Although lowering incidence rates of human immunodeficiency virus (HIV) transmission is the primary goal of needle exchange programs (NEPs), other desirable outcomes are possible.
Referring exchange participants to more comprehensive drug abuse treatment programs has the potential to reduce or eliminate the use of drugs.
This possibility was evaluated by comparing the treatment responses of new admissions with an outpatient opioid agonist treatment program in Baltimore, Maryland.
New admissions (1994-1997) to an opioid agonist treatment program were first grouped by referral source (needle exchange, n=82 vs. standard referrals, n=243) and then compared on admission demographic and clinical variables and response to treatment during the first three months.
Outcome measures included retention rates, self-reported drug use and injecting frequencies, self-reported illegal activities for profit, and results from weekly urinalysis testing for opioids and cocaine.
Patients from the NEP were significantly older and more likely to be male, African American, and unemployed than standard referral patients.
Needle exchange patients also had a greater baseline severity of drug use than patients in the standard referral group. (...)
Mots-clés Pascal : SIDA, Virose, Infection, Toxicomanie, Voie intraveineuse, Echange, Aiguille, Seringue, Programme sanitaire, Prévention, Transmission, Virus immunodéficience humaine, Lentivirus, Retroviridae, Virus, Facteur risque, Chimiothérapie, Traitement substitutif, Evaluation, Homme, Maryland, Etats Unis, Amérique du Nord, Amérique, Etude comparative, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Drug addiction, Intravenous administration, Exchange, Needle, Syringe, Sanitary program, Prevention, Transmission, Human immunodeficiency virus, Lentivirus, Retroviridae, Virus, Risk factor, Chemotherapy, Replacement therapy, Evaluation, Human, Maryland, United States, North America, America, Comparative study, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0414234
Code Inist : 002B05C02D. Création : 22/03/2000.