person-years at risk (4.4,8.6).
In a pooled-data, multivariate proportional-hazards analysis, not using the exchanges was associated with a hazard ratio of 3.35 (95% CI 1.29,8.65) for incident HIV infection compared with using the exchanges.
Interpretation We observed an individual-level protective effect against HIV infection associated with participation in a syringe-exchange programme.
Sterile injection equipment should be legally provided to reduce the risk of HIV infection in persons who inject illicit drugs.
Background There have been no studies showing that participation in programmes which provide legal access to drug-injection equipment leads to individual-level protection against incident HIV infection.
We have compared HIV incidence among injecting drug users participating in syringe-exchange programmes in New York City with that among non-participants. (...)
Mots-clés Pascal : SIDA, Virose, Infection, Toxicomanie, Voie intraveineuse, Programme sanitaire, Echange, Seringue, New York, Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Homme, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Drug addiction, Intravenous administration, Sanitary program, Exchange, Syringe, New York, United States, North America, America, Epidemiology, Human, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0474909
Code Inist : 002B06D01. Création : 10/04/1997.