CLIENT SHIFT OR NEEDLE EXCHANGE

被引:41
作者
KAPLAN, EH
KHOSHNOOD, K
HEIMER, R
机构
[1] YALE UNIV,SCH MED,DEPT INTERNAL MED,NEW HAVEN,CT 06520
[2] YALE UNIV,SCH MED,DEPT EPIDEMIOL & PUBL HLTH,NEW HAVEN,CT 06520
关键词
D O I
10.2105/AJPH.84.12.1991
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The New Haven needle exchange program experienced a significant decline in the fraction of returned needles containing human immunodeficiency virus 1 (HIV-1) proviral DNA. Is this decline due to the operations of the needle exchange or to a shift in clients? Analysis of demographic and behavioral data revealed that only one variable, the race of participating clients, changed significantly over time. However, HIV-1 prevalences in needles given to Whites and to non-Whites were not statistically different. Thus, client shift cannot be responsible for the decline in the observed HIV prevalence in needles. Instead, needle circulation times were a significant predictor of HIV prevalence.
引用
收藏
页码:1991 / 1994
页数:4
相关论文
共 17 条
[1]   PREVALENCE OF HIV INFECTION AMONG INTRAVENOUS DRUG-USERS IN THE UNITED-STATES [J].
HAHN, RA ;
ONORATO, IM ;
JONES, TS ;
DOUGHERTY, J .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1989, 261 (18) :2677-2684
[2]   DETECTION BY POLYMERASE CHAIN-REACTION OF HUMAN-IMMUNODEFICIENCY-VIRUS TYPE-1 PROVIRAL DNA-SEQUENCES IN NEEDLES OF INJECTING DRUG-USERS [J].
HEIMER, R ;
MYERS, SS ;
CADMAN, EC ;
KAPLAN, EH .
JOURNAL OF INFECTIOUS DISEASES, 1992, 165 (04) :781-782
[3]   NEEDLE EXCHANGE DECREASES THE PREVALENCE OF HIV-1 PROVIRAL DNA IN RETURNED SYRINGES IN NEW-HAVEN, CONNECTICUT [J].
HEIMER, R ;
KAPLAN, EH ;
KHOSHNOOD, K ;
JARIWALA, B ;
CADMAN, EC .
AMERICAN JOURNAL OF MEDICINE, 1993, 95 (02) :214-220
[4]  
HEIMER R, 1992, NEW ENGL J MED, V327, P1883, DOI 10.1056/NEJM199212243272613
[5]  
HEIMER R, 1993, 9 INT C AIDS BERL
[6]   CORRELATES OF HIV SEROPOSITIVITY AMONG INJECTION-DRUG USERS NOT IN TREATMENT [J].
IGUCHI, MY ;
PLATT, JJ ;
FRENCH, J ;
BAXTER, RC ;
KUSHNER, H ;
LIDZ, VM ;
BUX, DA ;
ROSEN, M ;
MUSIKOFF, H .
JOURNAL OF DRUG ISSUES, 1992, 22 (04) :849-866
[7]  
Kaplan E. H., 1991, AIDS and Public Policy Journal, V6, P109
[8]   LET THE NEEDLES DO THE TALKING - EVALUATING THE NEW-HAVEN NEEDLE EXCHANGE [J].
KAPLAN, EH ;
OKEEFE, E .
INTERFACES, 1993, 23 (01) :7-26
[9]  
KAPLAN EH, 1993, CHANCE, V6, P9
[10]  
MARMOR M, 1987, AIDS, V1, P39