Overview of HIV Among Injection Drug Users in New York City: Critical Next Steps to Eliminate Racial/Ethnic Disparities

被引：10

作者：

Amesty, Silvia ^{[2
,3
,4
]}

Rivera, Alexis V. ^{[3
]}

Fuller, Crystal M. ^{[1
,3
]}

机构：

[1] Columbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, Ctr Infect Dis Epidemiol Res, New York, NY 10032 USA

[2] Columbia Univ, Ctr Family & Community Med, Coll Phys & Surg, New York, NY 10032 USA

[3] New York Acad Med, Ctr Urban Epidemiol Studies, New York, NY USA

[4] Columbia Univ, Heilbrunn Dept Populat & Family Hlth, Mailman Sch Publ Hlth, New York, NY 10032 USA

来源：

SUBSTANCE USE & MISUSE | 2011年 / 46卷 / 2-3期

关键词：

risk behaviors; racial disparities; structural factors; structural interventions; disease burden; INCREASED LEGAL ACCESS; RISK BEHAVIORS; ANTIRETROVIRAL THERAPY; NEEDLE EXCHANGE; SYRINGE EXCHANGE; AFRICAN-AMERICAN; AMBULATORY-CARE; PUERTO-RICO; AIDS; HEALTH;

D O I：

10.3109/10826084.2011.523287

中图分类号：

R194 [卫生标准、卫生检查、医药管理];

学科分类号：

摘要：

At the start of the HIV epidemic, 50% of new infections were among injection drug users (IDUs) in New York City. While HIV has declined among IDUs since the mid-1990s, parenteral transmission continues to overburden Blacks/Hispanic IDUs. Individual risk behaviors do not explain the distribution of HIV/AIDS among IDUs. Social and/or structural factors are likely fueling racial disparities creating a high-risk socioenvironmental context. While increased access to structural interventions (i.e., syringe exchange and pharmacy syringe access) is needed, it may not be sufficient to eliminate HIV/AIDS disparities among IDUs. Research on incorporating structural factors into intervention strategies is needed.

引用

页码：285 / 294

页数：10

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