As the acquired immunodeficiency syndrome (AIDS) epidemic among drug users enters its third decade in the United States, it is important to consider the role played by substance abuse treatment in the prevention of human immunodeficiency virus (HIV) infection.
The authors review the research literature, examining findings from studies with behavioral and serologic measures on the association among treatment participation, HIV risk reduction, and HIV infection.
Numerous studies have now documented that significantly lower rates of drug use and related risk behaviors are practiced by injecting drug users (IDUs) who are in treatment.
Importantly, these behavioral differences, based primarily on self-report, are consistent with studies that have examined HIV seroprevalence and seroincidence among drug users.
The underlying mechanism of action suggested by the collective findings of the available literature is rather simple-individuals who enter and remain in treatment reduce their drug use, which leads to fewer instances of drug-related risk behavior.
This lower rate of exposure results in fewer infections with HIV.
The protective effects of treatment, however, can only be achieved when programs are accessible and responsive to the changing needs of drug users.
Future research needs to be directed at developing a better understanding of the factors that enhance treatment entry and retention.
Mots-clés Pascal : SIDA, Virose, Infection, Toxicomanie, Facteur risque, Prévention, Incidence, Participation, Traitement, Evaluation, Homme, Etats Unis, Amérique du Nord, Amérique, Revue bibliographique, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Drug addiction, Risk factor, Prevention, Incidence, Participation, Treatment, Evaluation, Human, United States, North America, America, Bibliographic review, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0414231
Code Inist : 002B05C02D. Création : 22/03/2000.