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Getting to Zero: We Can't Do It Without Addressing Substance Use.

Richard A Jenkins1

  • 1National Institute on Drug Abuse, Bethesda, Maryland.

AIDS Education and Prevention : Official Publication of the International Society for AIDS Education
|July 4, 2018
PubMed
Summary
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Achieving HIV elimination by 2030 requires addressing substance use, which impacts HIV risk, treatment, and overall health. A comprehensive approach integrating substance use services is crucial for reducing new HIV cases.

Area of Science:

  • Public Health
  • Infectious Disease Epidemiology
  • Addiction Medicine

Background:

  • Substance use significantly impedes HIV elimination goals, affecting diverse risk groups.
  • Limited attention is given to non-injection drug use and the syndemic nature of HIV and substance use.
  • Existing HIV prevention and care strategies need enhanced integration of substance use interventions.

Purpose of the Study:

  • To highlight the critical role of substance use in the HIV epidemic.
  • To advocate for a comprehensive approach to HIV prevention and care that integrates substance use services.
  • To emphasize the need to build upon successful HIV/AIDS management strategies like Seek, Test, Treat, and Retain.

Main Methods:

  • Literature review and synthesis of existing research on HIV and substance use.
Keywords:
getting to zerosubstance use

Related Experiment Videos

  • Analysis of the impact of substance use on HIV transmission, risk behaviors, and treatment adherence.
  • Examination of syndemic interactions between HIV and substance use.

    • Main Results:

    • Substance use affects sexual risk behavior, treatment adherence, and systemic factors like immunity and inflammation.
    • Non-injection drug use and the syndemic nature of HIV and substance use are often overlooked.
    • Comprehensive integration of substance use services is essential for effective HIV prevention and care.

    Conclusions:

    • HIV elimination by 2030 is unattainable without addressing substance use comprehensively.
    • Evidence-based services must integrate the multifaceted influences of substance use on HIV.
    • Building on the success of the Seek, Test, Treat, and Retain model is vital for reducing new HIV cases among drug users.