A perfect storm: Crack cocaine, HSV-2, and HIV among non-injecting drug users in New York City

Don Des Jarlais, Courtney Mcknight, Kamyar Arasteh, Jonathan Feelemyer, David C. Perlman, Holly Hagan, Emily F. Dauria, Hannah L F Cooper

Research output: Contribution to journalArticle

Abstract

Prevalence of human immunodeficiency virus (HIV) infection has reached 16% among non-injecting drug users (NIDU) in New York City, an unusually high prevalence for a predominantly heterosexual population that does not inject drugs. Using a long-term study (1983-2011, >7,000 subjects) among persons entering the Beth Israel drug-treatment programs in New York City, we identified factors that contributed to this high prevalence: a preexisting HIV epidemic among injectors, a crack cocaine epidemic, mixing between injectors and crack users, policy responses not centered on public health, and herpes-simplex virus 2 facilitating HIV transmission. Implications for avoiding high prevalence among NIDU in other areas are discussed.

Original languageEnglish (US)
Pages (from-to)783-792
Number of pages10
JournalSubstance Use and Misuse
Volume49
Issue number7
DOIs
StatePublished - 2014

Fingerprint

Crack Cocaine
Human Herpesvirus 2
Drug Users
HIV
drug
Heterosexuality
Virus Diseases
Israel
Pharmaceutical Preparations
Public Health
public health
human being
Population

Keywords

  • Crack cocaine
  • HIV
  • HSV-2
  • Non-injecting drug users

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Medicine (miscellaneous)
  • Medicine(all)

Cite this

A perfect storm : Crack cocaine, HSV-2, and HIV among non-injecting drug users in New York City. / Des Jarlais, Don; Mcknight, Courtney; Arasteh, Kamyar; Feelemyer, Jonathan; Perlman, David C.; Hagan, Holly; Dauria, Emily F.; Cooper, Hannah L F.

In: Substance Use and Misuse, Vol. 49, No. 7, 2014, p. 783-792.

Research output: Contribution to journalArticle

Des Jarlais, Don ; Mcknight, Courtney ; Arasteh, Kamyar ; Feelemyer, Jonathan ; Perlman, David C. ; Hagan, Holly ; Dauria, Emily F. ; Cooper, Hannah L F. / A perfect storm : Crack cocaine, HSV-2, and HIV among non-injecting drug users in New York City. In: Substance Use and Misuse. 2014 ; Vol. 49, No. 7. pp. 783-792.
@article{f8a8ddfa22a14c8cba0a9981ea6dd692,
title = "A perfect storm: Crack cocaine, HSV-2, and HIV among non-injecting drug users in New York City",
abstract = "Prevalence of human immunodeficiency virus (HIV) infection has reached 16{\%} among non-injecting drug users (NIDU) in New York City, an unusually high prevalence for a predominantly heterosexual population that does not inject drugs. Using a long-term study (1983-2011, >7,000 subjects) among persons entering the Beth Israel drug-treatment programs in New York City, we identified factors that contributed to this high prevalence: a preexisting HIV epidemic among injectors, a crack cocaine epidemic, mixing between injectors and crack users, policy responses not centered on public health, and herpes-simplex virus 2 facilitating HIV transmission. Implications for avoiding high prevalence among NIDU in other areas are discussed.",
keywords = "Crack cocaine, HIV, HSV-2, Non-injecting drug users",
author = "{Des Jarlais}, Don and Courtney Mcknight and Kamyar Arasteh and Jonathan Feelemyer and Perlman, {David C.} and Holly Hagan and Dauria, {Emily F.} and Cooper, {Hannah L F}",
year = "2014",
doi = "10.3109/10826084.2014.880176",
language = "English (US)",
volume = "49",
pages = "783--792",
journal = "Substance Use and Misuse",
issn = "1082-6084",
publisher = "Informa Healthcare",
number = "7",

}

TY - JOUR

T1 - A perfect storm

T2 - Crack cocaine, HSV-2, and HIV among non-injecting drug users in New York City

AU - Des Jarlais, Don

AU - Mcknight, Courtney

AU - Arasteh, Kamyar

AU - Feelemyer, Jonathan

AU - Perlman, David C.

AU - Hagan, Holly

AU - Dauria, Emily F.

AU - Cooper, Hannah L F

PY - 2014

Y1 - 2014

N2 - Prevalence of human immunodeficiency virus (HIV) infection has reached 16% among non-injecting drug users (NIDU) in New York City, an unusually high prevalence for a predominantly heterosexual population that does not inject drugs. Using a long-term study (1983-2011, >7,000 subjects) among persons entering the Beth Israel drug-treatment programs in New York City, we identified factors that contributed to this high prevalence: a preexisting HIV epidemic among injectors, a crack cocaine epidemic, mixing between injectors and crack users, policy responses not centered on public health, and herpes-simplex virus 2 facilitating HIV transmission. Implications for avoiding high prevalence among NIDU in other areas are discussed.

AB - Prevalence of human immunodeficiency virus (HIV) infection has reached 16% among non-injecting drug users (NIDU) in New York City, an unusually high prevalence for a predominantly heterosexual population that does not inject drugs. Using a long-term study (1983-2011, >7,000 subjects) among persons entering the Beth Israel drug-treatment programs in New York City, we identified factors that contributed to this high prevalence: a preexisting HIV epidemic among injectors, a crack cocaine epidemic, mixing between injectors and crack users, policy responses not centered on public health, and herpes-simplex virus 2 facilitating HIV transmission. Implications for avoiding high prevalence among NIDU in other areas are discussed.

KW - Crack cocaine

KW - HIV

KW - HSV-2

KW - Non-injecting drug users

UR - http://www.scopus.com/inward/record.url?scp=84899000179&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84899000179&partnerID=8YFLogxK

U2 - 10.3109/10826084.2014.880176

DO - 10.3109/10826084.2014.880176

M3 - Article

C2 - 24502371

AN - SCOPUS:84899000179

VL - 49

SP - 783

EP - 792

JO - Substance Use and Misuse

JF - Substance Use and Misuse

SN - 1082-6084

IS - 7

ER -