A Perfect Storm: Crack Cocaine, HSV-2, and HIV Among Non-Injecting Drug Users in New York City

被引：17
|
作者：
Des Jarlais, Don C. [1 ]
McKnight, Courtney [1 ]
Arasteh, Kamyar [1 ]
Feelemyer, Jonathan [1 ]
Perlman, David C. [1 ]
Hagan, Holly [2 ]
Dauria, Emily F. [3 ]
Cooper, Hannah L. F. [3 ]
机构：
[1] Baron Edmond de Rothschild Chem Dependency Inst, Beth Israel Med Ctr, New York, NY 10038 USA
[2] NYU, Coll Nursing, New York, NY USA
[3] BSHE, Rollins Sch Publ Hlth, Atlanta, GA USA
来源：
SUBSTANCE USE & MISUSE | 2014年 / 49卷 / 07期
基金：
美国国家卫生研究院;
关键词：
HSV-2; HIV; non-injecting drug users; crack cocaine; HERPES-SIMPLEX-VIRUS; AFRICAN-AMERICAN MEN; SEXUAL NETWORKS; INFECTION; RISK; WOMEN; ACQUISITION; EPIDEMIC; TYPE-2; SEROPREVALENCE;
D O I：
10.3109/10826084.2014.880176
中图分类号：
R194 [卫生标准、卫生检查、医药管理];
学科分类号：
摘要：
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.
引用
收藏
页码：783 / 792
页数：10
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