HIV incidence among injection drug users in New York City, 1992-1997: Evidence for a declining epidemic

D.C. Des Jarlais, M. Marmor, P. Friedmann, S. Titus, E. Aviles, S. Deren, L. Torian, D. Glebatis, C. Murrill, E. Monterroso and S.R. Friedman

American Journal of Public Health, 2000, vol. 90, issue 3, 352-359

Abstract: Objectives. We assessed recent (1992-1997) HIV incidence in the large HIV epidemic among injection drug users in New York City. Methods. Data were compiled from 10 separate studies (N = 4979), including 6 cohort studies, 2 'repeat service user' studies, and 2 analyses of voluntary HIV testing and counseling services within drug treatment programs. Results. In the 10 studies, 52 seroconversions were found in 6344 person-year at risk. The observed incidence rates among the 10 studies were all within a narrow range, from 0 per 100 person-years at risk to 2.96 per 100 person-years at risk. In 9 of the 10 studies, the observed incidence rate was less than 2 per 100 person-years at risk. The weighted average incidence rate was 0.7 per 100 person-years at risk. Conclusions. The recent incidence rate in New York City is quite low for a high-seroprevalence population of injection drug users. The very large HIV epidemic among injection drugs users in New York City appears to have entered a 'declining phase,' characterized by low incidence and declining prevalence. The data suggest that very large high- seroprevalence HIV epidemics may be 'reversed'.

Date: 2000
References: Add references at CitEc
Citations: View citations in EconPapers (1)

There are no downloads for this item, see the EconPapers FAQ for hints about obtaining it.

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:2000:90:3:352-359_1

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 ().