Advertisement

Observations on the Stabilization of HIV Seroprevalence Among Injecting Drug Users

  • D. C. Des Jarlais

Abstract

HIV seroprevalence among injecting drug users (IDUs) has stabilized in a large number of cities, including New York,1 Stockholm,2 Vienna,3 Amsterdam,4 San Francisco,5 and Innsbruck.6 This stabilization has occurred at very different levels of HIV seroprevalence, from the 50% in New York to the 12% in San Francisco. The precise reasons why the stabilization has occurred at such differing levels have yet to be determined, but probably include: the extent to which HIV had already spread among the local group of IDUs (prior to large-scale AIDS risk reduction); and the extent to which the local legal, geographic, and social organization of the “community” of IDUs facilitates the multi-person use of injection equipment. Stabilization of HIV seroprevalence among IDUs in various cities has now occurred often enough that it can be considered a “normal” outcome of an HIV epidemic among IDUs.

Keywords

Illicit Drug Drug Injector Inject Drug User Local Group Seroconversion Rate 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Des Jarlais DC, Friedman SR, Novick D, et al: HIV-1 Infection among intravenous drug users in Manhattan, New York City. JAMA 1989;261(7)1008–1012.PubMedCrossRefGoogle Scholar
  2. 2.
    Kall K, Olin R: HIV status and changes in risk behavior among intravenous drug users in Stockholm 1987–88. AIDS 1990;4(2)153–157.PubMedCrossRefGoogle Scholar
  3. 3.
    Loimer N, Presslich O, Hollerer E, Pakesch G, Pfersman V, Werner E: Monitoring HIV-1 infection prevalence among intravenous drug users in Vienna 1986–1990. AIDS Care 1990; 2 (3): 281–286.PubMedCrossRefGoogle Scholar
  4. 4.
    Van Haastrecht HJA, van den Hoek JAR, Bardoux C, LeentvaarKuypers A, Coutinho RA: The course of the HIV epidemic among intravenous drug users in Amsterdam, the Netherlands. Am J Public Health 1991; 81 (1): 59–62.PubMedCrossRefGoogle Scholar
  5. 5.
    Watters JK, Cheng Y, Segal M, Lorvick J, Case P, Carlson J: Epidemiology and prevention of HIV in intravenous drug users in San Francisco, 1986–1989. Read before the Sixth International Conference on AIDS, San Francisco, June 22, 1990.Google Scholar
  6. 6.
    Fuchs D, Unterweger B, Hausen A, et al. Anti-HIV-1 antibodies, anti-HTLV-1 antibodies and neopterin levels in parenteral drug addicts in the Austrian Tyrol. JAIDS 1988; 1 (1): 65–66.Google Scholar
  7. 7.
    Waldorf D, Biernacki P: Natural recovery from heroin addiction: A review of the incidence literature. J of Drug Issues 1979; 9: 2, 281–289.Google Scholar

Copyright information

© Springer-Verlag/Wien 1991

Authors and Affiliations

  • D. C. Des Jarlais
    • 1
  1. 1.Beth Israel Medical CenterNew YorkUSA

Personalised recommendations