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. 2005 Sep;82(3):434-45.
doi: 10.1093/jurban/jti088. Epub 2005 Jul 13.

HIV among injection drug users in large US metropolitan areas, 1998

Samuel R Friedman  1 , Spencer Lieb, Barbara Tempalski, Hannah Cooper, Marie Keem, Risa Friedman, Peter L Flom
Affiliations

HIV among injection drug users in large US metropolitan areas, 1998

Samuel R Friedman et al. J Urban Health. 2005 Sep.

Abstract

This article estimates HIV prevalence rates among injection drug users (IDUs) in 95 large US metropolitan areas to facilitate social and policy analyses of HIV epidemics. HIV prevalence rates among IDUs in these metropolitan areas were calculated by taking the mean of two estimates: (1) estimates based on regression adjustments to Centers for Disease Control and Prevention (CDC) Voluntary HIV Counseling and Testing data and (2) estimates based on the ratio of the number of injectors living with HIV to the number of injectors living in the metropolitan area. The validity of the resulting estimates was assessed. HIV prevalence rates varied from 2 to 28% (median 5.9%; interquartile range 4.0-10.2%). These HIV prevalence rates correlated with similar estimates calculated for 1992 and with two theoretically related phenomena: laws against over-the-counter purchase of syringes and income inequality. Despite limitations in the accuracy of these estimates, they can be used for structural analyses of the correlates, predictors and consequences of HIV prevalence rates among drug injectors in metropolitan areas and for assessing and targeting the service needs for drug injectors.

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References

    1. Holmberg SD. The estimated prevalence and incidence of HIV in 96 large US metropolitan areas. Am J Public Health. 1996;86:642–654. - PMC - PubMed
    1. Hurley SF, Jolley DJ, Kaldor JM. Effectiveness of needle-exchange programs for prevention of HIV infection. Lancet. 1997;21:1797–1800. doi: 10.1016/S0140-6736(96)11380-5. - DOI - PubMed
    1. MacDonald M, Law M, Kaldor J, Hales J, Dore G. Effectiveness of needle and syringe programmes for preventing HIV transmission. Int J Drug Policy. 2000;14:351–352.
    1. Friedman SR, Perlis TE, Lynch J, Jarlais DC. Economic inequality, poverty, and laws against syringe access as predictors of metropolitan area rates of drug injection and HIV infection. In: NIDA, editor. 2000 Global Research Network Meeting on HIV Prevention in Drug-Using Populations. Third Annual Meeting Report. Durban, South Africa, July 5–7, 2000. Washington, DC: US Department of Health and Human Services; 2001. pp. 147–149.
    1. Office of Management and Budget Standards for defining metropolitan and micropolitan statistical areas. Federal Register. 2000;65:8228–82238.

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