Consistent estimates of very low HIV incidence among people who inject drugs: New York City, 2005-2014

D.C. Des Jarlais, K. Arasteh, C. McKnight, J. Feelemyer, A.N.C. Campbell, S. Tross, Lones Smith, H.L.F. Cooper, H. Hagan and D. Perlman

American Journal of Public Health, 2016, vol. 106, issue 3, 503-508

Abstract: Objectives. To compare methods for estimating low HIV incidence among persons who inject drugs. Methods. We examined 4 methods in New York City, 2005 to 2014: (1) HIV seroconversions among repeat participants, (2) increase of HIV prevalence by additional years of injection among new injectors, (3) the New York State and Centers for Disease Control and Prevention stratified extrapolation algorithm, and (4) newly diagnosed HIV cases reported to the New York City Department of Health and Mental Hygiene. Results. The 4 estimates were consistent: (1) repeat participants: 0.37 per 100 person-years (PY; 95% confidence interval [CI] = 0.05/100 PY, 1.33/100 PY); (2) regression of prevalence by years injecting: 0.61 per 100 PY (95% CI = 0.36/100 PY, 0.87/100 PY); (3) stratified extrapolation algorithm: 0.32 per 100 PY (95% CI = 0.18/100 PY, 0.46/100 PY); and (4)newly diagnosed cases of HIV: 0.14 per 100PY (95%CI = 0.11/100 PY, 0.16/100 PY). Conclusions. All methods appear to capture the same phenomenon of very low and decreasing HIV transmission among persons who inject drugs. Public Health Implications. If resources are available, the use ofmultiple methodswould provide better information for public health purposes.

Keywords: adult; algorithm; female; health survey; HIV Infections; human; Human immunodeficiency virus infection; incidence; information processing; male; middle aged; New York; prevalence; procedures; substance abuse, Adult; Algorithms; Data Collection; Female; HIV Infections; HIV Seropositivity; Humans; Incidence; Male; Middle Aged; New York City; Prevalence; Public Health Surveillance; Substance Abuse, Intravenous (search for similar items in EconPapers)
Date: 2016
References: Add references at CitEc
Citations:

Downloads: (external link)
http://hdl.handle.net/10.2105/AJPH.2015.303019

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2015.303019_8

DOI: 10.2105/AJPH.2015.303019

Access Statistics for this article

American Journal of Public Health is currently edited by Alfredo Morabia

More articles in American Journal of Public Health from American Public Health Association
Bibliographic data for series maintained by Christopher F Baum ().