This paper assesses policy development, service changes and trends in HIV infection and risk behaviour among injecting drug users (IDUs) in the United Kingdom.
In 1986, the U.K. was faced with the possible rapid spread of HIV infection among IDUs.
The combination of an outbreak of HIV infection with prevalence levels of 50% or more in Edinburgh, the recent diffusion of drug injecting, and high levels of syringe-sharing risk behaviour, suggested that HIV infection might spread rapidly through IDU populations.
HIV prevention activities commenced in 1986 and developed in 1987.
The first report on AIDS and Drugs Misuse by the Advisory Council on the Misuse of Drugs in 1988 was a major catalyst for change.
It supported and legitimized emergent views on new ways of working with drug users.
This paper acknowledges the difficulties is proving links between social interventions and epidemic prevention.
It argues that there is prima facie evidence for the success of public health prevention, that the collection of intervention approaches in the U.K. had a significant impact on IDUs behaviour, and that this has helped prevent an epidemic of HIV infection among IDUs.
The U.K. experience adds to the growing evidence of the significance of early interventions in encouraging behaviour change and in limiting the spread of HIV infection.
Mots-clés Pascal : Toxicomanie, Voie intraveineuse, Epidémiologie, SIDA, Virose, Infection, Homme, Royaume Uni, Europe, Comportement, Prise risque, Politique sanitaire, Prévention, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : Drug addiction, Intravenous administration, Epidemiology, AIDS, Viral disease, Infection, Human, United Kingdom, Europe, Behavior, Risk taking, Health policy, Prevention, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0497228
Code Inist : 002B06D01. Création : 01/03/1996.