HIV/AIDS and drug abuse: epidemiology and prevention.

In the United States, the AIDS epidemic is a dynamic process with increasing rates of AIDS reported among women, minority populations, heterosexual men, and users of drugs by routes other than injection. The 1993 CDC AIDS definition change has created some difficulties in interpreting trends in the United States. Drug use continues to represent a significant problem among HIV-infected persons. Several strategies have been advanced to decrease transmission of HIV among drug users, their sexual partners and children. However, more effective and comprehensive prevention and treatment strategies are needed.

[1]  J. Chmiel,et al.  Sexual Adventurism, High‐Risk Behavior, and Human Immunodeficiency Virus‐1 Seroconversion Among the Chicago MACS‐CCS Cohort, 1984 to 1992: A Case‐Control Study , 1996, Sexually transmitted diseases.

[2]  M. Gourevitch.  The epidemiology of HIV and AIDS. Current trends. , 1996, The Medical clinics of North America.

[3]  W. Ling,et al.  Sexual HIV risk among gay and bisexual male methamphetamine abusers. , 1996, Journal of substance abuse treatment.

[4]  Samuel R Friedman,et al.  HIV incidence among injecting drug users in New York City syringe-exchange programmes , 1996, The Lancet.

[5]  T J Crowley,et al.  Substance abuse treatment entry, retention and effectiveness: out-of-treatment opiate injection drug users. , 1996, Drug and alcohol dependence.

[6]  S T Higgins,et al.  Sustained cocaine abstinence in methadone maintenance patients through voucher-based reinforcement therapy. , 1996, Archives of general psychiatry.

[7]  S. Holmberg,et al.  The estimated prevalence and incidence of HIV in 96 large US metropolitan areas. , 1996, American journal of public health.

[8]  M. Alter,et al.  Reduced risk of hepatitis B and hepatitis C among injection drug users in the Tacoma syringe exchange program. , 1995, American journal of public health.

[9]  E. H. Kaplan,et al.  HIV incidence among New Haven needle exchange participants: updated estimates from syringe tracking and testing data. , 1995, Journal of acquired immune deficiency syndromes and human retrovirology : official publication of the International Retrovirology Association.

[10]  T. Quinn,et al.  The Third Wave: HIV Infection among Heterosexuals in the United States and Europe , 1995, International journal of STD & AIDS.

[11]  D. Beebe,et al.  Smokable methamphetamine ('ice'): an old drug in a different form. , 1995, American family physician.

[12]  C. Rietmeijer,et al.  The types of drugs used by HIV-infected injection drug users in a multistate surveillance project: implications for intervention. , 1994, American journal of public health.

[13]  S. Holmberg,et al.  Intersecting epidemics--crack cocaine use and HIV infection among inner-city young adults. Multicenter Crack Cocaine and HIV Infection Study Team. , 1994, The New England journal of medicine.

[14]  B. Rounsaville,et al.  HIV infection and cocaine use in methadone maintained and untreated intravenous drug users. , 1994, Drug and alcohol dependence.

[15]  I. de Vincenzi,et al.  A Longitudinal Study of Human Immunodeficiency Virus Transmission by Heterosexual Partners , 1994 .

[16]  W. Ling,et al.  Substitution pharmacotherapies for opioid addiction: from methadone to LAAM and buprenorphine. , 1994, Journal of psychoactive drugs.

[17]  P. Stolley,et al.  Human immunodeficiency virus seroconversion among intravenous drug users in- and out-of-treatment: an 18-month prospective follow-up. , 1993, Journal of acquired immune deficiency syndromes.

[18]  P. Goldstein,et al.  Crack Pipe as Pimp: An Ethnographic Investigation of Sex-for-Crack Exchanges , 1993 .

[19]  S. Friedman,et al.  International epidemiology of HIV and AIDS among injecting drug users. , 1992, AIDS.

[20]  D. D. Jarlais,et al.  The first and second decades of AIDS among injecting drug users. , 1992 .

[21]  Alan Ross,et al.  The Effectiveness of Methadone Maintenance Treatment: Patients, Programs, Services, and Outcome , 1991 .

[22]  J. Wiley,et al.  Alcohol and Drug Use During Sexual Activity and Compliance with Safe Sex Guidelines for AIDS: The AIDS Behavioral Research Project , 1986, Health education quarterly.

[23]  W. Darrow,et al.  Cluster of cases of the acquired immune deficiency syndrome. Patients linked by sexual contact. , 1984, The American journal of medicine.

[24]  A. Goldstein,et al.  Methadyl acetate (LAAM) in the treatment of heroin addicts. II. Double-blind comparison of gradual and abrupt detoxification. , 1983, Archives of general psychiatry.

[25]  H. Masur,et al.  An outbreak of community-acquired Pneumocystis carinii pneumonia: initial manifestation of cellular immune dysfunction. , 1981, The New England journal of medicine.

[26]  N. Binkin,et al.  Methadone treatment as a determinant of HIV risk reduction among injecting drug users: a nested case-control study. , 1994, AIDS care.

[27]  M. Guinan,et al.  Epidemiologic aspects of the current outbreak of Kaposi's sarcoma and opportunistic infections. , 1982, The New England journal of medicine.