HIV among drug users at beth israel medical center, new york city, the first 25 years

Don Des Jarlais, Kamyar Arasteh, Samuel R. Friedman

Research output: Contribution to journalArticle

Abstract

New York City experienced the first and largest HIV epidemic among injecting drug users (IDUs). Using data collected from IDUs entering the Beth Israel drug detoxification program, we trace the history of this epidemic from the mid-1970s through the early 2000s. The epidemic can best be described in terms of successive stages: (1) introduction and rapid transmission of HIV in the IDU population; (2) stabilization of HIV prevalence at a high level (over 50%); (3) a decline in incidence and prevalence, following large-scale implementation of syringe exchange programs; and (4) a sexual transmission phase, in which HIV prevalence is approximately equal among injecting and noninjecting heroin and cocaine users, and sexual transmission is more important than injecting-related transmission among IDUs. Given the current spread of HIV among IDUs in many places in the world, New York City provides a very strong example for implementation of large-scale comprehensive syringe exchange programs as early as possible in HIV epidemics among IDUs.

Original languageEnglish (US)
Pages (from-to)131-139
Number of pages9
JournalSubstance Use and Misuse
Volume46
Issue number2-3
DOIs
StatePublished - Jan 10 2011

Fingerprint

Israel
Drug Users
HIV
drug
Needle-Exchange Programs
HIV-2
Heroin
Cocaine
stabilization
History
incidence
Incidence
Pharmaceutical Preparations
Population
history

Keywords

  • HIV epidemic
  • HIV/AIDS
  • injection drug use
  • New York City

ASJC Scopus subject areas

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

Cite this

HIV among drug users at beth israel medical center, new york city, the first 25 years. / Des Jarlais, Don; Arasteh, Kamyar; Friedman, Samuel R.

In: Substance Use and Misuse, Vol. 46, No. 2-3, 10.01.2011, p. 131-139.

Research output: Contribution to journalArticle

@article{2afcbc6a4b8f46629acaad0648b694e5,
title = "HIV among drug users at beth israel medical center, new york city, the first 25 years",
abstract = "New York City experienced the first and largest HIV epidemic among injecting drug users (IDUs). Using data collected from IDUs entering the Beth Israel drug detoxification program, we trace the history of this epidemic from the mid-1970s through the early 2000s. The epidemic can best be described in terms of successive stages: (1) introduction and rapid transmission of HIV in the IDU population; (2) stabilization of HIV prevalence at a high level (over 50{\%}); (3) a decline in incidence and prevalence, following large-scale implementation of syringe exchange programs; and (4) a sexual transmission phase, in which HIV prevalence is approximately equal among injecting and noninjecting heroin and cocaine users, and sexual transmission is more important than injecting-related transmission among IDUs. Given the current spread of HIV among IDUs in many places in the world, New York City provides a very strong example for implementation of large-scale comprehensive syringe exchange programs as early as possible in HIV epidemics among IDUs.",
keywords = "HIV epidemic, HIV/AIDS, injection drug use, New York City",
author = "{Des Jarlais}, Don and Kamyar Arasteh and Friedman, {Samuel R.}",
year = "2011",
month = "1",
day = "10",
doi = "10.3109/10826084.2011.521456",
language = "English (US)",
volume = "46",
pages = "131--139",
journal = "Substance Use and Misuse",
issn = "1082-6084",
publisher = "Informa Healthcare",
number = "2-3",

}

TY - JOUR

T1 - HIV among drug users at beth israel medical center, new york city, the first 25 years

AU - Des Jarlais, Don

AU - Arasteh, Kamyar

AU - Friedman, Samuel R.

PY - 2011/1/10

Y1 - 2011/1/10

N2 - New York City experienced the first and largest HIV epidemic among injecting drug users (IDUs). Using data collected from IDUs entering the Beth Israel drug detoxification program, we trace the history of this epidemic from the mid-1970s through the early 2000s. The epidemic can best be described in terms of successive stages: (1) introduction and rapid transmission of HIV in the IDU population; (2) stabilization of HIV prevalence at a high level (over 50%); (3) a decline in incidence and prevalence, following large-scale implementation of syringe exchange programs; and (4) a sexual transmission phase, in which HIV prevalence is approximately equal among injecting and noninjecting heroin and cocaine users, and sexual transmission is more important than injecting-related transmission among IDUs. Given the current spread of HIV among IDUs in many places in the world, New York City provides a very strong example for implementation of large-scale comprehensive syringe exchange programs as early as possible in HIV epidemics among IDUs.

AB - New York City experienced the first and largest HIV epidemic among injecting drug users (IDUs). Using data collected from IDUs entering the Beth Israel drug detoxification program, we trace the history of this epidemic from the mid-1970s through the early 2000s. The epidemic can best be described in terms of successive stages: (1) introduction and rapid transmission of HIV in the IDU population; (2) stabilization of HIV prevalence at a high level (over 50%); (3) a decline in incidence and prevalence, following large-scale implementation of syringe exchange programs; and (4) a sexual transmission phase, in which HIV prevalence is approximately equal among injecting and noninjecting heroin and cocaine users, and sexual transmission is more important than injecting-related transmission among IDUs. Given the current spread of HIV among IDUs in many places in the world, New York City provides a very strong example for implementation of large-scale comprehensive syringe exchange programs as early as possible in HIV epidemics among IDUs.

KW - HIV epidemic

KW - HIV/AIDS

KW - injection drug use

KW - New York City

UR - http://www.scopus.com/inward/record.url?scp=79951558996&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79951558996&partnerID=8YFLogxK

U2 - 10.3109/10826084.2011.521456

DO - 10.3109/10826084.2011.521456

M3 - Article

VL - 46

SP - 131

EP - 139

JO - Substance Use and Misuse

JF - Substance Use and Misuse

SN - 1082-6084

IS - 2-3

ER -