在注射毒品使用者群体中保持低的HIV血清流行率
D C Des Jarlais1, H Hagan, S R Friedman
1Chemical Dependency Institute, Beth Israel Medical Center, New York, NY, USA.
JAMA
|October 18, 1995
概括
早期预防注射毒品使用者 (IDU) 的艾滋病毒,包括无菌设备和社区外展,可以限制传播,即使是持续的风险行为. 这些策略对于处于风险人群至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 预防传染病 预防传染病
背景情况:
- 人类免疫缺陷病毒 (HIV) 对注射毒品使用者 (IDU) 构成重大风险.
- 在低血清流行率环境中了解成功的预防策略对于公共卫生干预至关重要.
研究的目的:
- 确定和描述在城市中艾滋病毒预防活动和风险行为,在城市中已建立了IDU人口,但艾滋病毒血清流行率较低 (<5%).
- 分析一些城市地区注射药物使用者持续低艾滋病毒感染率的共同因素.
主要方法:
- 一项文献搜索发现了五个城市 (格拉斯哥,隆德,悉尼,塔科马,多伦多) 在注射药物使用者中艾滋病毒血清流行率较低.
- 编制了病例史,详细介绍了IDU社区内的HIV预防举措和风险行为.
主要成果:
- 持续实施了三个关键的预防组成部分:在低血清流行率期间的早期干预,提供无菌注射设备和社区外展.
- 尽管进行了干预,中等水平的风险行为仍然存在,超过三分之一的注射药物使用者报告最近进行了不安全的注射.
结论:
- 在IDU人群中,即使具有持续的风险行为,也可以实现持续的低艾滋病毒传播.
- 建议早期实施综合预防策略,包括获得无菌设备和社区宣传,以帮助处于迅速传播艾滋病毒风险的IDU人群.
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