Syringe Exchange Programs: Lowering the Transmission of Syringe-Borne Diseases and Beyond

作者: Robert Heimer

DOI:

关键词: Public healthAcquired immunodeficiency syndrome (AIDS)Substance abuse treatmentSyringe-Exchange ProgramsTransmission (mechanics)ImmunologyRisk analysis (engineering)SyringeRisk factor (computing)Viral diseaseMedicine

摘要: Abstract OBJECTIVE: This chapter attempts to describe the factors influencing transmission of syringe-born viruses, review effects syringe exchange programs (SEPs) in terms these factors, and explore gamut health-promoting activities SEPs. RESULTS: The is divided into six sections: biological syringe-borne viral transmission, behavior quantifying preventing impediments research for transmission. Understanding how behavioral influence human immunodeficiency virus (HIV) hepatitis builds a framework investigate epidemiology impact SEPs on disease Even under circumstances which do not appear be effective, understanding implications can contribute our program benefits limitations. Furthermore, may restricted direct Many offer services drug injectors that include risk reduction training, facilitated entry substance abuse treatment, medical care. CONCLUSIONS: reduce viruses without increasing illicit use. However, lack resources, acceptance, consequently, protection many those at when they are most vulnerable have hampered effectiveness. New studies need designed explicate full measure benefit within covered communities identify means by expand individuals greatest risk.

参考文章(39)
Kaplan Eh, Heimer R, A model-based estimate of HIV infectivity via needle sharing. Journal of Acquired Immune Deficiency Syndromes. ,vol. 5, pp. 1116- 1118 ,(1992)
J. B. Zeldis, P. V. Holland, S. Jain, S. Samuels, C. Richards, K. Sazama, N. Flynn, I. K. Kuramoto, Seroepidemiology of viral infections among intravenous drug users in northern California. Western Journal of Medicine. ,vol. 156, pp. 30- 35 ,(1992)
David Vlahov, Benjamin Junge, The role of needle exchange programs in HIV prevention. Public Health Reports. ,vol. 113, pp. 75- 80 ,(1998)
Don C Des Jarlais, Samuel R Friedman, Jo L Sotheran, John Wenston, Michael Marmor, Stanley R Yancovitz, Blanche Frank, Sara Beatrice, Donna Mildvan, Continuity and Change Within an HIV Epidemic JAMA. ,vol. 271, pp. 121- 127 ,(1994) , 10.1001/JAMA.1994.03510260053028
Edward H. Kaplan, Elaine O'Keefe, Let the Needles Do the Talking! Evaluating the New Haven Needle Exchange Interfaces. ,vol. 23, pp. 7- 26 ,(1993) , 10.1287/INTE.23.1.7
Ellie E. Schoenbaum, Diana Hartel, Peter A. Selwyn, Robert S. Klein, Katherine Davenny, Martha Rogers, Cheryl Feiner, Gerald Friedland, Risk factors for human immunodeficiency virus infection in intravenous drug users. The New England Journal of Medicine. ,vol. 321, pp. 874- 879 ,(1989) , 10.1056/NEJM198909283211306
Don C Des Jarlais, Michael Marmor, Denise Paone, Stephen Titus, Qiuhu Shi, Theresa Perlis, Benny Jose, Samuel R Friedman, HIV incidence among injecting drug users in New York City syringe-exchange programmes The Lancet. ,vol. 348, pp. 987- 991 ,(1996) , 10.1016/S0140-6736(96)02536-6
Edward H. Kaplan, Robert Heimer, A circulation theory of needle exchange. AIDS. ,vol. 8, pp. 567- 574 ,(1994) , 10.1097/00002030-199405000-00001
R S Garfein, D Vlahov, N Galai, M C Doherty, K E Nelson, Viral infections in short-term injection drug users: the prevalence of the hepatitis C, hepatitis B, human immunodeficiency, and human T-lymphotropic viruses American Journal of Public Health. ,vol. 86, pp. 655- 661 ,(1996) , 10.2105/AJPH.86.5.655
P. Lurie, Invited commentary: le mystère de Montréal. American Journal of Epidemiology. ,vol. 146, pp. 1003- 1006 ,(1997) , 10.1093/OXFORDJOURNALS.AJE.A009227